Dr. Ajeet Singh (General Practice) needs a second opinion on this medical case.
60 years female, who had reported to me with generalised fatigue and uncontrolled sugar and BP HBAIC - 9.7 S.Cr - 0.7 LDL 130 K+ - 4.5 She was already taking Telista AM 80 so I changed and put her on combination of Telmisartan 40 + CH 12.5 + Cilnidipine 10, I also added Cardivas 3.125 BD to the treatment Her sugars are better now, FBS 90 and PPBS 140 Her Morning BP is in the range of 150-160/80-95 At my clinic today it is 186/111 *Management* Which should be the next drug to add? Moxonidine or Spironolactone
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