Common Registration Assessment, Part 1

Zolmitriptan 2.5mg tablets and 24 hour dose limits for the GPhC assessment

Three original practice questions, with the working shown. Read the stated prescription or plan before calculating.

Published 6 November 2026. Independent revision material, not GPhC questions, not for patient care.

An elderly woman with both hands on her temples
Photo from Pexels, used under the Pexels licence. It is a stock image and does not show the exercise.

The manufacturer's UK product information for zolmitriptan 2.5 mg film-coated tablets states that the recommended dose to treat a migraine attack is 2.5 mg, that if symptoms return within 24 hours following an initial response a second dose may be taken, and that a second dose should not be taken within 2 hours of the initial dose.

The same information states that if a patient does not achieve satisfactory relief with 2.5 mg doses, subsequent attacks can be treated with 5 mg doses of zolmitriptan.

It also states that in the event of recurrent attacks the total intake in a 24 hour period should not exceed 10 mg, that not more than 2 doses should be taken in any 24 hour period, and that for patients with moderate or severe hepatic impairment a maximum dose of 5 mg in 24 hours is recommended.

Each question fixes the values needed for its arithmetic. Write the unit beside every step and distinguish a single dose from a daily total or a supply period. All prescriptions and patients here are fictional; these are revision materials, not for patient care.

The method

  1. Identify the stated single dose in milligrams.
  2. Apply the stated maximum number of doses and the maximum total in 24 hours.
  3. Check the stated minimum gap of 2 hours before counting a second dose.
  4. Keep milligrams, doses and hours separate; convert only when the question asks.

Three practice questions

Work each one on paper first, then open the answer. All patients and prescriptions are fictional.

Question 1

A fictional patient takes zolmitriptan 2.5 mg for a migraine attack at 08:00. The symptoms return, and they take a second 2.5 mg dose at 13:00. How many milligrams have they taken in total that day?

Show the answer

Answer: 5 mg

Working: The doses are more than 2 hours apart, so a second dose is allowed. 2.5 mg + 2.5 mg = 5 mg.

Question 2

A fictional patient takes a first zolmitriptan 2.5 mg dose at 09:00. What is the earliest time the product information allows a second dose?

Show the answer

Answer: 11:00

Working: A second dose should not be taken within 2 hours of the initial dose. 09:00 + 2 hours = 11:00.

Question 3

A fictional patient with moderate hepatic impairment is limited to the stated maximum of 5 mg in 24 hours. Using 2.5 mg tablets, what is the maximum number of tablets they can take in 24 hours?

Show the answer

Answer: 2 tablets

Working: 5 mg / 2.5 mg per tablet = 2 tablets in 24 hours.

eMC SmPC: Zolmitriptan 2.5 mg Film-coated Tablets

https://www.medicines.org.uk/emc/product/9924/smpc

Where marks are lost

  • Ignoring the 2-hour gap rule when working out whether a second dose is allowed.
  • Exceeding the 10 mg in 24 hours limit when adding up repeat doses.
  • Applying the 10 mg limit to a patient with hepatic impairment, where 5 mg in 24 hours is the stated maximum.

Frequently asked questions

Are these official assessment questions?

No. They are original revision exercises, not official GPhC questions and not for patient care.

Does this calculation decide a real zolmitriptan dose?

No. Follow the stated prescription in the exercise. Real dosing depends on attack response, other medicines and liver function.

How should I check the answer?

Check the requested unit, then work backwards from the total to the stated single dose and limits.

Sources

The questions above are original and use fictional patients and prescriptions. PreRegExamPrep is not affiliated with or endorsed by the General Pharmaceutical Council.

Practise until the method is automatic

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More calculation topics

See also the formula sheet, the eight sample questions and the approved calculator page.