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Prednisolone short-course counselling — GPhC CRA MCQ

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HardPatient CounsellingPrednisolone short-course counsellingGPhC CRA

A patient requests pseudoephedrine while taking phenelzine. What is the most important risk?

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Correct answer: CSympathomimetic hypertensive crisis

Monoamine-oxidase inhibition markedly potentiates indirect sympathomimetics such as pseudoephedrine and can precipitate severe hypertension, headache, arrhythmia or stroke. The decongestant should not be supplied; recommend an appropriate non-sympathomimetic approach and assess red-flag symptoms.

Reference: https://bnf.nice.org.uk/interactions/