Clinical Decision
You discuss the options with your patient. Since he prefers to start only one medication, you have him start a hydrochlorothiazide/lisinopril combination pill. You will check a creatinine and potassium in 2 weeks with a follow-up blood pressure with your nurse team.
Dr. Ebbert and Dr. Tangalos are with the Mayo Clinic in Rochester, Minn. They both reported having no conflicts of interest. To respond to this column or suggest topics for consideration, write to Dr. Ebbert and Dr. Tangalos at imnews@elsevier.com. This column, "Mindful Practice," appears regularly in Internal Medicine News, a publication of Elsevier.