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Hypertension in black African family origin — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsHypertension in black African family originGPhC CRA

A 47-year-old man of black African family origin attends a pharmacy blood pressure clinic. His clinic BP remains 154/94 mmHg after repeated readings and there is no diabetes, heart failure or chronic kidney disease. He asks what medicine the GP is likely to start. What is the most appropriate alternative?

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Correct answer: A — A calcium-channel blocker such as amlodipine

At step 1 for hypertension, a calcium-channel blocker is generally preferred in adults of black African or African-Caribbean family origin without diabetes. ACE inhibitors may be less effective as initial monotherapy in this group, although they remain appropriate in some comorbidities. Beta-blockers and loop diuretics are not routine first-line options for uncomplicated hypertension.

Reference: NICE CKS; BNF