AF rate control in heart failure — GPhC CRA MCQ
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Correct answer: A — Query the prescription because verapamil is unsuitable with HFrEF and beta-blocker therapy
Verapamil can worsen heart failure with reduced ejection fraction and can cause bradycardia or heart block, especially with beta-blockers. This patient already has a low pulse and low-normal BP. The prescriber should review rate-control choice before supply. The pharmacist should not independently stop or substitute cardiac medicines.
Reference: BNF; NICE CKS