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Lamotrigine rash — GPhC CRA MCQ

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ModerateCNS TherapeuticsLamotrigine rashGPhC CRA

A patient who started lamotrigine ten days ago reports a spreading rash and fever. They ask for an antihistamine. What is the most appropriate action?

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Correct answer: BStop supply and refer urgently for medical assessment

Rash with systemic symptoms soon after lamotrigine initiation may indicate serious cutaneous adverse reactions. Urgent assessment is needed. In this scenario, the correct option is stop supply and refer urgently for medical assessment. 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