skip to main content

Topical corticosteroid labelling — GPhC CRA MCQ

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

ModerateDispensing and SupplyTopical corticosteroid labellingGPhC CRA

A prescription for hydrocortisone 1% cream is presented for a 4-year-old with eczema on the face. The parent says they were told to use it four times daily for 4 weeks. The prescription says apply twice daily for 5 days. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: A — Dispense with the prescribed directions and counsel on thin application for the short course

Mild topical corticosteroids can be used for short courses on the face when prescribed, but directions should be clear and cautious. The prescription states twice daily for 5 days, which should be followed unless clarified with the prescriber. More frequent or prolonged unsupervised use increases adverse effect risk, particularly on facial skin. Potent steroids and occlusion would be inappropriate for routine facial eczema in a young child.

Reference: BNF; NICE CKS Eczema