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Bisphosphonate renal impairment — GPhC CRA MCQ

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HardRenal and Hepatic ImpairmentBisphosphonate renal impairmentGPhC CRA

A patient subject to the isotretinoin Pregnancy Prevention Programme presents a prescription issued eight days ago for 30 days’ treatment. The pregnancy assessment was documented at issue. What should the pharmacist do?

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Correct answer: A — Do not dispense; contact dermatology for reassessment and a compliant prescription

Under oral-retinoid pregnancy-prevention measures, prescriptions for patients at pregnancy risk are limited to 30 days’ treatment and must be dispensed within seven days of issue. The eight-day-old prescription is outside that window and needs appropriate reassessment and reissue. Ordinary six-month POM validity, partial supply, verbal home testing and backdating do not satisfy the programme or preserve an auditable record.

Reference: MHRA: oral retinoid pregnancy prevention. https://www.gov.uk/drug-safety-update/oral-retinoids-pregnancy-prevention-reminder-of-measures-to-minimise-teratogenic-risk