What's the problem?

BP 170/100 – genuine (if not consider ambulatory BP monitoring)

Does it need to be treated?

Yes- stage 2 hypertension (>160/100 - see NICE guidance)

What does the patient think?

Worried about stroke and heart attack risk
Wonders what else would help too
Worried about side effects

Remember -
Non-pharmacological measures
Other risk factors
Investigations etc

What treatment should I use?

British Hypertension Society guidelines/NICE
Step 1:
Patient < 55 years old = ACE Inhibitor
Patient > 55 years old/black = Calcium Channel Blocker
Alongside lifestyle advice- exercise, smoking, diet

What are the patient considerations?

Allergy
Comorbidities
Drug interactions
- None
Practicalities
- Few side-effects
- Once daily dosing
- Will need Urea and electrolytes checking:
Before
2 weeks later after starting
After each dosage titration