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
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
Which should be the next drug to add?
Moxonidine or Spironolactone