A 60-year-old woman with long-standing hypertension and diabetes has a clinic blood pressure of 150/90 mmHg despite being on an ACE inhibitor at maxim...

Question

A 60-year-old woman with long-standing hypertension and diabetes has a clinic blood pressure of 150/90 mmHg despite being on an ACE inhibitor at maximum tolerated dose. According to NICE NG136, what is the recommended next pharmacological step for a Black African or Caribbean family origin patient under 55 years old?

Accepted Answer

Add a calcium-channel blocker to the ACE inhibitor

Answer

Add a thiazide-like diuretic first

Answer

Switch to beta-blocker monotherapy

Answer

Stop ACE inhibitor and use dual calcium-channel blockers

Answer

No further treatment is required until BP exceeds 160/110 mmHg

uk-plab-1 MCQ (SBA): Hypertension stepwise therapy