Question

A 64-year-old man with type 2 diabetes and hypertension has a clinic BP of 150/88 mmHg despite Ramipril and Amlodipine at maximum tolerated doses. According to NICE hypertension guidance, what is the next step in drug therapy?

Accepted Answer

Add a Thiazide-like diuretic

Answer

Increase Ramipril further

Answer

Switch Amlodipine to a beta-blocker

Answer

Stop Amlodipine and add alpha-blocker

Answer

No further therapy is needed

Practice question

A 64-year-old man with type 2 diabetes and hypertension has a clinic BP of 150/88 mmHg despite Ramipril and Amlodipine at maximum tolerated doses. According to NICE hypertension guidance, what is the next step in drug therapy?