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Hypertension pregnancy safety — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension pregnancy safetyGPhC CRA

A 32-year-old woman taking ramipril for hypertension tells the pharmacist she has had a positive pregnancy test. She feels well and has not yet contacted her GP. Her blood pressure at home is usually around 132/82 mmHg. What is the most appropriate action?

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

Reveal the answer and explanation

Correct answer: A — Advise her to contact the GP promptly for urgent review of antihypertensive treatment

ACE inhibitors should be avoided in pregnancy because of fetal risk, particularly later in pregnancy. The pharmacist should advise prompt medical review so ramipril can be stopped and a safer alternative such as labetalol, nifedipine or methyldopa considered if treatment is needed. The patient should not be left without a reviewed blood pressure plan.

Reference: BNF; NICE CKS