Letters ABCD of hypertension treatment

Ask about lithium, too

BMJ 2011; 342 doi: http://dx.doi.org/10.1136/bmj.d2718 (Published 03 May 2011) Cite this as: BMJ 2011;342:d2718
  1. Tom G Smith, specialist registrar in old age psychiatry1
  1. 1St Charles’s Hospital, London W10 6DZ, UK
  1. tomsmith{at}nhs.net

When starting an angiotensin converting enzyme inhibitor or angiotensin receptor blocker, Ritter advises doctors to ask if the patient regularly takes a non-steroidal anti-inflammatory drug, potassium sparing diuretic, or potassium supplement.1 Lithium should be added to this list.

Lithium is recommended by the National Institute for …

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