Question

A 68-year-old man with type 2 diabetes and hypertension has stage 3b chronic kidney disease with ACR 50 mg/mmol. His blood pressure is 152/88 mmHg on Amlodipine monotherapy. According to NICE guidance, what is the most appropriate next step in managing his CKD and blood pressure?

Accepted Answer

Add an ACE inhibitor and aim for a lower blood pressure target

Answer

Stop Amlodipine and give a thiazide diuretic alone

Answer

Avoid ACE inhibitors because of CKD

Answer

Refer immediately for dialysis

Answer

No change in therapy is needed

Practice question

A 68-year-old man with type 2 diabetes and hypertension has stage 3b chronic kidney disease with ACR 50 mg/mmol. His blood pressure is 152/88 mmHg on Amlodipine monotherapy. According to NICE guidance, what is the most appropriate next step in managing his CKD and blood pressure?