A 58-year-old woman presents with a 6-week history of persistent dry cough. She was started on ramipril 5mg OD for hypertension 8 weeks ago. Chest X-r...

Question

A 58-year-old woman presents with a 6-week history of persistent dry cough. She was started on ramipril 5mg OD for hypertension 8 weeks ago. Chest X-ray is normal. There are no other respiratory symptoms or red flags. What is the most appropriate next step in management?

Accepted Answer

Switch ramipril to losartan

Answer

Add a proton pump inhibitor

Answer

Prescribe a salbutamol inhaler

Answer

Refer for bronchoscopy

Answer

Prescribe codeine linctus

mrcgp akt MCQ (SBA): ACE inhibitor-induced cough

A 58-year-old woman presents with a 6-week history of persistent dry cough. She was started on ramipril 5mg OD for hypertension 8 weeks ago. Chest X-ray is normal. There are no other respiratory symptoms or red flags. What is the most appropriate next step in management?