29th September 2020

A 51-year-old lady presents to her GP with increasing weight gain and some increased bruising

A 51-year-old lady with SLE presents to her GP with increasing weight gain and some increased bruising over her abdomen which she has noticed over the past few months. She is currently taking ramipril 5mg once daily, bendroflumethiazide 2.5mg once daily, metformin 500mg modified-release (M/R) twice daily and hydroxychloroquine 200mg twice daily. She is also on another medication which is being continued by her rheumatologist for the past 6 months. She also takes over the counter calcium and vitamin D following a humeral shaft fracture the previous year. 

For the patient above, please select the SINGLE most likely treatment / medication responsible. Select ONE option from the list above.