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Frailty medication targets — DGM MCQ

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ModerateFrailtyFrailty medication targetsDGM

A 91-year-old woman with severe frailty has recurrent dizziness and systolic blood pressure around 102 mmHg. She was treated to tight targets years ago and now prioritises avoiding falls. No heart failure symptoms are present. Current medicines include amlodipine, indapamide and ramipril. Which medication should be reviewed?

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Correct answer: D — Antihypertensive regimen

In severe frailty with symptomatic low blood pressure, antihypertensive targets and regimen should be reviewed. Paracetamol, colecalciferol, macrogol and emollient are not likely causes of hypotensive falls. Treatment intensity should be individualised as frailty progresses.

Reference: NICE NG56; NICE NG249