Mr. Smith is a 75 year old male who has been taking ramipril 5 mg and hydrochlorothiazide 12.5 mg for hypertension for the last 2 years. He is very compliant, takes regular blood pressure readings at home, walks daily, and follows a diet rich in potassium but low in salt. Two weeks ago, Mr. Smith's physician changed his blood pressure medication to ramipril 10 mg and spironolactone instead of hydrochlorothiazide. When in the pharmacy today, Mr. Smith mentions that he is dizzy, especially in the morning, and he feels like his heart is racing. His blood pressure is normal. What would you do and why?
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