A 70-year-old woman collects amlodipine 10 mg daily. She reports bilateral ankle swelling since the dose was increased, with no breathlessness or

Question

A 70-year-old woman collects amlodipine 10 mg daily. She reports bilateral ankle swelling since the dose was increased, with no breathlessness or calf pain. Her BP is now controlled. What would you advise the patient?

Accepted Answer

Explain that ankle oedema is a recognised effect and refer to the prescriber for review

Answer

Recommend ibuprofen gel for the swelling

Answer

Reassure her that it indicates improved kidney function

Answer

Supply a short course of furosemide under pharmacy protocol

Answer

Advise her to stop amlodipine immediately and discard the tablets

Amlodipine ankle oedema — GPhC CRA MCQ

A 70-year-old woman collects amlodipine 10 mg daily. She reports bilateral ankle swelling since the dose was increased, with no breathlessness or calf pain. Her BP is now controlled. What would you advise the patient?