Question

A 55-year-old with newly diagnosed stage 2 hypertension (average BP 152/96 mm Hg) and no compelling indications asks about treatment. What is the best initial pharmacologic approach?

Accepted Answer

Start a thiazide-type diuretic, ACE inhibitor, ARB, or CCB; consider 2 agents from different classes

Answer

Start hydralazine monotherapy

Answer

Begin beta-blocker monotherapy

Answer

Initiate clonidine transdermal patch

Answer

Defer medications and recheck in 6 months

Practice question

A 55-year-old with newly diagnosed stage 2 hypertension (average BP 152/96 mm Hg) and no compelling indications asks about treatment. What is the best initial pharmacologic approach?