A 30-year-old woman attends your practice for pre-conception counselling. She has chronic hypertension well-controlled on perindopril and amlodipine. ...

Question

A 30-year-old woman attends your practice for pre-conception counselling. She has chronic hypertension well-controlled on perindopril and amlodipine. According to Australian pregnancy hypertension guidance, what is the MOST appropriate change to her antihypertensive therapy before pregnancy?

Accepted Answer

Stop perindopril and switch to labetalol or methyldopa

Answer

Continue perindopril and amlodipine unchanged

Answer

Stop all antihypertensives until she becomes pregnant

Answer

Switch to an angiotensin receptor blocker

Answer

Add spironolactone to improve blood pressure control

au-amc MCQ (SBA): Chronic hypertension pre-conception

A 30-year-old woman attends your practice for pre-conception counselling. She has chronic hypertension well-controlled on perindopril and amlodipine. According to Australian pregnancy hypertension guidance, what is the MOST appropriate change to her antihypertensive therapy before pregnancy?