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SJS warning sign — GPhC CRA MCQ

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HardAdverse Drug Reactions and Drug SafetySJS warning signGPhC CRA

A patient recently started carbamazepine reports painful mouth ulcers, fever and a widespread blistering rash. They asks for mouth gel. What is the most appropriate action?

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Correct answer: A — Refer urgently for suspected severe cutaneous adverse reaction

Mucosal involvement, fever and blistering rash suggest Stevens-Johnson syndrome or toxic epidermal necrolysis. Immediate medical assessment is required. In this scenario, the correct option is refer urgently for suspected severe cutaneous adverse reaction. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; MHRA Drug Safety Update