•Buddy is a 35 y/o male with no past medical history who presents to your clinic with concerns of high blood pressure. He previously checked his blood pressure at the pharmacy was elevated so he bought a home machine and kept a log. The log reveals values in the 130’s/90’s for the last 2-weeks. He denies any symptoms and reports feeling “fine.”
•He denies prior medical/surgical history. He denies family history of medical problems. He does not smoke/drink. He takes no medications and has no allergies.
•His exam is completely benign with the exception of an office blood pressure of 135/92.
•(Being an excellent physician you noted that Buddy brought his home BP cuff with him and you checked its accuracy with your office cuff. The home cuff is found to be accurate.)
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•You would like to start a medication to help better manage his blood pressure. You’ve decided on prescribing Lisinopril and given that he is very close to goal, you want to start the lowest dose of Lisinopril that you can (this will also allow his body to adjust and limit potential side-effects)
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•You want to make a quick check to make sure you remember the dosing correctly (and that it physically exists at the pharmacy)
•Going to GoodRx.com you type in lisinopril and are sent to its specific page.
•You double check the med name at the top and silently smile noticing that this is a cheap medication in your area.
•You click on the “Prescription” button (defaulted to Lisinopril 20mg) and a new window pops up
•Clicking on “Dosage” you find a list of potential medication dose options (these are all the doses that are physically made and are available for your patient)
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•What is the lowest dose of Lisinopril that you can prescribe for Buddy?
•A) 1mg
•B) 2.5mg
•C) 5mg
•D) 10mg
•E) 15mg
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