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Fitness to supply OTC codeine — GPhC CRA MCQ

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ModeratePharmacy Law and EthicsFitness to supply OTC codeineGPhC CRA

A patient requests a large quantity of co-codamol and says the previous pack was finished in three days. They describe daily headaches and ask for “something stronger”. What is the legal classification/requirement?

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Correct answer: C — Refuse routine supply and refer for assessment of medication-overuse headache

Frequent use of opioid-containing analgesics can contribute to medication-overuse headache and dependence. The pharmacist should assess, decline inappropriate supply and refer for clinical review. Larger packs would increase risk. Alcohol would increase sedation and harm.

Reference: BNF; GPhC Standards