Question

A 68-year-old man is taking Ramipril 10mg OD and Amlodipine 10mg OD. His blood pressure remains elevated at 155/95 mmHg. His potassium is 4.0 mmol/L. What is the most appropriate next step in management according to NICE guidelines (Step 3)?

Accepted Answer

Add a thiazide-like diuretic (e.g., Indapamide 2.5mg OD)

Answer

Add Bisoprolol 5mg OD

Answer

Add Doxazosin 4mg OD

Answer

Add Spironolactone 25mg OD

Answer

Switch Ramipril to Losartan

Practice question

A 68-year-old man is taking Ramipril 10mg OD and Amlodipine 10mg OD. His blood pressure remains elevated at 155/95 mmHg. His potassium is 4.0 mmol/L. What is the most appropriate next step in management according to NICE guidelines (Step 3)?