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ACE inhibitor cough — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsACE inhibitor coughGPhC CRA

A 55-year-old woman has a persistent dry cough after starting lisinopril for hypertension 2 months ago. Chest examination is normal and there are no infection symptoms. BP is controlled on treatment. What is the most appropriate alternative?

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

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Correct answer: D — Switch to an angiotensin II receptor blocker

A persistent dry cough is a recognised ACE inhibitor adverse effect. Switching to an ARB is a common approach when the cough is troublesome and the indication remains. Increasing the ACE inhibitor dose or treating as infection without features would be inappropriate.

Reference: BNF; NICE CKS