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Epilepsy missed doses — GPhC CRA MCQ

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EasyCNS TherapeuticsEpilepsy missed dosesGPhC CRA

A patient with epilepsy taking lamotrigine twice daily says she often forgets evening doses and had a seizure last week. She asks for help at the pharmacy counter. What is the most appropriate action?

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

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Correct answer: C — Discuss adherence support and refer to the prescriber or epilepsy team

Poor adherence to antiseizure medication can increase seizure risk and should be addressed sensitively. The pharmacist can support adherence measures, but recurrent seizures need prescriber or specialist review. Dose consolidation or doubling without advice can increase adverse effects or reduce seizure control.

Reference: BNF; NICE CKS