diff --git a/src/__tests__/guardian-notification-payloads.test.ts b/src/__tests__/guardian-notification-payloads.test.ts
index 03ad2f5b0..183daeb95 100644
--- a/src/__tests__/guardian-notification-payloads.test.ts
+++ b/src/__tests__/guardian-notification-payloads.test.ts
@@ -6,23 +6,15 @@ describe("managed Guardian notification payload safety", () => {
   it("recognises only cross-account record delivery as managed Guardian delivery", () => {
     expect(
       isManagedGuardianDelivery({
-        eventType: "MEDICATION_REMINDER",
-        userId: "record-1",
         recordUserId: "record-1",
         recipientUserId: "guardian-1",
-        title: "t",
-        message: "m",
       }),
     ).toBe(true);
 
     expect(
       isManagedGuardianDelivery({
-        eventType: "MEDICATION_REMINDER",
-        userId: "user-1",
         recordUserId: "user-1",
         recipientUserId: "user-1",
-        title: "t",
-        message: "m",
       }),
     ).toBe(false);
   });
diff --git a/src/lib/notifications/__tests__/web-push-dose-clear.test.ts b/src/lib/notifications/__tests__/web-push-dose-clear.test.ts
index c2b3d76ad..6b9eb9d66 100644
--- a/src/lib/notifications/__tests__/web-push-dose-clear.test.ts
+++ b/src/lib/notifications/__tests__/web-push-dose-clear.test.ts
@@ -165,7 +165,7 @@ describe("web-push reminder push — stable tag + badge", () => {
     expect(body.tag).toBe("REMINDER");
   });
 
-  it("uses an ordinary landing route without a persistent prompt for a managed Guardian", async () => {
+  it("uses an ordinary landing route without actions for a managed Guardian", async () => {
     findManyMock.mockResolvedValue([SUB]);
     vi.spyOn(global, "fetch").mockResolvedValue(
       new Response(null, { status: 201 }),
@@ -186,7 +186,7 @@ describe("web-push reminder push — stable tag + badge", () => {
       generateRequestDetailsMock.mock.calls[0][1] as string,
     );
     expect(body.url).toBe("/");
-    expect(body.requireInteraction).toBe(false);
+    expect(body.actions).toBeUndefined();
   });
 });
 
diff --git a/src/lib/notifications/managed-delivery.ts b/src/lib/notifications/managed-delivery.ts
new file mode 100644
index 000000000..ec2ed30af
--- /dev/null
+++ b/src/lib/notifications/managed-delivery.ts
@@ -0,0 +1,16 @@
+import type { NotificationPayload } from "@/lib/notifications/types";
+
+/**
+ * A cross-account notification can only reach a Guardian after the
+ * dispatcher has revalidated the marked record and its active MANAGE grant.
+ * Senders use this narrow invariant to remove record-mutating affordances.
+ */
+export function isManagedGuardianDelivery(
+  payload: Pick<NotificationPayload, "recordUserId" | "recipientUserId">,
+): boolean {
+  return (
+    payload.recordUserId !== undefined &&
+    payload.recipientUserId !== undefined &&
+    payload.recordUserId !== payload.recipientUserId
+  );
+}
diff --git a/src/lib/notifications/senders/__tests__/apns.test.ts b/src/lib/notifications/senders/__tests__/apns.test.ts
index 85d1a8676..c0cdd32f2 100644
--- a/src/lib/notifications/senders/__tests__/apns.test.ts
+++ b/src/lib/notifications/senders/__tests__/apns.test.ts
@@ -620,7 +620,6 @@ describe("sendViaApns — dispatcher fan-out", () => {
       title: "t",
       message: "m",
       eventType: "MEDICATION_REMINDER",
-      userId: "record-1",
       recordUserId: "record-1",
       recipientUserId: "guardian-1",
       metadata: {
diff --git a/src/lib/notifications/senders/apns.ts b/src/lib/notifications/senders/apns.ts
index a614004bd..cfc6cccfb 100644
--- a/src/lib/notifications/senders/apns.ts
+++ b/src/lib/notifications/senders/apns.ts
@@ -31,6 +31,7 @@ import { getEvent } from "@/lib/logging/context";
 import type { SendOutcome } from "@/lib/notifications/retry-policy";
 import { recordPushAttemptForPayload } from "@/lib/notifications/senders/push-attempt-record";
 import { plainPushText } from "@/lib/notifications/strip-emoji";
+import { isManagedGuardianDelivery } from "@/lib/notifications/managed-delivery";
 
 export interface ApnsPayload {
   /** APNs `aps.alert.title` + `aps.alert.body`. */
@@ -628,10 +629,7 @@ export async function sendViaApns(
       process.env.APNS_CRITICAL_ENTITLEMENT === "true";
 
     let result: Awaited<ReturnType<typeof sendApnsPush>> | null = null;
-    const managedDelivery =
-      payload.recordUserId !== undefined &&
-      payload.recipientUserId !== undefined &&
-      payload.recordUserId !== payload.recipientUserId;
+    const managedDelivery = isManagedGuardianDelivery(payload);
     // Discreet mode (cycle privacy): the lock-screen-visible routing
     // metadata must not carry the event name. Collapse the category /
     // threadId / collapseId and the data eventType to a generic value so
@@ -671,10 +669,16 @@ export async function sendViaApns(
             // In discreet mode also drop cycle-semantic metadata (e.g. `phase`)
             // so a future cycle push can't name a cycle concept on the wire even
             // though the allowlist permits `phase` (QA LOW).
+            // A Guardian may read a managed record but must never receive
+            // an iOS action identifier or deep link that can mutate it.
+            // Keep the ordinary event envelope so opening the notification
+            // follows the normal authorised record-selection flow.
             ...pickIosMetadata(
-              payload.discreet
-                ? stripCycleMetadata(payload.metadata)
-                : payload.metadata,
+              managedDelivery
+                ? undefined
+                : payload.discreet
+                  ? stripCycleMetadata(payload.metadata)
+                  : payload.metadata,
             ),
           },
           threadId: routingEvent,
diff --git a/src/lib/notifications/senders/web-push.ts b/src/lib/notifications/senders/web-push.ts
index f0e080dac..753f793a4 100644
--- a/src/lib/notifications/senders/web-push.ts
+++ b/src/lib/notifications/senders/web-push.ts
@@ -9,6 +9,7 @@ import { recordPushAttemptForPayload } from "@/lib/notifications/senders/push-at
 import { isPublicUrl } from "@/lib/validations/notifications";
 import { safeFetch } from "@/lib/safe-fetch";
 import { plainPushText } from "@/lib/notifications/strip-emoji";
+import { isManagedGuardianDelivery } from "@/lib/notifications/managed-delivery";
 
 /**
  * Send Web Push notification to all subscribed devices of a user.
@@ -30,6 +31,7 @@ export async function sendViaWebPush(
   payload: NotificationPayload,
 ): Promise<SendOutcome> {
   try {
+    const managedDelivery = isManagedGuardianDelivery(payload);
     // Lazy import to avoid issues when web-push is not installed
     const webpush = await import("web-push");
 
@@ -116,6 +118,7 @@ export async function sendViaWebPush(
       // target. Only relative paths are honoured so a poisoned metadata
       // value can never point the SW at a foreign origin.
       url:
+        !managedDelivery &&
         typeof payload.metadata?.url === "string" &&
         payload.metadata.url.startsWith("/")
           ? payload.metadata.url
diff --git a/src/lib/telegram-webhook-handlers.ts b/src/lib/telegram-webhook-handlers.ts
index 7bd4568e2..245c002e6 100644
--- a/src/lib/telegram-webhook-handlers.ts
+++ b/src/lib/telegram-webhook-handlers.ts
@@ -107,6 +107,30 @@ async function cleanupReminderTracking(
   }
 }
 
+/**
+ * A managed-record reminder is tracked under the Guardian recipient so a
+ * replacement can delete the prior message. Its callback must never mutate
+ * the managed record, even if a crafted Telegram update supplies action data.
+ */
+async function isManagedReminderCallback(input: {
+  recipientUserId: string;
+  chatId: string;
+  messageId: number;
+}): Promise<boolean> {
+  const reminder = await prisma.telegramReminderMessage.findFirst({
+    where: {
+      recipientUserId: input.recipientUserId,
+      chatId: input.chatId,
+      messageId: input.messageId,
+    },
+    select: { medication: { select: { userId: true } } },
+  });
+  return (
+    reminder?.medication?.userId !== undefined &&
+    reminder.medication.userId !== input.recipientUserId
+  );
+}
+
 // v1.19.0 — the auto-delete window dropped from 1 h to ~30 min and moved to
 // the shared `scheduleTelegramAutoDelete` helper so the inbound (free-text)
 // and outbound (unanswered prompt) paths agree on the window.
@@ -379,6 +403,23 @@ export async function handleCallback(update: TelegramUpdate) {
   const data = callback.data ?? "";
   const messageId = callback.message?.message_id;
 
+  if (
+    messageId !== undefined &&
+    /^(taken|snooze|skip|ack):/.test(data) &&
+    (await isManagedReminderCallback({
+      recipientUserId: user.id,
+      chatId,
+      messageId,
+    }))
+  ) {
+    await answerTelegramCallbackQuery(
+      botToken,
+      callback.id,
+      t("telegram.errorInvalidAction"),
+    );
+    return;
+  }
+
   if (data.startsWith("taken:")) {
     const medicationId = data.slice("taken:".length).trim();
     if (!medicationId) {
diff --git a/tests/integration/guardian-notification-fanout.test.ts b/tests/integration/guardian-notification-fanout.test.ts
index 469b1449f..9dff5de63 100644
--- a/tests/integration/guardian-notification-fanout.test.ts
+++ b/tests/integration/guardian-notification-fanout.test.ts
@@ -1,6 +1,11 @@
 import { beforeEach, describe, expect, it, vi } from "vitest";
 
 const sent = vi.hoisted(() => ({
+  deliveries: [] as Array<{
+    channel: "NTFY" | "APNS" | "WEB_PUSH" | "TELEGRAM";
+    recordUserId: string;
+    recipientUserId: string;
+  }>,
   ntfy: [] as Array<{
     recipientUserId: string;
     title: string;
@@ -9,29 +14,125 @@ const sent = vi.hoisted(() => ({
   apns: [] as Array<{ recipientUserId: string; recordUserId?: string }>,
 }));
 
-vi.mock("@/lib/notifications/senders/ntfy", () => ({
-  sendViaNtfy: async (
-    _config: unknown,
-    payload: { recipientUserId?: string; title: string; message: string },
-  ) => {
-    sent.ntfy.push({
-      recipientUserId: payload.recipientUserId ?? "missing",
-      title: payload.title,
-      message: payload.message,
-    });
-    return { ok: true };
-  },
-}));
+vi.mock("@/lib/notifications/senders/ntfy", async () => {
+  const { recordPushAttemptForPayload } = await vi.importActual<
+    typeof import("@/lib/notifications/senders/push-attempt-record")
+  >("@/lib/notifications/senders/push-attempt-record");
+  return {
+    sendViaNtfy: async (
+      _config: unknown,
+      payload: {
+        userId: string;
+        recordUserId?: string;
+        recipientUserId?: string;
+        eventType: string;
+        title: string;
+        message: string;
+      },
+    ) => {
+      const recipientUserId = payload.recipientUserId ?? payload.userId;
+      sent.ntfy.push({
+        recipientUserId,
+        title: payload.title,
+        message: payload.message,
+      });
+      sent.deliveries.push({
+        channel: "NTFY",
+        recordUserId: payload.recordUserId ?? payload.userId,
+        recipientUserId,
+      });
+      recordPushAttemptForPayload(payload, recipientUserId, {
+        userId: payload.userId,
+        channel: "NTFY",
+        eventType: payload.eventType,
+        result: "ok",
+      });
+      return { ok: true };
+    },
+  };
+});
 
-vi.mock("@/lib/notifications/senders/apns", () => ({
-  sendViaApns: async (
-    recipientUserId: string,
-    payload: { recordUserId?: string },
-  ) => {
-    sent.apns.push({ recipientUserId, recordUserId: payload.recordUserId });
-    return { ok: true };
-  },
-}));
+vi.mock("@/lib/notifications/senders/apns", async () => {
+  const { recordPushAttemptForPayload } = await vi.importActual<
+    typeof import("@/lib/notifications/senders/push-attempt-record")
+  >("@/lib/notifications/senders/push-attempt-record");
+  return {
+    sendViaApns: async (
+      recipientUserId: string,
+      payload: { userId: string; recordUserId?: string; eventType: string },
+    ) => {
+      sent.apns.push({ recipientUserId, recordUserId: payload.recordUserId });
+      sent.deliveries.push({
+        channel: "APNS",
+        recordUserId: payload.recordUserId ?? payload.userId,
+        recipientUserId,
+      });
+      recordPushAttemptForPayload(payload, recipientUserId, {
+        userId: payload.userId,
+        channel: "APNS",
+        eventType: payload.eventType,
+        result: "ok",
+      });
+      return { ok: true };
+    },
+  };
+});
+
+vi.mock("@/lib/notifications/senders/web-push", async () => {
+  const { recordPushAttemptForPayload } = await vi.importActual<
+    typeof import("@/lib/notifications/senders/push-attempt-record")
+  >("@/lib/notifications/senders/push-attempt-record");
+  return {
+    sendViaWebPush: async (
+      recipientUserId: string,
+      payload: { userId: string; recordUserId?: string; eventType: string },
+    ) => {
+      sent.deliveries.push({
+        channel: "WEB_PUSH",
+        recordUserId: payload.recordUserId ?? payload.userId,
+        recipientUserId,
+      });
+      recordPushAttemptForPayload(payload, recipientUserId, {
+        userId: payload.userId,
+        channel: "WEB_PUSH",
+        eventType: payload.eventType,
+        result: "ok",
+      });
+      return { ok: true };
+    },
+  };
+});
+
+vi.mock("@/lib/notifications/senders/telegram", async () => {
+  const { recordPushAttemptForPayload } = await vi.importActual<
+    typeof import("@/lib/notifications/senders/push-attempt-record")
+  >("@/lib/notifications/senders/push-attempt-record");
+  return {
+    sendViaTelegram: async (
+      _config: unknown,
+      payload: {
+        userId: string;
+        recordUserId?: string;
+        recipientUserId?: string;
+        eventType: string;
+      },
+    ) => {
+      const recipientUserId = payload.recipientUserId ?? payload.userId;
+      sent.deliveries.push({
+        channel: "TELEGRAM",
+        recordUserId: payload.recordUserId ?? payload.userId,
+        recipientUserId,
+      });
+      recordPushAttemptForPayload(payload, recipientUserId, {
+        userId: payload.userId,
+        channel: "TELEGRAM",
+        eventType: payload.eventType,
+        result: "ok",
+      });
+      return { ok: true };
+    },
+  };
+});
 
 import { encrypt } from "@/lib/crypto";
 import type { Locale } from "@/lib/i18n/config";
@@ -73,7 +174,7 @@ async function addGuardian(recordUserId: string, recipientUserId: string) {
 
 async function addChannel(
   userId: string,
-  type: "NTFY" | "APNS",
+  type: "NTFY" | "APNS" | "WEB_PUSH" | "TELEGRAM",
   enabled = true,
 ) {
   await getPrismaClient().notificationChannel.create({
@@ -87,6 +188,7 @@ async function addChannel(
 }
 
 beforeEach(async () => {
+  sent.deliveries.length = 0;
   sent.ntfy.length = 0;
   sent.apns.length = 0;
   await truncateAllTables(getPrismaClient());
@@ -199,4 +301,82 @@ describe("Guardian fan-out (real Postgres)", () => {
       ]),
     );
   });
+
+  it("writes the complete two-record, two-Guardian, four-channel attribution matrix", async () => {
+    const [recordA, recordB, guardianOne, guardianTwo, ordinaryRecord] =
+      await Promise.all([
+        createUser({ label: "record-a", locale: "en", managed: true }),
+        createUser({ label: "record-b", locale: "de", managed: true }),
+        createUser({ label: "guardian-one", locale: "en" }),
+        createUser({ label: "guardian-two", locale: "de" }),
+        createUser({ label: "ordinary-record", locale: "en" }),
+      ]);
+    const guardianIds = [guardianOne.id, guardianTwo.id];
+    const recordIds = [recordA.id, recordB.id];
+    const channelTypes = ["NTFY", "APNS", "WEB_PUSH", "TELEGRAM"] as const;
+
+    await Promise.all([
+      ...recordIds.flatMap((recordUserId) =>
+        guardianIds.map((recipientUserId) =>
+          addGuardian(recordUserId, recipientUserId),
+        ),
+      ),
+      // An ordinary adult's MANAGE grant must never cause fan-out.
+      addGuardian(ordinaryRecord.id, guardianOne.id),
+      ...guardianIds.flatMap((userId) =>
+        channelTypes.map((type) => addChannel(userId, type)),
+      ),
+    ]);
+
+    await Promise.all(
+      recordIds.map((userId) =>
+        dispatchNotification({
+          eventType: "MEDICATION_REMINDER",
+          userId,
+          title: "record reminder",
+          message: "record message",
+        }),
+      ),
+    );
+
+    const expected = recordIds.flatMap((recordUserId) =>
+      guardianIds.flatMap((recipientUserId) =>
+        channelTypes.map((channel) => ({
+          channel,
+          recordUserId,
+          recipientUserId,
+        })),
+      ),
+    );
+    expect(sent.deliveries).toHaveLength(expected.length);
+    expect(sent.deliveries).toEqual(expect.arrayContaining(expected));
+    expect(
+      sent.deliveries.some((delivery) =>
+        recordIds.includes(delivery.recipientUserId),
+      ),
+    ).toBe(false);
+
+    await vi.waitFor(async () => {
+      const attempts = await getPrismaClient().pushAttempt.findMany({
+        where: { eventType: "MEDICATION_REMINDER" },
+        select: { channel: true, recordUserId: true, recipientUserId: true },
+      });
+      expect(attempts).toHaveLength(expected.length);
+      expect(attempts).toEqual(expect.arrayContaining(expected));
+    });
+
+    await dispatchNotification({
+      eventType: "MEDICATION_REMINDER",
+      userId: ordinaryRecord.id,
+      title: "ordinary reminder",
+      message: "ordinary message",
+    });
+
+    expect(sent.deliveries).toHaveLength(expected.length);
+    await expect(
+      getPrismaClient().pushAttempt.count({
+        where: { eventType: "MEDICATION_REMINDER" },
+      }),
+    ).resolves.toBe(expected.length);
+  });
 });