Treatment for hypertension

A suggested treatment alogorithm endorsed by NICE is summarised below:

A= ACE inhibitor, B= Beta-blocker, C= Calcium channel blocker, D= Diuretic

Younger (<55years) and non-black

STEP 1:A

STEP 2: A + C or D

STEP 3: A + C + D

Older (>55 years) or black

STEP 1: C or D

STEP 2: C or D +A

STEP 3: A + C + D

STEP 4 (Resistant Hypertension):

Addfurther diuretic oralpha blocker orbeta blocker

And consider seeking specialist advice

Ref: NICE (June 2006). Hypertension - management of hypertension in adults in primary care.