24th April 2024

A 65-year-old gentleman with a recent diagnosis of angina attends for review.

A 65-year-old gentleman with a recent diagnosis of angina attends for review. He has been using his GTN spray before his morning walk to good effect, however he complains of increased episodes of dizziness. He is found to be hypotensive on observations this morning with a blood pressure of 98/65 mmHg.  You suspect one of his other regular medications may be interacting with the newly prescribed nitrate spray to cause this unwanted effect. Which of the following medications is least likely to contribute to hypotension? 

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