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Pseudoephedrine in hypertension — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsPseudoephedrine in hypertensionGPhC CRA

A patient with poorly controlled hypertension asks to buy pseudoephedrine tablets for nasal congestion. Their last clinic blood pressure was 178/98mmHg. What is the most appropriate alternative?

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

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Correct answer: B — Avoid pseudoephedrine and recommend a safer congestion option or referral

Pseudoephedrine is a sympathomimetic that can increase blood pressure and is unsuitable in significant uncontrolled hypertension. Safer options such as saline or appropriate topical therapy may be considered depending on symptoms. The high blood pressure also warrants medical follow-up.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment