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Methotrexate counselling — GPhC CRA MCQ

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ModeratePatient Counselling and Pharmaceutical CareMethotrexate counsellingGPhC CRA

A patient starts methotrexate tablets for psoriasis. She also receives folic acid and asks how to avoid serious mistakes. What would you advise the patient?

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

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Correct answer: C — Take methotrexate once weekly on the agreed day and report infection symptoms

Methotrexate for psoriasis is taken once weekly, and daily dosing errors can be fatal. Patients should understand the folic acid schedule, monitoring requirements and warning signs such as sore throat or mouth ulcers. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; MEP