A 48-year-old man presents to the primary care office for a blood pressure follow-up. He was diagnosed
A 48-year-old man presents to the primary care office for a blood pressure follow-up. He was diagnosed with essential hypertension 3 months ago and was prescribed lisinopril 10 mg daily. He reports that, since his last visit, he has decreased his sodium consumption, increased his fruit and vegetable intake, and started walking for 1 hour per day. He measures his blood pressure at home twice weekly, and his readings at home have ranged from 138/80 mm Hg to 148/90 mm Hg. His blood pressure today is 140/88 mm Hg, and his examination is unremarkable. Which of the following is the most appropriate next step in managing this patient’s blood pressure? Add clonidine 0.1 mg twice a day Add losartan 25 mg daily Increase lisinopril to 20 mg daily Switch to metoprolol succinate 50 mg twice a day
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