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Dispensing high-risk medicines — GPhC CRA MCQ

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EasyDispensing and SupplyDispensing high-risk medicinesGPhC CRA

A new prescription for methotrexate 10 mg tablets states 'take as directed'. The patient cannot explain the dose and has not used methotrexate before. What is the most appropriate action?

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

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Correct answer: BDo not supply until the exact dose and schedule are clarified

Methotrexate is high risk, and unclear directions can lead to fatal dosing errors. The pharmacist must clarify the exact dose, frequency and day before supply. Patient counselling and monitoring arrangements should be confirmed.

Reference: BNF; MEP