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Postural hypotension — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsPostural hypotensionGPhC CRA

An 83-year-old patient taking doxazosin MR 4mg daily reports dizziness when standing and one recent fall. They also take bendroflumethiazide and ramipril. Sitting BP is 122/68 mmHg. What is the most appropriate action?

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Correct answer: A — Refer for medication review and postural BP assessment

Alpha-blockers and other antihypertensives can contribute to postural hypotension and falls in older people. A medication review and postural BP assessment are appropriate. Extra antihypertensive dosing or sedating medicines could worsen the risk.

Reference: BNF; NICE CKS