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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