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Antibiotic allergy documentation — GPhC CRA MCQ

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EasyInfectionsAntibiotic allergy documentationGPhC CRA

A patient presents a prescription for co-amoxiclav. The PMR states penicillin allergy, but the patient says the reaction was nausea several years ago and no rash or breathing symptoms occurred. The prescriber is not available immediately. What is the most appropriate action?

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Correct answer: E — Clarify and document the nature of the reaction before supply

A recorded allergy should be clarified because intolerance such as nausea differs from immune-mediated allergy. The pharmacist should document the reaction history and use professional judgement, contacting the prescriber where needed. Automatically refusing or deleting the allergy record is inappropriate. Trial dosing at home without assessment is unsafe.

Reference: GPhC Standards; BNF