13 doctors weighed in:

What is the drug of choice for hypertension in middle age male with no history of dm or other chtonic diseases?

13 doctors weighed in
Dr. Danny Proffitt
Family Medicine
8 doctors agree

In brief: Several

Usually we start with one or two drugs.
More out now on combination of low dose of two drugs. Usually a combination of an ace inhibitor with low dose hydrocholorothiazide or Chlorthalidone is selected. One may opt for a beta blocker with hctz/chlorthalidone but in males particularly, beta blocker can have untoward sexual side effects. Arb's may be used for ace. It is usually individualized.

In brief: Several

Usually we start with one or two drugs.
More out now on combination of low dose of two drugs. Usually a combination of an ace inhibitor with low dose hydrocholorothiazide or Chlorthalidone is selected. One may opt for a beta blocker with hctz/chlorthalidone but in males particularly, beta blocker can have untoward sexual side effects. Arb's may be used for ace. It is usually individualized.
Dr. Danny Proffitt
Dr. Danny Proffitt
Thank
Dr. Liviu Klein
Internal Medicine - Cardiology
3 doctors agree

In brief: Diuretic

A thiazide diuretic such as Chlorthalidone is probably the best first line treatment in uncomplicated hypertension.
Your primary medical doctor can prescribe this.

In brief: Diuretic

A thiazide diuretic such as Chlorthalidone is probably the best first line treatment in uncomplicated hypertension.
Your primary medical doctor can prescribe this.
Dr. Liviu Klein
Dr. Liviu Klein
Thank
Get help from a real doctor now
Dr. Steven Seres
Board Certified, Internal Medicine
17 years in practice
497K people helped
Continue
108,000 doctors available
Read more answers from doctors