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Donepezil bradycardia — GPhC CRA MCQ

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ModerateCNS TherapeuticsDonepezil bradycardiaGPhC CRA

An 80-year-old man taking donepezil presents a new prescription for bisoprolol. His carer reports recent dizzy spells and his pulse is 52 bpm. What is the most appropriate action?

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Correct answer: AQuery the prescription because bradycardia risk is increased

Donepezil can cause bradycardia and syncope, and beta-blockers can compound this. A low pulse and dizziness make the new prescription clinically concerning. The prescriber should review before supply.

Reference: BNF