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Postural hypotension — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsPostural hypotensionGPhC CRA

A 74-year-old man reports dizziness on standing after doxazosin was added for hypertension. Sitting BP is 136/78 mmHg and standing BP after one minute is 104/66 mmHg. He fell yesterday but has no injury. What is the most appropriate action?

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Correct answer: CRefer for prompt prescriber review because symptomatic postural hypotension is present

The BP drop with symptoms is consistent with postural hypotension, and a fall has already occurred. Alpha-blockers such as doxazosin can contribute, particularly in older adults. Prompt medication review and falls-risk advice are needed. Treating as simple vertigo would miss a drug-related safety issue.

Reference: NICE CKS; BNF