skip to main content

SGLT2 inhibitor counselling — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePatient Counselling and Pharmaceutical CareSGLT2 inhibitor counsellingGPhC CRA

A patient starting empagliflozin asks what adverse effects to watch for. He has type 2 diabetes, recurrent balanitis, and takes ramipril and metformin. What would you advise the patient?

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

Reveal the answer and explanation

Correct answer: A — Report genital infection symptoms and seek urgent help for ketoacidosis symptoms

SGLT2 inhibitors increase glycosuria and can predispose to genital mycotic infections, particularly in patients with previous episodes. Patients also need counselling on dehydration, sick-day rules, and symptoms of ketoacidosis such as nausea, vomiting, abdominal pain, breathlessness, or unusual fatigue. Routine OTC antifungal prophylaxis is not appropriate without assessment.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment