MRCP2-0033

A 72-year-old man is being discharged from the hospital after receiving treatment for an exacerbation of COPD. His systolic blood pressure has been consistently measuring between 138mmHg and 156mmHg. He has a medical history of ischaemic heart disease, gout, gallstones, and a repaired fractured neck of femur. His ACR is 31 mg/mmol. He is currently taking allopurinol, aspirin, tiotropium, Symbicort, and salbutamol. What is the most appropriate pharmacological approach to manage his hypertension?