A 37-year-old female patient comes into the GP surgery for routine monitoring blood tests. | Medibuddy
28th February 2024

A 37-year-old female patient comes into the GP surgery for routine monitoring blood tests.

Date Drug Name Dose Route Frequency Prescribers Signature
17/03/2023 Naproxen 250mg PO QDS DR
17/03/2023 Methotrexate 7.5mg PO OD DR
17/03/2023 Lansoprazole 20mg PO OD – Morning DR
17/03/2023 Paracetamol 1g PO QDS DR
17/03/2023 Ramipril 2.5mg PO BD DR

A 37-year-old female patient comes into the GP surgery for routine monitoring blood tests. She hands you the above drug regimen for her current medical problems. Her rheumatoid arthritis and hypotension seem very well controlled, but she is getting increasingly unwell and asks you to try and work out what is wrong. Her symptoms are extreme fatigue, reduced urine output, cold symptoms, diarrhoea and jaundice. She had her first rheumatoid arthritis clinic appointment four days ago.

Which of the prescriptions above would be causing her increased unwellness and should be stopped?

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