Date of incident: 19/01/2022

Error type: dispensing error

Patient age: 60

Patient sex: male

Brief summary of incident: Patient needs itraconazole while he is on simvastatin. Did not tell him that he can only start the simvastatin only 14 days after completing the course of the itraconazole.

Name of medication: Itraconazole; Simvastatin;

Level of harm that could have occurred: 4

The reason you think the potential harm is at the level you have chosen:
myalgia, myopathy, but no death

Possible cause/contributory factors: not reading PIL properly

Reasons why incident occurred and actions required to prevent reoccurence:
fully reading the PIL

Best description of this error/near miss:
verbal direction to patient wrong or omitted
interaction dispensed