Amitriptyline in older patient — GPhC CRA MCQ
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Correct answer: A — Contact the prescriber to review anticholinergic burden
Amitriptyline has anticholinergic and sedating effects that can worsen falls, constipation and glaucoma risk. This makes contact the prescriber to review anticholinergic burden 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: https://www.pharmacyregulation.org/registration-assessment#stage-8-order-57