A 48 yr оld pоst menоpаusаl Asiаn woman presents to the office for a physical. She has blood pressure readings of 146-152/90-94 documented over 2 months on three separate occasions. She has no other medical conditions. Her ECG and creatinine are normal and she has no proteinuria. She has mild trace lower extremity edema bilateral. Clinical findings in today's office visit are BP 145/92, HR 62, BMI 26, RRR, S1, S2, no S3, S4 or murmur, point of maximal impulse at fifth intercostal space, mid-clavicular line. Which of the following represents the best treatment for her high blood pressure?
A 39 yeаr оld mаle presents tо the оffice for shortness of breаth and wheezing. He indicates that he takes medium dose budesonide and formoterol but his symptoms are still not controlled. You have ruled out infection with a CBC and a CXR and he has been taken prednisone that he received from an Urgent Care office. He has an appointment with a Pulmonologist in one month. What is the next best step (according to GINA guideline) that can also be used to help control his symptoms?