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A 47-Year-Old Man Visits the Office for a Check-Up on His

Question 100

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A 47-year-old man visits the office for a check-up on his newly diagnosed hypertension. A month ago, he was administered a generic variant of lisinopril. An examination of the patient's medication container reveals 15 pills remained from a 30-tablet supply. Otherwise, his medical history is ordinary, and he is not on any other drugs. His blood pressure reading indicates no substantial improvement from a month ago. The serum chemistry panel, which includes potassium and creatinine, remains unchanged from previous results. The patient claims no side effects from the drug yet frequently fails to take it. Which of the following would be the most beneficial to this patient's medication adherence?


A) Ask the patient's wife to give him daily reminders to take his medication
B) Change to a half-pill twice a day to increase the opportunities to take his medication
C) Change to a well-known, brand-name antihypertensive drug that increases financial commitment
D) Counsel the patient on the risks of uncontrolled hypertension
E) Recommend placing the medication on the bathroom counter next to his toothbrush

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