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Cytotoxic handling — GPhC CRA MCQ

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ModerateDispensing and SupplyCytotoxic handlingGPhC CRA

A patient returns unused methotrexate tablets after therapy was stopped. A counter assistant is about to place them with ordinary returned medicines. What is the most appropriate action?

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Correct answer: C — Handle and segregate as cytotoxic waste according to pharmacy procedure

Methotrexate is cytotoxic and returned tablets should be handled according to hazardous waste procedures. They should not be returned to stock once supplied to a patient. Crushing tablets increases exposure risk. Medicines should not be flushed down sinks unless a specific emergency instruction applies.

Reference: MEP; hazardous waste guidance