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Ciprofloxacin tendon pain — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and Drug SafetyCiprofloxacin tendon painGPhC CRA

A man on ciprofloxacin and prednisolone develops sudden Achilles tendon pain. What is the most appropriate action?

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

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Correct answer: B — Advise stopping ciprofloxacin and urgent prescriber review

This scenario assesses Ciprofloxacin tendon pain in a UK pharmacy practice context. Fluoroquinolones can cause tendonitis or rupture, especially with corticosteroids. The best answer is Advise stopping ciprofloxacin and urgent prescriber review 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