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Clinical appropriateness and refusal — GPhC CRA MCQ

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ModeratePharmacy Law and EthicsClinical appropriateness and refusalGPhC CRA

A prescriber sends a prescription for co-codamol 30/500, two tablets four times daily, for a patient already collecting morphine modified-release. The patient appears sedated at the counter. What is the legal classification/requirement?

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Correct answer: E — Delay supply and contact the prescriber because of safety concerns

A legally valid prescription still requires a clinical appropriateness check. Co-codamol with existing morphine increases opioid burden and sedation risk, and the patient appears sedated. The pharmacist should contact the prescriber and assess immediate safety. Independent alteration of the prescription without authority is not appropriate.

Reference: GPhC Standards; BNF; MEP