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Codeine linctus request — GPhC CRA MCQ

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ModerateAdverse Drug Reactions and SafetyCodeine linctus requestGPhC CRA

A customer asks to buy codeine linctus for a persistent cough and mentions using it nightly for sleep. What is the most appropriate action?

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

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Correct answer: D — Do not supply and refer for medical assessment or safer advice

Codeine linctus has misuse and dependence risks and its classification has changed to restrict availability. In this vignette, "Do not supply and refer for medical assessment or safer advice" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; MHRA Drug Safety Update