Problem: A 79-year-old African American woman with a history of hypertension, transient ischemic attack (TIA) and gout. Her medications include febuxostat 80 mg/day, felodipine 10 mg/day, benazepril 40 mg/day, and enteric coated aspirin 81 mg/day. Her vital signs include BP 145/85 mmHg and HR 82 beats/minute.
What is the best approach to improve her BP control, if anything? Please provide your answer supporting it with evidence based medicine.