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Metformin sick day advice — GPhC CRA MCQ

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HardEndocrine TherapeuticsMetformin sick day adviceGPhC CRA

A patient taking metformin develops vomiting and poor fluid intake from gastroenteritis. What would you advise the patient?

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

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Correct answer: E — Temporarily stop metformin during significant dehydration and seek advice

Temporary withholding of metformin is appropriate during significant dehydration, with restart after recovery and clinical stability. This makes temporarily stop metformin during significant dehydration and seek advice 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: NICE CKS; BNF