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ACE inhibitor cough — GPhC CRA MCQ

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EasyAdverse Drug Reactions and Drug SafetyACE inhibitor coughGPhC CRA

A patient started lisinopril 6 weeks ago and now has a persistent dry cough. There is no fever, wheeze or breathlessness. What is the most appropriate action?

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Correct answer: A — Suggest prescriber review for possible ACE inhibitor cough

ACE inhibitors can cause a persistent dry cough, which may occur after treatment initiation. Other causes should be considered, but the timing and symptoms make lisinopril a plausible cause. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS