If BP goal is not met after 1 month what is the next step?

• A. Discontinue treatment
• B. Increase dosage
• C. Consider different medication or titration
• D. Refer to specialist

Answer: (C)

The main idea is to adjust hypertension therapy when the target blood pressure isn’t reached after starting treatment. If, after about a month, BP is still above goal, the best next step is to modify the regimen—either titrate the current drug to a higher effective dose or add (or switch to) a different medication from another class. This approach aims to achieve the target BP and reduce cardiovascular risk, rather than stopping treatment or delaying action. Refer to a specialist is appropriate only for resistant or complex cases, not as the immediate next move in straightforward treatment scenarios. So, considering a different medication or titration captures both ways to intensify therapy to reach the goal.