Evaluation of Current Treatment

• Ensure adherence to current medications (Losartan, Amlodipine, Telmisartan).
• Review lifestyle factors and check for secondary causes of resistant hypertension.

Possible Medication Adjustments

• Consider adding diuretics (e.g., hydrochlorothiazide), beta-blockers, or mineralocorticoid receptor antagonists (e.g., spironolactone).
• Discuss combination therapy and dose optimization with your doctor.

Diagnostic and Specialist Consultation

• Consult a cardiologist or hypertension specialist for further evaluation.
• Possible investigations: kidney function tests, electrolyte levels, ambulatory blood pressure monitoring.

Lifestyle Modifications

• Adopt a low-salt diet, engage in regular exercise, manage weight, and limit alcohol and tobacco use.

Monitoring and Follow-up

• Regularly monitor blood pressure and schedule follow-up visits to adjust treatment safely.

Safety and Precautions

• Avoid self-medicating or adding drugs without medical supervision due to potential side effects and interactions.