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Epilepsy missed doses — GPhC CRA MCQ

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ModerateCNS TherapeuticsEpilepsy missed dosesGPhC CRA

A 22-year-old man with epilepsy taking levetiracetam 500 mg twice daily reports he has missed two days because his repeat was delayed. He feels well and wants advice. What is the most appropriate action?

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Correct answer: E — Arrange urgent supply or referral to avoid seizure risk from missed doses

Antiseizure medicines are time-critical, and missed doses can increase seizure risk. An emergency supply may be appropriate if legal criteria are met, or urgent referral is needed. Doubling doses can increase adverse effects and should not be advised without prescriber direction.

Reference: BNF; MEP