CAOP Competency Assessment

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A 72-year-old patient, who was started on allopurinol 100mg daily two weeks ago for gout, presents to the pharmacy complaining of a new, non-itchy rash on his torso. What is the most appropriate initial action for the pharmacist to take?

Sell the patient an over-the-counter hydrocortisone cream and advise them to monitor the rash. Advise the patient to immediately stop taking the allopurinol and to see their GP for an urgent assessment. Reassure the patient that a mild rash is a common and harmless side effect of allopurinol. Document the reaction and advise the patient to continue the medication unless the rash worsens or spreads.

Correct Answer:

Advise the patient to immediately stop taking the allopurinol and to see their GP for an urgent assessment.

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