A 62-year-old woman presents with a persistent, non-productive cough for the past 3 months. She was started on Ramipril for hypertension 4 months ago....

Question

A 62-year-old woman presents with a persistent, non-productive cough for the past 3 months. She was started on Ramipril for hypertension 4 months ago. Chest X-ray is normal. There are no features of asthma or GORD. What is the most appropriate next step?

Accepted Answer

Switch Ramipril to an Angiotensin II Receptor Blocker (ARB)

Answer

Add a proton pump inhibitor (PPI)

Answer

Trial an inhaled corticosteroid

Answer

Refer for bronchoscopy

Answer

Prescribe codeine linctus

mrcgp akt MCQ (SBA): ACE Inhibitor Cough

A 62-year-old woman presents with a persistent, non-productive cough for the past 3 months. She was started on Ramipril for hypertension 4 months ago. Chest X-ray is normal. There are no features of asthma or GORD. What is the most appropriate next step?