Clinical
A patient on ramipril and furosemide asks to buy ibuprofen. What is the concern?
Triple whammy: AKI risk. Stop the NSAID.
ACE inhibitor + diuretic + NSAID.
Go beyond memorising. Understand the decisions behind pharmacy.
Mr Hughes, 68
Chronic kidney disease, stage 4
eGFR 27
mL/min/1.73 m²
Below 30: stop metformin
It accumulates: lactic acidosis risk
The diabetes still
needs treating.
needs treating.
- Linagliptin 5 mg: DPP-4 inhibitor cleared mostly non-renally, so no dose change needed
- Dapagliflozin or empagliflozin alongside, for cardiorenal protection
- If a DPP-4 inhibitor is contraindicated or not tolerated: pioglitazone or an insulin-based regimen
Pharmacy education that teaches
the decision, not the flashcard
Calculations
500 mL is to be infused over 4 hours. What is the rate in mL/h?
125 mL/h
500 mL ÷ 4 hours
Law & ethics
An isotretinoin prescription under the Pregnancy Prevention Programme is written on day 1. How long is it valid?
7 days. Dispense by day 7.
After that, a new prescription is needed.
Minor ailments & OTC
A child aged 4 has chickenpox. Ibuprofen or paracetamol?
Paracetamol only.
Avoid ibuprofen: risk of severe skin and soft tissue infection, such as strep.
“I wish I’d joined sooner.”
The most repeated sentence
after trainees join PharmX.
- 7full mock exam papers
- 4,640Topic-Focused QBank questions
- Regularupdates and new content
FAQ
Most asked before joining.
Absolutely not!
Every year, trainees pass through disciplined self-study alone. A provider is not a requirement, and you should be wary of anyone who sells you the idea that it is.
What PharmX does is make the same hours count for more. Everything lives in one place, mapped to the assessment framework, and every topic is taught through the reasoning behind the decision, so revision builds judgement rather than a pile of memorised facts.
It is why the message we hear most from members is “I wish I’d joined sooner”. Not because passing was impossible without PharmX, but because understanding early beats re-reading late.