Medication review brief · for the pharmacist
Doris Reid
92 · female · Dementia, Hypertension, Osteoarthritis pain, Polymyalgia rheumatica
Prepared by Domino · Oct 1, 2026
Summary
1 likely prescribing cascade link. If Lisinopril were reviewed, up to 1 downstream medicine might no longer be needed (5 → 3).
Question 1
Could the dry cough be from the ACE inhibitor? Cough suppressants do not fix it; switching to an ARB usually does.
- Lisinopril (Apr 13, 2025) → persistent dry cough → Benzonatate (Apr 25, 2025) · likely 0.99 · study
If reviewed: Benzonatate; medicines 5 → 3; anticholinergic burden 1 → 1; fall-risk drugs 3 → 1.
Medicines
| Medicine | Started | Charted for | Domino |
|---|---|---|---|
| Galantamine as prescribed Dr. H. Singh (family doctor) | May 26, 2023 | Dementia | |
| Prednisone as prescribed Dr. H. Singh (family doctor) | Jun 28, 2024 | Polymyalgia rheumatica | ACB +1 |
| Lisinopril as prescribed Dr. H. Singh (family doctor) | Apr 13, 2025 | Hypertension | Root of a cascade |
| Benzonatate as prescribed Dr. T. Nguyen (walk-in clinic) | Apr 25, 2025 | Dry cough | Possibly treating a side effect |
| Acetaminophen as prescribed Dr. H. Singh (family doctor) | Aug 10, 2025 | Osteoarthritis pain |
Evidence
- Vegter S, de Jong-van den Berg LTW. Misdiagnosis and mistreatment of a common side-effect: angiotensin-converting enzyme inhibitor-induced cough. Br J Clin Pharmacol. 2010;69(2):200-203.
Decision support only. Domino flags patterns in a synthetic record for a clinician to review; it does not diagnose, and it never recommends stopping or changing a medicine. Synthetic data; no real patient.