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Ciprofloxacin tendon risk — GPhC CRA MCQ

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EasyInfectionsCiprofloxacin tendon riskGPhC CRA

A man on prednisolone with previous Achilles tendinopathy is prescribed ciprofloxacin for mild sinus symptoms. What is the most appropriate action?

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

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Correct answer: A — Query ciprofloxacin because tendon harm risk is increased

This scenario assesses Ciprofloxacin tendon risk in a UK pharmacy practice context. Fluoroquinolones carry serious tendon warnings, especially in older people and corticosteroid users. The best answer is Query ciprofloxacin because tendon harm risk is increased because it addresses the principal clinical, legal or safety issue before routine supply. The other options are less appropriate because they either miss the key risk, delay necessary review, or would not meet expected BNF, NICE, MEP, MHRA or GPhC practice standards.

Reference: MHRA Drug Safety Update; BNF