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ACE inhibitor cough — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsACE inhibitor coughGPhC CRA

A 54-year-old woman taking ramipril for hypertension has a persistent dry cough. Her renal function and potassium were satisfactory after initiation. What is the most appropriate alternative?

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

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Correct answer: A — Losartan once daily after prescriber review

An angiotensin receptor blocker is a usual alternative when ACE inhibitor cough is troublesome. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS