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The reason for this mode of treatment is that the patient, being over 50 years of age, is at high risk of hypertension-related complications. In cases of relatively younger persons, a slight change in lifestyle and doing activities that keep the high blood pressure at bay would be a recommendation. However, because Darius is older than 50 years and he is already experiencing a thickening of his arterial walls. He also has a history of diabetes which makes the situation even riskier. Parameters for monitoring the success of the therapy After starting the therapy, Darius needs to monitor his progress as far as his blood pressure is concerned. The medication and therapy are not expected to start working and showing results immediately. However, during the treatment, Darius needs to keep track of his blood pressure levels, sugar levels, his weight, and his overall health. There are options for Darius to monitor his blood pressure. One of the ways he can monitor his progress by ensuring regular visits to the doctor. Doctors need to evaluate whether or not the medication is working. There is a lot that needs to be monitored when it comes to this case (Benetos, Petrovic, & Strandberg, 2019). The fact that Darius is already suffering from diabetes means that he has more than just the blood pressure to be monitored. He should schedule regular visits to a physician where they test the blood sugar levels as well as the blood pressure. Alternatively, Darius can buy authorized devices for testing for blood sugar levels to ensure that his diabetes is well managed and that it is in the normal range. He can also measure his blood pressure from home, making sure that it is also in the recommended range considering his race, age, and overall health status. On the other hand, he cannot conduct a test on himself to see how his heart rate is. That is why it would be better to go to the hospital where a doctor can test his heart rate, blood sugar levels, and his blood pressure. However,

Darius also needs to stop to***co intake since it also increases the pressure of the blood all through the body. The other thing is also to regulate the intake of alcohol as it affects the liver. Also, it dehydrates the body and therefore when taken in large quantities could cause an increase in the blood pressure levels. Reduction in the intake of salt is also recommended to help with both hypertension and diabetes (Whelton et al., 2018). Another thing that Darius should consider is exercise. He has gained a lot of weight in the past year and this could be a contributor to high blood pressure. To reduce the weight to a healthy range. (Whelton et al., 2018). However, with his age and gout, extensive physical exercises may be limited. There are other alternative ways of exercising and making sure that the body is in good shape. Walking is one of those exercises. This will not put much pressure on his joints, and will also be great at reducing the level of blood pressure. Yoga is also another alternative that will help with both gout and hypertension. Increasing his intake of water will greatly help in the overall body maintenance and ensuring that his blood levels are adequate, reducing the chances of a stroke. All these efforts and follow through ensure that Darius stays healthy and manage his hypertension, diabetes, and gout, ensuring he lives a healthy life. Interaction for agent Amlodipine can interact with some medications like simvastatin. The medication can only be taken in small dosages when a patient is also taking Amlodipine (Lau, 2017). It can also interact with aspirin and Darius should avoid taking both of them at the same time. Conclusion Hypertension can be managed and treated. However, it takes effort on both the doctor’s side and the patient’s side. A drastic lifestyle adjustment is required and this ensures the patient lives a long and healthy life. A doctor’s opinion and prescription for the drugs is very important throughout the entire journey.

Alternative over the counter medications There are many ACE inhibitors in pharmacies that work similarly. Darius is only required to pick one that suits him in terms of effectiveness in lowering his blood pressure and being affordable. Some options that he has are; Clevidipine and Nicardipine with which, due to his existing gout, he would have to watch his blood pressure more closely and carefully. Lifestyle changes Hypertension requires both medication in some cases and a lifestyle change in all cases. Lifestyle changes are recommended even as a precaution against hypertension and other diseases like diabetes, and heart failure. Lifestyle changes are not easy to adapt to, but they go a long way in the prevention and management of hypertension. It includes adjustment of many areas of one’s life. Darius’ case is no different. There is a lot that he needs to change in his life. One of them is his feeding habits; Darius should increase his intake of vegetables and iron filled food. As earlier mentioned, due to the already thickening arteries, the best thing for Darius to do is to stay away from food with high levels of cholesterol. This will help to reduce the levels of blood pressure because clogged arteries increase the pressure of blood in the body and as it enters and leaves the heart (Whelton et al., 2018). Darius also needs to stop to***co intake since it also increases the pressure of the blood all through the body. The other thing is also to regulate the intake of alcohol as it affects the liver. Also, it dehydrates the body and therefore when taken in large quantities could cause an increase in the blood pressure levels. Reduction in the intake of salt is also recommended to help with both hypertension and diabetes (Whelton et al., 2018). Another thing that Darius should consider is exercise. He has gained a lot of weight in the past year and this could be a contributor to high blood pressure. To reduce the weight to a healthy range. (Whelton et al., 2018).