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Methotrexate counselling — GPhC CRA MCQ

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HardPatient CounsellingMethotrexate counsellingGPhC CRA

A methotrexate repeat prescription for rheumatoid arthritis states “15 mg once weekly” but requests both 2.5 mg and 10 mg tablets. The patient says the tablet colours help her remember the dose. What is the safest action?

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

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Correct answer: B — Clarify and normally supply a single tablet strength

Using more than one methotrexate tablet strength increases the risk of fatal dosing errors. The prescription and intended weekly dose should be clarified, and a single tablet strength—normally 2.5 mg—used unless there is a specific, documented reason otherwise. The pharmacist must not round the dose or convert weekly methotrexate to daily administration.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment