What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, an initial starting dose.

Respond to the 2 following discussion posts separately with separate reference lists.

References to be no older than 5 years.

1. [Yanelis Okoye] Q1. Please briefly discuss the first-line treatment recommendations from JNC8 and the AHA/ACC for a patient with no other significant comorbidities.

The recommendation for the eight joints Committee (JNC8) is that initial drug therapy for an African American patient should start with a thiazide-type diuretic or a calcium channel blocker (CCB) or the combination of both (Hernandez-Villa, 2015). Another article breaks the same recommendation more and states that even for the same patient with no major comorbidities, the thiazide-type shows more effectiveness than the ACE in black population (James et al., 2014). According to the AHA/ACC 2017 guideline initiation of hypertension should start with patient with patient on BP equal or higher than 140/90 mmHg and recommended as well initiated with the same medication mention by JNC8(Whelton et al., 2017). The patient needs a complete assessment from the start; the patient is noncompliant with the treatment plan from a previous primary care. We need to start with an assessment of what steps the patient will take and the physician to ensure a suitable treatment plan a medical history and laboratory analysis should be done with an EKG, and depending on the result, the patient should be referred to a Cardiologist for further checkup.

Q2. What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, an initial starting dose.

All medication by Rosenthal and Burchum, 2021

Calcium Channel Blocker
Generic name: Amlodipine

Trade Name: Norvasc

Initial starting dose: 2.5 mg( elderly)/ 5 mg to 10 mg once a day maximum dose daily. If started by 2.5 mg dose can be increased over 7-14 days depending on the patient’s response.

Thiazide diuretics medication
Generic name: Chlortalidone

Trade Name

Initial starting dose: Start by 25 mg to 100 mg once a day should be taken with food in the morning.

HMG-CoA
Generic name: Atorvastatin

Trade Name: Lipitor

Initial starting dose: start at 10 mg at bedtime with a maximum of 80 mg with or without food but at the same time every day.

Last Completed Projects