Thiazide-like diuretic choice — GPhC CRA MCQ

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HardCardiovascular TherapeuticsThiazide-like diuretic choiceGPhC CRA

A patient over 55 with hypertension remains above target on amlodipine. They have no gout and normal electrolytes. What is the most appropriate alternative?

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Correct answer: C — Indapamide

A thiazide-like diuretic is a standard add-on option for hypertension when a calcium-channel blocker alone is insufficient. In this vignette, "Indapamide" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS