8th March 2024

A 56-year-old gentleman with resistant hypertension presents to his GP for routine follow up of his blood pressure.

A 56-year-old gentleman with resistant hypertension presents to his GP for routine follow up of his blood pressure. He is currently on Amlodipine, Chlortalidone and Ramipril. His BP in the clinic is 160/95 mmHg. His routine electrolytes are as follows: 

Sodium: 142 mmol/l

Potassium: 4.9 mmol/l

Urea: 5 mmol/l

Creatinine: 70 µmol/l

eGFR: 70

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

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