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Falls antihypertensive — DGM MCQ

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ModeratePolypharmacyFalls antihypertensiveDGM

An 88-year-old woman has dizziness and falls after intensification of blood pressure treatment. Standing systolic pressure is 96 mmHg and she has frailty. There is no chest pain or focal neurology. Current medicines include amlodipine, indapamide, ramipril and simvastatin. Which medication should be reviewed?

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

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Correct answer: E — Antihypertensive regimen

Symptomatic postural hypotension after antihypertensive intensification should prompt review of blood pressure targets and regimen. Simvastatin, paracetamol, macrogol and colecalciferol are not the likely cause of orthostatic symptoms. In frailty, treatment targets should reflect symptoms, falls and patient goals.

Reference: NICE NG56; NICE NG249