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Hypertension and pregnancy planning — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension and pregnancy planningGPhC CRA

A 34-year-old patient taking ramipril for hypertension tells the pharmacist they are planning pregnancy in the next few months. Their BP has been controlled and they have no kidney disease. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: D — Advise prescriber review to change to an antihypertensive suitable for pregnancy

ACE inhibitors should be avoided in pregnancy and reviewed before conception where possible. The patient needs prescriber review so BP remains controlled with a medicine suitable for pregnancy. Stopping treatment abruptly may cause loss of BP control. Spironolactone and warfarin do not address the issue and may introduce further risk.

Reference: BNF; NICE CKS