A 56-year-old woman returns from a trip to America in May. During her stay, she became
unwell with a high fever, headache and muscle pains. She consulted a local doctor who
noticed a rash on the palms of her hands and soles of her feet. She was admitted to hospital
where a diagnosis was made and she was commenced on antibiotics. The patient improved
and was discharged and allowed to fly home with a course of oral antibiotics. She recalls the
doctors in America telling her that the infection had been transmitted by a tick bite.
She currently takes medication for diabetes, ischaemic heart disease, gastro-oesophageal
reflux disease and atrial fibrillation.

What medication would you stop till the antibiotic course is finished?

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