The internist decreases M.P.'s HCTZ dose to 12.5 mg PO daily and adds a prescription for benazepril (Lotensin) 5 mg daily
M.P. is instructed to return to the clinic in 1 week to have her blood work checked. She is instructed to monitor her BP at least twice a week and return for a medication management
appointment in 1 month with her list of BP readings.
Why did the internist decrease the dose of the HCTZ?
M.P. had been complaining of dizziness, which may be caused by orthostatic hypotension. The
elderly might be more sensitive to hypotensive effects, and dosage adjustments can help reduce this
problem.
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