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Post-ACS statin omission — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsPost-ACS statin omissionGPhC CRA

A 58-year-old man is discharged after an NSTEMI. His prescription includes aspirin 75mg daily, ticagrelor 90mg twice daily, bisoprolol and ramipril. There is no statin on the discharge prescription and his ALT is within range. What is the most appropriate alternative?

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Correct answer: C — Contact the prescriber to query omission of high-intensity atorvastatin.

After ACS, high-intensity statin therapy is expected unless contraindicated. A normal ALT does not remove the indication; rather, baseline liver function helps support safe initiation and monitoring. The pharmacist should query the omission rather than independently supplying a prescription-only statin.

Reference: NICE CKS; BNF