A 81-year-old woman with a Clinical Frailty Scale score of 5 attends her GP for a medication review. She takes Atenolol 50 mg, Amlodipine 5 mg, Simvas...

Question

A 81-year-old woman with a Clinical Frailty Scale score of 5 attends her GP for a medication review. She takes Atenolol 50 mg, Amlodipine 5 mg, Simvastatin 40 mg, Aspirin 75 mg, Citalopram 20 mg, Omeprazole 20 mg, Calcium/Colecalciferol, Paracetamol 1 g QDS, and Co-codamol 8/500 PRN. She has no history of cardiovascular events. Her 10-year QRISK3 is 18%. The Aspirin was started by a previous GP for primary prevention. According to current guidance, what is the MOST appropriate change?

Accepted Answer

Stop Aspirin as it is no longer recommended for primary cardiovascular prevention due to bleeding risk outweighing benefit in older people without established cardiovascular disease

Answer

Continue Aspirin as her QRISK3 is above 10%

Answer

Increase Aspirin to 150 mg daily for better protection

Answer

Switch Aspirin to Clopidogrel for primary prevention

Answer

Add Dipyridamole to Aspirin for additional protection

uk-dgm MCQ (SBA): Aspirin Deprescribing in Primary Prevention