PharmaSim

Training Scenarios

Self-contained, realistic pharmacy cases grouped by skill area. Each scenario page explains what it teaches, the skills it trains, and an example case.

Scenario of the day

High-Risk Medication

Some drugs are unforgiving. A weekly methotrexate dose taken daily is a classic fatal error - the pharmacist is the last check that prevents it.

A new case every day.

Basic

5

Intermediate

12
Drug Interactions

Drug Interaction

Recognising an interaction is only half the job - the other half is choosing the right action: hold, refer, or offer a safe alternative through the prescriber.

Start Simulation
Pediatric Safety

Pediatric Medication

Children are dosed by weight, not by age, and several common adult drugs are off-limits. Calm, precise guidance protects both the child and the parent.

Start Simulation
Antibiotic Stewardship

Antibiotic Counseling

Refusing an antibiotic is only half the job - the other half is solving the patient's real problem and, when an antibiotic is appropriate, making sure it's taken correctly.

Start Simulation
Prescription Verification

Prescription Error

Two prescribers, one patient, and a combination that can stop the heart. The pharmacist is the last safety check before dispensing.

Start Simulation
Geriatric Pharmacy

Elderly Patient

Ageing changes how drugs are handled. A short review of an older patient's regimen can prevent falls, kidney harm and silent duplication.

Start Simulation
Anticoagulation

Anticoagulant Safety

A direct oral anticoagulant saves lives but turns several ordinary situations - a new antibiotic, a missed dose, minor bleeding - into decisions that matter.

Start Simulation
Endocrine

Diabetes Medication

Patients with type 2 diabetes often want to replace proven therapy with a supplement. The pharmacist's job is to protect the proven treatment and catch emergencies.

Start Simulation
Cardiovascular

Hypertension

A high reading at the counter is a moment for calm action, not panic - and the "blood-pressure pills cause dependency" myth must be put down clearly.

Start Simulation
Allergy & Respiratory

Allergy / Antihistamine

The right antihistamine depends on what the patient does next - drive, work, sleep - and on spotting when "just allergies" is becoming dangerous.

Start Simulation
Adherence & Counseling

Medication Adherence

Non-adherence usually has a reason. The pharmacist's skill is uncovering it and matching the fix - not lecturing the patient into silence.

Start Simulation
Pregnancy & Lactation

Pregnancy & Medication Safety

Medication in pregnancy demands extra caution — the wrong choice can harm both mother and fetus. Trimester matters, and some common drugs are off-limits entirely.

Start Simulation
Gastrointestinal & Pain Management

Peptic Ulcer & NSAID Dilemma

When a patient with a peptic ulcer needs pain relief, the easy answer — an NSAID — is exactly the wrong one. The pharmacist must balance analgesia against GI bleeding risk.

Start Simulation

Advanced

8
Polypharmacy

Polypharmacy Review

Eight medications and a new ninth. The danger isn't one drug - it's the duplicate, the interaction, and the schedule nobody can follow.

Start Simulation
Drug Interactions

Complex Drug Interaction

When three serotonergic drugs meet one patient, the question isn't whether there's an interaction - it's how to untangle it safely without the patient stopping anything on their own.

Start Simulation
High-Alert Medications

High-Risk Medication

Some drugs are unforgiving. A weekly methotrexate dose taken daily is a classic fatal error - the pharmacist is the last check that prevents it.

Start Simulation
Prescription Verification

Complex Prescription

Several checks at once - dose, form, quantity, look-alike names - is where experience shows. One wrong letter can mean a different drug entirely.

Start Simulation
Pharmacovigilance

Adverse Drug Reaction

Not every drug complaint means stop the drug. The skill is telling an expected, manageable effect from a reaction that needs urgent action - and reporting both.

Start Simulation
Triage & Safety-Netting

Clinical Red Flags

Some patients don't need a product - they need a doctor, fast. Spotting red flags and saying so clearly is the pharmacist's most important safety skill.

Start Simulation
Complex Case

Multi-Problem Patient

Diabetes, heart failure, chronic pain, recent falls, and a new prescription that doesn't fit. The hardest cases need prioritisation before any single recommendation.

Start Simulation
Renal & Polypharmacy

Renal Impairment & Polypharmacy

When kidneys fail, every dose matters. An elderly patient on ten medications walks in with a new prescription — the pharmacist must reconcile, adjust, and protect against cascading harm.

Start Simulation

Browse by topic

Adherence & Counseling

Allergy & Respiratory

Antibiotic Stewardship

Anticoagulation

Cardiovascular

Gastrointestinal & Pain Management

Geriatric Pharmacy

High-Alert Medications

Pediatric Safety

Pharmacovigilance

Pregnancy & Lactation

Triage & Safety-Netting