22nd June 2026

A 52-year-old lady with a past medical history of bipolar affective disorder and poorly controlled hypertension has presented to the ambulatory care for a blood pressure review.

A 52-year-old lady with a past medical history of bipolar affective disorder and poorly controlled hypertension has presented to the ambulatory care for a blood pressure review. She is currently on the following medication:

Lithium 400mg OD

Amlodipine 5mg OD

Ramipril 2.5mg OD

Indapamide 2.5mg OD

Her ambulatory blood pressure remains elevated, and further treatment with spironolactone is considered. What would an appropriate follow-up plan be for this patient?

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