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Symptomatic hypotension — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsSymptomatic hypotensionGPhC CRA

A 62-year-old man with stable angina and hypertension attends the pharmacy. He is taking amlodipine 10 mg, aspirin 75 mg, and atorvastatin 80 mg daily. He reports episodes of dizziness when standing quickly. His blood pressure in the pharmacy is 110/62 mmHg. Which is the most appropriate advice?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Refer back to the GP as the blood pressure may be too low on current therapy

A blood pressure of 110/62 mmHg with symptoms of postural dizziness suggests possible over-treatment of hypertension. The patient should be referred to the GP for review of his antihypertensive therapy, particularly the amlodipine dose. Stopping aspirin would not address the blood pressure issue. Increasing salt intake is not appropriate clinical advice, and GTN would worsen hypotension.

Reference: NICE NG136 Hypertension; BNF