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Antibiotic in renal impairment — GPhC CRA MCQ

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ModerateRenal and Hepatic ImpairmentAntibiotic in renal impairmentGPhC CRA

A patient with eGFR 22 mL/min/1.73 m2 is prescribed standard-dose nitrofurantoin for cystitis. The GP asks for an alternative suggestion. What is the most appropriate alternative?

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

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Correct answer: C — Discuss an antibiotic suitable for culture results and renal function

Antibiotic choice should account for renal function and local guidance. 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