An 80-year-old with COPD and symptomatic prostatic enlargement starts aclidinium. Two days later he develops inability to pass urine and severe eye

Question

An 80-year-old with COPD and symptomatic prostatic enlargement starts aclidinium. Two days later he develops inability to pass urine and severe eye pain with blurred vision and coloured haloes. What is the most appropriate action?

Accepted Answer

Withhold aclidinium and arrange urgent assessment for urinary retention and angle-closure glaucoma

Answer

Continue aclidinium and arrange same-day review only if visual symptoms persist after voiding

Answer

Continue aclidinium but add tamsulosin and lubricating eye drops pending review

Answer

Omit one dose and arrange routine review of prostate treatment within one week

Answer

Stop salbutamol and continue aclidinium because beta agonism explains both symptoms

LAMA antimuscarinic caution — GPhC CRA MCQ

An 80-year-old with COPD and symptomatic prostatic enlargement starts aclidinium. Two days later he develops inability to pass urine and severe eye pain with blurred vision and coloured haloes. What is the most appropriate action?