Tony is a 57 year old Caucasian male and has come for the results of his ambulatory blood pressure monitoring (ABPM) after two raised recent blood pressure readings at the GP surgery. The average reading is 152/89 and you have a long discussion about the risks associated with Hypertension and management options. Tony is a smoker with a 10 year pack history and agrees to a smoking cessation clinic referral. His Q-Risk is 12%. He is on Metformin for Type 2 Diabetes which is well controlled and works as a builder.
Along with lifestyle advice, which one further medication should be commenced?