which antihypertensive medication to give?

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if a patient was newly diagnosed with hypertension, which medication would be the best one to give as a starter?

thanks.

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Specializes in DOU.

I believe they usually start with a diuretic.

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hmm.. well if a diuretic wasn't an option and i was going to give an antihypertensive medication, what is usually prescribed?

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Specializes in ER; CCT.

First line treatment for hypertension is always lifestyle modification. Weight reduction, DASH diet, sodium reduction

If lifestyle modification fails, diuretics are usually the starting meds. Keep in mind that 2/3 of hypertension pts. need more than one medication to control thier hypertension.

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Specializes in CTICU.

Hydrochlorothiazide diuretic -> add beta blocker or ACEI.

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Specializes in Critical Care, Orthopedics, Hospitalists.

as above, start with lifestyle modifications, then add a diuretic (HCTZ 25mg QD), then add an ACEI or a beta blocker.

:)

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