4th November 2020

A 73-year-old woman is brought to A&E by her daughter (2)

A 73-year-old woman is brought to A&E by her daughter. She has been complaining of a worsening headache over the past week, and her daughter explains that she has seemed more tired, and does not seem as ‘sharp’ as she normally is. A detailed history revealed that she had a fall around 4 weeks ago, and hit her head on a pavement curb, but did not seek any medical advice as she “felt fine”. Her past medical history includes atrial fibrillation, hypertension, diet-controlled type 2 diabetes mellitus, and early-stage breast cancer (15 years ago). She takes atorvastatin, amlodipine, apixaban, bisoprolol and ramipril as regular medications.

Which of the medications from this patient’s drug history should be immediately stopped?

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