Metformin renal impairment — GPhC CRA MCQ
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Correct answer: A — Arrange urgent specialist or prescriber review without abrupt withdrawal
Valproate carries substantial fetal risk and use in people who could become pregnant requires strict safeguards and specialist oversight. The pharmacist should urgently contact the prescriber or specialist and ensure pregnancy-prevention and preconception advice, but should not cause abrupt withdrawal because uncontrolled seizures can be dangerous. Antiseizure medicines cannot be exchanged using simple milligram equivalence.
Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment