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Metformin renal impairment — GPhC CRA MCQ

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HardEndocrine TherapeuticsMetformin renal impairmentGPhC CRA

A 29-year-old taking isotretinoin asks to use a tetracycline antibiotic supplied online for acne. Which serious interaction should be explained?

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Correct answer: AIntracranial hypertension

Systemic tetracyclines and isotretinoin are avoided together because both are associated with benign intracranial hypertension. Persistent headache, visual symptoms, nausea or pulsatile tinnitus require urgent assessment. Acne treatment should be coordinated with the dermatology team rather than self-sourced alongside isotretinoin.

Reference: https://bnf.nice.org.uk/interactions/