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Pharmacy sildenafil supply — GPhC CRA MCQ

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ModeratePharmacy Law and EthicsPharmacy sildenafil supplyGPhC CRA

A patient asks for sildenafil 50 mg OTC but takes isosorbide mononitrate MR 60 mg daily. He says the online questionnaire did not ask about heart tablets. What is the legal classification/requirement?

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

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Correct answer: D — Refuse OTC sildenafil supply because nitrates are contraindicated

OTC sildenafil supply requires pharmacist assessment against contraindications. Nitrate therapy is a contraindication because of severe hypotension risk. The pharmacist should refuse supply, explain the reason and advise medical review for erectile dysfunction.

Reference: BNF; MEP