A 26-year-old woman attends the GP for a routine pill check. She has been taking the combined oral contraceptive pill for 2 years without problems. He...

Question

A 26-year-old woman attends the GP for a routine pill check. She has been taking the combined oral contraceptive pill for 2 years without problems. Her blood pressure today is 158/96 mmHg, confirmed on repeat after 10 minutes. She has no symptoms. Which is the single most appropriate action?

Accepted Answer

Stop the COC, offer an alternative progestogen-only method, and investigate the hypertension

Answer

Continue the COC and recheck blood pressure in 1 month

Answer

Reduce the oestrogen dose in the COC and recheck blood pressure

Answer

Add amlodipine 5 mg daily and continue the COC

Answer

Switch to the combined contraceptive patch as it has less effect on blood pressure

uk-drcog MCQ (SBA): Hypertension Developing on CHC

A 26-year-old woman attends the GP for a routine pill check. She has been taking the combined oral contraceptive pill for 2 years without problems. Her blood pressure today is 158/96 mmHg, confirmed on repeat after 10 minutes. She has no symptoms. Which is the single most appropriate action?