1st March 2024

A 68-year-old man has been admitted to the geriatric ward due to a fall at home.

DATE	DRUG NAME	DOSE	ROUTE	FREQUENCY	Prescriber’s signature
08/04/23	Ramipril	10mg	Oral	Once daily	DR
08/04/23	Atorvastatin	20mg	Oral	Once daily	DR
08/04/23	Levothyroxine	50mcg	Oral	Once daily	DR
08/04/23	Levodopa with carbidopa and entacapone	100mg / 25mg / 200mg	Oral	TDS	DR
08/04/23	Paracetamol	1g	Oral	PRN	DR
08/04/23	Amlodipine	10mg	Oral	Once daily	DR
08/04/23	Omeprazole	20mg	Oral	Once daily	DR

A 68-year-old man has been admitted to the geriatric ward due to a fall at home. His past medical history includes hypertension, hypothyroidism and Parkinson’s disease. His wife reports that he is usually very vigilant in taking all his medications routinely and on time. However, due to the fall and the hospital admission, he has now been unable to take any of his medications for over 24 hours.

Select the one drug for which the time delay in taking the medication may have an immediate and troublesome effect?

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