What is hypertension?
24h blood pressure that is more than 135/85
What medication is given in hypertension with type 2 diabetes?
ACEi or ARB
What medication is given for a patient under 55 and not of African origin with hypertension?
ACEi or ARB
What medication is given to someone 55 or over with hypertension?
CCB
What medication is given to a person of black African origin for hypertension?
CCB
What is an example of an ACEi
ramipril
What is an example of an ARB
candesartan
What is an example of a CCB?
amlodipine
If an ACEi and ARB do not work on initial treatment of hypertension what happens next?
Add CCB or thiazide like diuretic
What are examples of thiazide like diuretics?
indapamide
If a CCB doesn’‘t work for treatment of hypertension, what is the next step?
add an ACEi or ARB or thiazide like diuretic
If there has been 2 step changes to hypertension management, what is the 3rd step?
acei, or arb + ccb + thiazide like diuretic
What is the treatment for resistant hypertension?
add low dose spironolactone and alpha blocker or beta blocker if blood potassium is over 4.5mmol
What should patients with t2dm, hypertension and of afro carribean origin be given to manage hypertension?
ARB
