MSFinals-2285

A 34-year-old woman is seeking preconception advice from her GP as she plans to start trying for a baby. Despite feeling relatively well, she has several pre-existing medical conditions. She is classified as grade 2 obese and has type 2 diabetes (which is managed with metformin), hypertension (treated with ramipril), gastro-oesophageal reflux (using ranitidine), and allergic rhinitis (taking loratadine). Additionally, she experiences back pain and takes paracetamol on a daily basis.
Which medication should she avoid during pregnancy?