Question

A 58-year-old man with long-standing hypertension presents for review. Clinic BP readings across three visits are around 154/92 mmHg. Ambulatory daytime average is 148/90 mmHg. He is on amlodipine 10 mg. eGFR 90, potassium 4.4 mmol/L. According to UK guidance, what is the next step?

Accepted Answer

Add an ACE inhibitor (e.g., ramipril)

Answer

Add chlortalidone 25 mg daily

Answer

Switch to atenolol

Answer

Add an alpha-blocker (e.g., doxazosin)

Answer

Increase amlodipine to 20 mg

Practice question

A 58-year-old man with long-standing hypertension presents for review. Clinic BP readings across three visits are around 154/92 mmHg. Ambulatory daytime average is 148/90 mmHg. He is on amlodipine 10 mg. eGFR 90, potassium 4.4 mmol/L. According to UK guidance, what is the next step?