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29th February 2024
A 45-year-old woman presents to her GP for a medication review.
| Date | Drug Name | Dose | Route | Frequency | Signature |
| 22/03/23 | Tiotropium | 1 capsule | INH | OD | DR |
| 22/03/23 | Marvelon® (combined oral contraceptive pill) | Ethinylestradiol 30 micrograms
Desogestrel 150 micrograms |
PO | OD | DR |
| 22/03/23 | Metformin | 500 mg | PO | OD | DR |
| 22/03/23 | Salmeterol | 50 micrograms | INH | BD | DR |
| 22/03/23 | Paracetamol | 500 mg | PO | PRN | DR |
| 22/03/23 | Salbutamol | 4 mg | INH | PRN | DR |
A 45-year-old woman presents to her GP for a medication review. She has recently returned from living in America for the past 15 years. During that time she was diagnosed with breast cancer and treated with a wide-local excision, and adjuvant radiotherapy and chemotherapy. Her background includes osteoarthritis, diabetes, COPD.
Select the single most likely drug that should be changed from this patient’s current regime.
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