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Methotrexate patient-held record — GPhC CRA MCQ

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EasyPatient CounsellingMethotrexate patient-held recordGPhC CRA

A patient collecting methotrexate for rheumatoid arthritis is unsure which day to take it. The prescription states 15 mg weekly and folic acid 5 mg weekly. What would you advise the patient?

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

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Correct answer: B — Confirm the once-weekly methotrexate day and ensure clear written counselling

Low-dose methotrexate must be taken once weekly, with explicit counselling and ideally a patient-held record. Confusion about dosing can cause serious harm. Monitoring and toxicity warning signs should be reinforced.

Reference: BNF; NPSA guidance