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Isotretinoin pregnancy prevention — GPhC CRA MCQ

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HardAdverse Drug Reactions and SafetyIsotretinoin pregnancy preventionGPhC CRA

A 21-year-old woman taking isotretinoin presents a prescription dated six weeks ago. She says she had a negative pregnancy test before it was issued and wants to start now. What is the legal classification/requirement?

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Correct answer: C — Query supply because pregnancy prevention programme timing requirements may not be met

Isotretinoin is highly teratogenic and is subject to strict pregnancy prevention programme requirements, including timing of pregnancy testing, prescription validity and limited supply quantities. A six-week-old prescription may not meet these requirements. The pharmacist should query and ensure counselling is completed before supply.

Reference: MHRA safety advice; BNF