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Insulin strength selection — GPhC CRA MCQ

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HardDispensing and SupplyInsulin strength selectionGPhC CRA

A prescription for insulin glargine states 24 units at night but the brand is unclear. The patient previously used a 300 units/mL preparation and the pharmacy has a 100 units/mL product in stock. What is the most appropriate action?

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

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Correct answer: DClarify the intended brand and formulation before supply

Insulin products with the same active ingredient can differ in concentration, device and pharmacokinetic profile. Brand-specific prescribing and counselling reduce dosing errors. Substitution without clarification can cause harm.

Reference: BNF; GPhC Standards