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Fluoroquinolone tendon risk — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and Drug SafetyFluoroquinolone tendon riskGPhC CRA

A 70-year-old on prednisolone is prescribed ciprofloxacin and develops Achilles tendon pain after two doses. What is the most appropriate action?

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Correct answer: C — Advise stopping ciprofloxacin pending urgent prescriber review

Fluoroquinolones can cause tendon injury, with higher risk in older patients and corticosteroid use. This makes advise stopping ciprofloxacin pending urgent prescriber review the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: MHRA; BNF