A patient becomes aggressive when refused promethazine with codeine for a third time in one week. He says he will complain unless it is sold. The

Question

A patient becomes aggressive when refused promethazine with codeine for a third time in one week. He says he will complain unless it is sold. The pharmacist suspects misuse and the sale is not clinically appropriate. What is the legal classification/requirement?

Accepted Answer

Refuse the sale, explain the clinical reason calmly and document the encounter according to pharmacy procedure

Answer

Sell the medicine to avoid conflict and record no concern

Answer

Supply a larger bottle to reduce repeat visits

Answer

Tell another patient in the queue about the suspected misuse

Answer

Ask the patient to choose a stronger opioid instead

Refusal of OTC supply — GPhC CRA MCQ

A patient becomes aggressive when refused promethazine with codeine for a third time in one week. He says he will complain unless it is sold. The pharmacist suspects misuse and the sale is not clinically appropriate. What is the legal classification/requirement?