11th April 2024

A 70-year-old attends his diabetes clinical appointment for routine monitoring.

A 70-year-old attends his diabetes clinical appointment for routine monitoring. He is established on metformin, and his HbA1c is 51mmol/mol. His other medications include atorvastatin, amlodipine, gabapentin and ramipril. He is concerned about erectile dysfunction and would like to be prescribed sildenafil, which he has been taking over the counter. His last ECG showed right bundle branch block. What is the most appropriate next step in management?

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