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Parkinson's time-critical medicines — GPhC CRA MCQ

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HardCNS TherapeuticsParkinson's time-critical medicinesGPhC CRA

A care home requests an urgent supply of co-careldopa 25/100 tablets for an 81-year-old resident with Parkinson's disease. The resident missed two doses after a hospital discharge delay and is now more rigid and confused. The GP surgery is closed and the MAR confirms the regular dose schedule. What is the most appropriate action?

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Correct answer: E — Assess emergency supply and prioritise immediate restoration of dosing

Parkinson's medicines are time-critical, and missed doses can cause serious deterioration including rigidity and confusion. An emergency supply may be appropriate if legal requirements are met and the dose can be verified. Doses should not simply be combined. Haloperidol can worsen Parkinsonism and is not an appropriate substitute.

Reference: BNF; Human Medicines Regulations 2012; NICE CKS Parkinson's disease