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SJS suspected — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and Drug SafetySJS suspectedGPhC CRA

A patient taking lamotrigine for three weeks presents with fever, mouth ulcers and a widespread blistering rash. They ask for an antihistamine. What is the most appropriate action?

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

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Correct answer: A — Refer for emergency assessment immediately

Mucosal involvement and blistering rash may indicate Stevens-Johnson syndrome. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; MHRA; GPhC Standards