4th March 2024

An 88-year-old gentleman presents to his GP for his annual medication review.

An 88-year-old gentleman presents to his GP for his annual medication review. He went into hospital a month ago and was started on various new tablets without any follow-up or advice. He has a past medical history of duodenal ulcer, hypertension, hypercholesterolaemia, depression and GORD. His medications are as follows:

DATE	DRUG NAME	DOSE	ROUTE	FREQUENCY	SIGNED
15/05/2023	SERTRALINE	50mg	ORAL	ONCE DAILY	DR
15/05/2023	RAMIPRIL	5mg	ORAL	ONCE DAILY	DR
15/05/2023	LANSOPRAZOLE	30mg	ORAL	ONCE DAILY	DR
15/05/2023	NAPROXEN	1g	ORAL	TWICE DAILY	DR
15/05/2023	PARACETAMOL	1g	ORAL	PRN	DR
15/05/2023	ASPIRIN	75mg	ORAL	ONCE DAILY	DR
15/05/2023	SIMVASTATIN	10mg	ORAL	ONCE DAILY	DR

Select the 3 drugs that increase this man’s risk of an upper GI bleed.

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