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ACE inhibitor cough — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsACE inhibitor coughGPhC CRA

A 58-year-old man started ramipril 6 weeks ago and now has a persistent dry cough with otherwise controlled blood pressure. What is the most appropriate alternative?

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Correct answer: E — Discuss switching to losartan with the prescriber

A persistent dry cough is a recognised ACE inhibitor adverse effect and an ARB is a common substitute. This makes discuss switching to losartan with the prescriber the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: https://www.pharmacyregulation.org/registration-assessment#stage-8-order-53