A 58-year-old man with long-standing hypertension (home BP average 156/94 mmHg) on ramipril 10 mg OD still has uncontrolled BP. He is Black African et...

Question

A 58-year-old man with long-standing hypertension (home BP average 156/94 mmHg) on ramipril 10 mg OD still has uncontrolled BP. He is Black African ethnicity. What is the next best step?

Accepted Answer

Switch to amlodipine

Answer

Add a thiazide-like diuretic (indapamide)

Answer

Add spironolactone

Answer

Increase ramipril to 20 mg OD

Answer

Add doxazosin

mrcgp akt MCQ (SBA): Hypertension

A 58-year-old man with long-standing hypertension (home BP average 156/94 mmHg) on ramipril 10 mg OD still has uncontrolled BP. He is Black African ethnicity. What is the next best step?