In this scenario, the student counsels a 60-year-old patient who has been prescribed clarithromycin for a persistent cough. During the consultation, the student should explore the patient's history and uncover important considerations for safe antibiotic use. The student must navigate a challenging scenario and address the patient’s concerns. 

Please ensure that this scenario and mark scheme align with the most up-to-date guidelines from the UK NICE and the BNF when using it for your OSCE assessment. 

  
You will need a student pharmacist and an actor for this OSCE station.