I can't remember what you are on at the moment, but an ACE inhibitor (or an ARB like candesartan) is usually a good starting point. But you have to realise that one drug on its own often doesn't control high BP, so adding on a thiazide diuretic or small dose calcium channel blocker is quite a popular way to go.

From my experience, you're better off with a larger dose of ACE or ARB than of diuretic or calcium channel blocker. (ACE inhibitors and especially ARBs are relatively side effect free). Adding just a small dose of thiazide or CCB to the other drug can make all the difference in your numbers, and complies with the AB/CD protocol (see http://www.medscape.com/viewarticle/473543_8)

Also (and this should probably be several years down the line if you struggle getting control with multiple drugs) -- don't overlook the fact that your hypertension may be caused by something else. Unlikely -- but not impossible, as I found out.

John

BTW 140/100 is high... but not horribly so! Eminently treatable, and not worth worrying unduly about.

(I managed 170/115 at one point last year at a hospital checkup - and I lived :-) )

John

I AM ON SOMTHING CALLD LOSARTAN.