A 63-year-old patient takes ramipril 10 mg daily, amlodipine 10 mg daily and indapamide 2.5 mg daily. Home BP remains around 154/90 mmHg. Recent

Question

A 63-year-old patient takes ramipril 10 mg daily, amlodipine 10 mg daily and indapamide 2.5 mg daily. Home BP remains around 154/90 mmHg. Recent potassium is 4.2 mmol/L and eGFR is 64 mL/min/1.73 m². What is the most appropriate alternative?

Accepted Answer

Discuss adding low-dose spironolactone with monitoring

Answer

Add potassium chloride before checking BP again

Answer

Add sildenafil to improve vascular tone

Answer

Stop amlodipine because triple therapy is prohibited

Answer

Replace ramipril with cough linctus

Hypertension resistant therapy — GPhC CRA MCQ

A 63-year-old patient takes ramipril 10 mg daily, amlodipine 10 mg daily and indapamide 2.5 mg daily. Home BP remains around 154/90 mmHg. Recent potassium is 4.2 mmol/L and eGFR is 64 mL/min/1.73 m². What is the most appropriate alternative?