23rd February 2024

A 64 year old Caucasian female presents to her GP following persistently high blood pressure readings.

A 64 year old Caucasian female presents to her GP following persistently high blood pressure readings. She was started on Amlodipine 2 years previously and currently takes 10mg once daily. She also made alterations to her diet, losing a sufficient amount of weight to no longer be classified as obese. She agrees that further medication is required to adequately control her blood pressure, however mentions that she would prefer to avoid a medication which previously gave her a dry, irritating cough. She has a history of depression which she currently manages without medication.

Select the single, most appropriate management option which will help control this patient’s blood pressure.