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Montelukast mood symptoms — GPhC CRA MCQ

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EasyRespiratory TherapeuticsMontelukast mood symptomsGPhC CRA

A teenager develops nightmares and low mood three weeks after starting montelukast. What is the most appropriate action?

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

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Correct answer: AArrange prompt prescriber review for possible montelukast adverse effects

This scenario assesses Montelukast mood symptoms in a UK pharmacy practice context. Montelukast is associated with neuropsychiatric reactions and new mood or sleep symptoms require review. The best answer is Arrange prompt prescriber review for possible montelukast adverse effects 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