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Paracetamol duplication — GPhC CRA MCQ

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ModerateDispensing and SupplyParacetamol duplicationGPhC CRA

A prescription for co-codamol 30/500mg tablets is written for 'two tablets four times daily when required' for an older patient already buying paracetamol 500mg tablets. The patient has mild cognitive impairment and lives alone. What is the most appropriate alternative?

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Correct answer: ECounsel on total paracetamol dose and consider adherence support to prevent overdose

Co-codamol contains paracetamol, so concurrent OTC paracetamol creates overdose risk. Cognitive impairment and living alone increase the need for clear counselling and possibly involvement of carers or the prescriber. The label and verbal advice should make maximum daily paracetamol exposure explicit. Alcohol and additional paracetamol would increase harm.

Reference: BNF; MEP