Boots pharmacist Miss Dilraj Kaur Sehmi, registration number 2066293, was issued with a warning by the General Pharmaceutical Council (GPhC) in April.

She had provided a patient with Zomorph 100mg capsules, when the prescription provided by the GP called for Zomorph 10mg. 

“The patient took one of the capsules and slept for a 48-hour period as a result,” said the GPhC.

“When the patient woke, they were suffering pains and sores which required medical treatment.”

The GPhC said when she became aware of what had happened, Miss Sehmi “took actions to destroy evidence of the error that she had made”.

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The GPhC found Sehmi had breached its required standards 1, 2, 4 and 6.

It said that “careful clinical checks should have been carried out and are required in order to ensure patient safety”.

Pharmacists “must be vigilant”

Sehmi had "demonstrated insight and reflected on her own practice to mitigate further the likelihood of a similar incident recurring," said the GPhC.

“She and all registered professionals must be vigilant when conducting accuracy checks," it added.

Finally, it said "any repetition of this or similar conduct will be likely to result in more serious regulatory intervention.”

The GPhC concluded a warning was appropriate, the full judgement can be read here.