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Parkinson's time-critical medicines — GPhC CRA MCQ

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ModerateCNS TherapeuticsParkinson's time-critical medicinesGPhC CRA

A care home sends a prescription query for co-careldopa 25/100mg tablets for a resident with Parkinson's disease. The resident has missed two scheduled doses after a stock problem and is becoming rigid. What is the most appropriate action?

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Correct answer: E — Prioritise urgent supply or prescriber contact because Parkinson's medicines are time critical

Dopaminergic medicines for Parkinson's disease are time critical. Missed doses can lead to significant deterioration, rigidity and complications. The pharmacist should urgently resolve supply or contact the prescriber for a safe plan. Haloperidol can worsen Parkinsonism and is inappropriate as a substitute.

Reference: BNF; NICE CKS