What would be the best recommendation for ongoing hypertension management?

Blood pressure is at target but on treatment with ACEI/ARB combination (lisinopril and losartan potassium), which has been shown in the TARGET study to have long term detrimental effects on kidney function.


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The patient also has chronic but mild hyperkalemia (4.7 to 5.5 inches the past three years). Per nephrology/hypertension specialist, it was recommended that he stop the losartan, and re-evaluate blood pressures and potassium in four weeks.

Upon recheck, blood pressures were stable at 120/70 mmHg with the change in medication. Potassium was rechecked, and was 4.2 (within normal range).