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Methotrexate labelling — GPhC CRA MCQ

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EasyDispensing and SupplyMethotrexate labellingGPhC CRA

A prescription for methotrexate 15 mg once weekly is clinically appropriate. The dispenser asks what extra care is needed on the label and counselling. What is the most appropriate action?

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

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Correct answer: E — State the weekly dosing day clearly and reinforce folic acid schedule

Methotrexate weekly dosing errors can be fatal. The label should clearly specify once-weekly dosing and the chosen day, with counselling to reinforce the schedule. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; MEP