• Sorry about that, I should of known to read there a bit more carefully:

    If the index enforces a PRIMARY KEY or UNIQUE constraint and the index definition is not altered in any way, the index is dropped and re-created preserving the existing constraint. However, if the index definition is altered the statement fails. To change the definition of a PRIMARY KEY or UNIQUE constraint, drop the constraint and add a constraint with the new definition.

    http://msdn.microsoft.com/en-us/library/ms188783.aspx