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Pharmacy

Read the following information.

Free OET Writing Sample Test with Answer Subtest Pharmacy #19

Migraine Overuse

Case Notes:

  • Patient: Ms. Chloe White, 34 yrs

  • Condition: Recurrent migraines (5–6 episodes/month)

  • Current medication: OTC Ibuprofen and Sumatriptan 50mg (PRN)

  • Issue: Using Sumatriptan up to 10 times/month, frequent Ibuprofen use

  • Symptoms: Headaches persist, sometimes rebound pain, fatigue

  • Lifestyle: Works night shifts, irregular sleep

  • Concern: Risk of medication-overuse headache

  • Pharmacy notes: Educated patient about medication limits, advised medical review.

  • Request: Inform GP to consider preventive migraine therapy.

Writing Task: In your answer:

  • Expand the relevant notes into complete sentences.

  • Do not use note form.

  • Use letter format.

  • The body of the letter should be approximately 180–200 words.

To: Dr. Edwards

Dear Dr. Edwards,

I am writing concerning Ms. Chloe White, a 34-year-old patient with a history of recurrent migraines who frequently uses Sumatriptan and Ibuprofen for symptom relief.

She reports experiencing up to six migraine episodes per month and admits to using Sumatriptan as often as ten times in a month, alongside regular Ibuprofen intake. Recently, she has complained of fatigue and persistent headaches, some of which may represent rebound pain.

Her lifestyle factors, including irregular sleep due to night shifts, may also be contributing. However, the frequency of her analgesic and triptan use raises the concern of medication-overuse headache.

I would recommend reviewing her management plan and considering a preventive therapy to reduce her reliance on acute medications.

Yours sincerely,
[Pharmacist’s Name]

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