1st March 2024

A 46-year-old man presents to their GP for the results of his ambulatory blood pressure monitoring.

A 46-year-old man presents to their GP for the results of his ambulatory blood pressure monitoring. The GP explains that he had an average of 162/124mmHg over the past 24 hours and should be started on medication to lower his blood pressure. He has a past-medical-history of well controlled type-2-diabetes, congenital bilateral renal artery stenosis, and depression, but is currently only taking metformin 500mg BD.

Please prescribe one medication to lower this man’s blood pressure.