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SGLT2 counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareSGLT2 counsellingGPhC CRA

A patient starts empagliflozin and asks what safety advice is most important. He has type 2 diabetes and works outdoors. What would you advise the patient?

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Correct answer: C — Maintain hydration and seek help for ketone symptoms during illness

SGLT2 inhibitors increase urinary glucose and can cause genital infections, dehydration and rare ketoacidosis. Patients should understand sick-day advice and seek help for nausea, vomiting, abdominal pain or breathlessness. Hydration is particularly relevant for outdoor work.

Reference: BNF; MHRA Drug Safety Update