Treatments For Chronic Illnesses

Question 1

Treatment: HYPERTENSION for patients without diabetes

Answer 1

Over 55 years:
First line: CCB
Second line: +ACEi/ ARB or thiazide-like diuretic

Black African/Caribbean origin:
First line: CCB
Second line: +ACEi/ ARB or thiazide-like diuretic

Under 55 years (unless black):
First line: ACEi/ ARB
Second line: +CCB or thiazide-like diuretic

Question 2

HYPERTENSION for T2DM

Answer 2

First line: ACEi/ ARB
Second line: +CCB or thiazide-like diuretic

Question 3

T2DM treatment

Answer 3

First line: Metformin
N.b., if CHF, add SGLT2 inhibitor (‘flozin’)

Second line:
Add any of the following:
An SGLT-2 inhibitor (‘flozin’)
DPP-4 inhibitor (‘gliptin’).
Pioglitazone.
A sulfonylurea.