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Oral terbinafine liver disease — GPhC CRA MCQ

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EasyInfectionsOral terbinafine liver diseaseGPhC CRA

A patient with liver disease asks about oral terbinafine tablets bought abroad for fungal toenail infection. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Advise not to use oral terbinafine without medical assessment because liver disease is relevant

Oral terbinafine can cause hepatotoxicity and should be assessed carefully in liver disease. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF; MEP