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Ivabradine bradycardia — GPhC CRA MCQ

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HardCardiovascular TherapeuticsIvabradine bradycardiaGPhC CRA

A patient taking ivabradine has dizziness and pulse 46 beats/min after starting diltiazem privately. What is the most appropriate action?

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Correct answer: E — Withhold supply and contact the prescriber urgently

Ivabradine can cause bradycardia and interacting rate-limiting medicines can worsen this risk. This makes withhold supply and contact the prescriber urgently 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: BNF; NICE CKS