A 55-year-old man with heart failure takes sacubitril/valsartan, bisoprolol and furosemide. He develops diarrhoea and poor intake for 48 hours, feels

Question

A 55-year-old man with heart failure takes sacubitril/valsartan, bisoprolol and furosemide. He develops diarrhoea and poor intake for 48 hours, feels dizzy and asks whether to continue all medicines until his GP appointment next week. What would you advise the patient?

Accepted Answer

Seek same-day clinical advice about dehydration and temporary medicine withholding

Answer

Take extra furosemide to prevent fluid retention

Answer

Use ibuprofen to reduce diarrhoea cramps

Answer

Continue every medicine at the same dose despite poor intake

Answer

Stop bisoprolol permanently because dizziness suggests allergy

Sick-day advice in heart failure — GPhC CRA MCQ

A 55-year-old man with heart failure takes sacubitril/valsartan, bisoprolol and furosemide. He develops diarrhoea and poor intake for 48 hours, feels dizzy and asks whether to continue all medicines until his GP appointment next week. What would you advise the patient?