A 52-year-old woman with rheumatoid arthritis presents a prescription for methotrexate 2.5mg tablets, eight tablets once weekly. She says she

Question

A 52-year-old woman with rheumatoid arthritis presents a prescription for methotrexate 2.5mg tablets, eight tablets once weekly. She says she sometimes forgets and takes one tablet each morning instead. What is the most appropriate action?

Accepted Answer

Stop supply until the dosing misunderstanding is resolved with urgent counselling and prescriber contact

Answer

Supply 10mg tablets to reduce tablet burden without review

Answer

Dispense because a total weekly dose of 20mg is unchanged

Answer

Change the label to one tablet daily for simplicity

Answer

Advise taking methotrexate whenever joint pain occurs

Methotrexate weekly dosing — GPhC CRA MCQ

A 52-year-old woman with rheumatoid arthritis presents a prescription for methotrexate 2.5mg tablets, eight tablets once weekly. She says she sometimes forgets and takes one tablet each morning instead. What is the most appropriate action?