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Parkinson's time-critical medicines — GPhC CRA MCQ

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HardCNS TherapeuticsParkinson's time-critical medicinesGPhC CRA

A 79-year-old care-home resident on co-careldopa 125 mg four times daily has a MAR showing missed lunchtime doses on three consecutive days due to stock delay. Staff report increased rigidity and confusion. What is the most appropriate action?

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

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Correct answer: A — Escalate urgently and restore timely dopaminergic dosing

Parkinson's medicines are time critical, and missed dopaminergic doses can cause severe deterioration including rigidity and confusion. The pharmacist should urgently resolve supply and liaise with the prescriber or Parkinson's team. Antipsychotics such as haloperidol can worsen Parkinsonism and are inappropriate without specialist advice.

Reference: BNF; NICE CKS