15th February 2025

An 83-year-old woman is brought to your clinic by care home staff.

An 83-year-old woman is brought to your clinic by care home staff. She has lived there for several years due to physical ailments, although she has no history of cognitive problems.

Over the past year, the carers have noticed that she has “good days and bad days”. On bad days, she can be anxious or low in mood. On a couple of occasions, they witnessed her pointing at an area of the room and wailing at “James”, but staff could not see anyone there. 

She has also had more falls than usual lately, linked to dizzy spells. 

Given the most likely diagnosis, which of the following drugs is contraindicated?

Select the SINGLE most appropriate option from the list below. Select ONE option only.