Question

A 55-year-old with ambulatory systolic BP 158 mm Hg despite lisinopril 20 mg daily is started on amlodipine 5 mg. What adverse effect and strategy should be discussed?

Accepted Answer

Edema; add thiazide‑type diuretic or adjust regimen

Answer

Bradycardia; reduce dose

Answer

Cough; switch to ARB

Answer

Hyperkalemia; stop ACE inhibitor

Answer

Fatigue; add beta‑blocker empirically

Practice question

A 55-year-old with ambulatory systolic BP 158 mm Hg despite lisinopril 20 mg daily is started on amlodipine 5 mg. What adverse effect and strategy should be discussed?