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Isotretinoin safety counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareIsotretinoin safety counsellingGPhC CRA

A woman of childbearing potential collects isotretinoin from a specialist prescription. She asks why pregnancy testing and contraception checks are repeatedly discussed. What would you advise the patient?

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

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Correct answer: A — Isotretinoin is highly teratogenic and pregnancy prevention measures are essential

Isotretinoin is highly teratogenic and strict pregnancy prevention requirements apply for patients who can become pregnant. Counselling should include contraception, pregnancy testing, and what to do if pregnancy is suspected. Patients should not donate blood during treatment and for the specified period afterwards. Acne improvement does not remove teratogenic risk.

Reference: MHRA Drug Safety Update; BNF