Two boxes that look different

Setting: Community pharmacy

Farah Ali, 60, normally takes one amlodipine 5 mg tablet every morning. At 08:00 today she took one tablet from each of two differently branded packs; she reports no current symptoms.

Task

Identify both amlodipine 5 mg packs as the same medicine.
Confirm two tablets at 08:00 and check current symptoms.
Obtain case-specific advice and explain why the next dose cannot be guessed.
After immediate advice, reconcile the list and improve labelling.

Two boxes that look different consultation plan

Both packs contain amlodipine 5 mg tablets. The prescription is one tablet each morning. The patient reports taking one tablet from each pack at 08:00 today and reports no current symptoms. The immediate task is to obtain case-specific advice, not infer that the absence of symptoms establishes safety.
The pharmacist must establish what was taken and when before obtaining case-specific advice.
The patient should not take further doses until the pharmacist obtains and communicates that advice.
The pharmacist can arrange clear labelling and reconcile the current medicine list afterwards.
Farah Ali, 60, normally takes one amlodipine 5 mg tablet every morning. At 08:00 today she took one tablet from each of two differently branded packs; she reports no current symptoms.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.