POM to P supply — GPhC CRA MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: D — Decline OTC chloramphenicol and refer the child for clinical assessment
Decline OTC chloramphenicol and refer the child for clinical assessment: The P-medicine indication for acute bacterial conjunctivitis applies from age 2 years, so this child falls outside licensed pharmacy supply. Supply chloramphenicol drops at half the dose stated on the product: Dose reduction does not extend the licensed age range or establish safety. Supply the standard drops under their general-sale medicine classification: Ophthalmic chloramphenicol for this indication is a pharmacy medicine, not GSL. Supply chloramphenicol ointment under a pharmacy licence from birth: Changing formulation does not create an OTC indication for this age without appropriate assessment. Supply the drops after obtaining written parental off-label consent: A consent form does not authorise an unprescribed off-label pharmacy sale.
Reference: BNF: chloramphenicol: https://bnf.nice.org.uk/drugs/chloramphenicol/; Human Medicines Regulations 2012: https://www.legislation.gov.uk/uksi/2012/1916/contents