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Methadone supervised consumption — GPhC CRA MCQ

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ModerateCNS TherapeuticsMethadone supervised consumptionGPhC CRA

A patient on methadone oral solution has an instalment prescription stating supervised consumption on Monday to Friday, with weekend doses supplied on Friday. They request the Saturday dose early on Thursday. What is the most appropriate action?

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

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Correct answer: A — Follow the instalment directions and contact the prescriber if change is needed

Instalment prescriptions for opioid substitution therapy must be supplied according to the prescriber’s directions. Early or altered supply may increase overdose or diversion risk and should be agreed with the prescriber where necessary. The pharmacist should maintain a person-centred approach while following legal and clinical requirements. Verbal changes to instalment directions require appropriate prescriber confirmation and documentation.

Reference: MEP; Misuse of Drugs Regulations 2001