A 47-year-old woman with hypertension (HTN), hypothyroidism,…
A 47-year-old woman with hypertension (HTN), hypothyroidism, and osteoarthritis comes to the clinic for a blood pressure follow-up. She was given a diagnosis of HTN 6 months ago and has been unable to get to goal. Today, her blood pressure is 154/88 mm Hg (with similar repeat) and heart rate is 92 beats/minute. She currently takes chlorthalidone (Hygroton*) 25 mg/day, losartan (Cozaar*) 100 mg/day, amlodipine (Norvasc*) 10 mg/day, ibuprofen (Motrin*) 800 mg four times daily, and levothyroxine (Synthroid*) 100 mcg/day. She is adherent to her medications and has asked not to take any more blood pressure medications. Which would best address her elevated blood pressure?