Gabapentin renal impairment — GPhC CRA MCQ
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Correct answer: E — query the dose and sedation risk with the prescriber before supply
Gabapentin is renally cleared and dose reduction is needed in renal impairment. Older age, falls and concurrent zopiclone increase the risk of sedation, dizziness and harm. The pharmacist should query the starting dose and overall risk before supply. Adding other sedating medicines would increase falls risk.
Reference: BNF; NICE CKS: Neuropathic pain