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Post-fall medication review — DGM MCQ

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ModerateFallsPost-fall medication reviewDGM

An 86-year-old woman has increasing unsteadiness after treatment for neuropathic pain. She feels sedated and has had two falls in a week. No focal neurological deficit is present. Current medicines include pregabalin, paracetamol and colecalciferol. Which medication should be reviewed?

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Correct answer: A — Pregabalin

Pregabalin can cause dizziness, sedation and gait instability, making it a priority for review after falls. Paracetamol, colecalciferol, macrogol and loratadine are less likely to cause the acute sedating pattern. Neuropathic pain medicines need cautious titration in older adults.

Reference: STOPP/START criteria v3; BNF