@laurenbthenp: My go to is to start on olmesartan or irbesartan given their longer half life and then add on amlodipine or HCTZ depending on the patient and their needs. If I’m adding on a second med, I like to tell patients to think of it as their perfection concoction and to not get hung up on the fact that they “are on 2 meds now” ❤️ What should I do next?! #nurse #nursepractitioner #physicianassistant #physicianassistantstudent

Lauren B | FNP, Mom 🫶🏻
Lauren B | FNP, Mom 🫶🏻
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Region: US
Tuesday 10 November 2026 20:54:58 GMT
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prayingnurse
PrayingNurse :
The newest guidelines recommend dual fixed therapy like entresto or something similar right out of the gate
2026-11-10 22:53:45
4
amyckddiamondpainter
Amy- CKD & Diamond Painter :
My PCP put me on Metoprolol and Lisinopril which I did not tolerate. I now take 12.5 every other day of Metoprolol . And Spironlactone 12.5 every day.
2026-11-10 21:15:11
0
mscott618
Monica Scott :
Yes! And always screen for OSA (30-50% of hypertensive patients will have this and around 80% in those with resistant hypertension)
2026-11-11 00:39:05
9
jacquelinerobycoleman
JaguarJ :
Can you do this for all the primary care issues? This would be a great series.
2026-11-11 03:07:05
1
katie_connors22
Katie Connors :
I got high blood pressure at 25 years old and I take Metropol 50mg twice a day..
2026-11-11 00:32:33
0
michigander95
CODY_michigander95 :
Side note I love your lamp! Is that in your office ? It’s giving me winter project vibes ! And BP I had DX @ age 7 norvasc atenolol
2026-11-11 01:41:31
0
liezuhwyz
liezuhwyz :
So ARB then TZD if needed instead of TZD first then ARB?
2026-11-11 01:38:01
0
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