8th March 2024

A 68-year-old retired teacher, taking Ramipril, Amlodipine and Indapamide, presents to her GP for blood pressure monitoring.

A 68-year-old retired teacher, taking Ramipril, Amlodipine and Indapamide, presents to her GP for blood pressure monitoring. Her other medical history includes diet-controlled type 2 diabetes mellitus.  She is anxious and her blood pressure is 170/80 mmHg. The GP offers home monitoring, and her average recording is 155/80 mmHg. Her bloods show:

Sodium: 140 mmol/l

Potassium: 3.6 mmol/l

Urea: 4 mmol/l

Creatinine: 65 µmol/l

eGFR: 85

Which of the following is the best course of action for the GP to take? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.