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Methotrexate counselling — GPhC CRA MCQ

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ModeratePatient CounsellingMethotrexate counsellingGPhC CRA

A woman collects methotrexate 10 mg once weekly and folic acid 5 mg once weekly. She asks whether she should take both tablets on the same day because her previous pharmacy label was unclear. What would you advise the patient?

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

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Correct answer: CTake methotrexate weekly as prescribed and folic acid on the advised separate day

Methotrexate for inflammatory disease is weekly, and folic acid is commonly prescribed on a different day to reduce adverse effects. The exact folic-acid schedule should match the prescriber's instruction or local protocol. Clear written counselling is essential because dosing errors can be serious.

Reference: BNF; MEP