8th March 2024

A 57-year-old male with hypertension currently takes Ramipril, Amlodipine and Bendroflumethiazide.

A 57-year-old male with hypertension currently takes Ramipril, Amlodipine and Bendroflumethiazide. Despite this, his average BP is 165/92 mmHg. His latest blood results are as follows: 

Sodium: 141 mmol/l

Potassium: 4.0 mmol/l

Urea: 4.7 mmol/l

Creatinine: 80 µmol/l

eGFR: 85 

Which of the following is the next most appropriate medication to start? 

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