# Test Guideline for Hypertension 2024

## 1. Pharmacotherapy

### 1.1 First-Line Agents

ACE inhibitors (e.g., lisinopril 10-40 mg daily) are recommended as first-line therapy for hypertension in patients without contraindications.

**Contraindication:** ACE inhibitors are contraindicated in pregnancy and in patients with a history of angioedema.

### 1.2 Renal Dosing Adjustments

| Drug | eGFR 30-60 | eGFR < 30 |
|------|-----------|-----------|
| Lisinopril | 5-10 mg | 2.5-5 mg |
| Enalapril | 2.5-5 mg | 2.5 mg |

## 2. Monitoring

### 2.1 Lab Monitoring

Check serum creatinine and potassium within 1-2 weeks of initiating or titrating an ACE inhibitor.
