Hello! Thank you for asking on HCM! I carefully passed through your question and would explain that his blood pressure values are above the normal ranges. This means that further changes to his actual antihypertensive therapy need to be made. Regarding the doses, I would explain that the captopril dose he is taking is a low daily dose. I would recommend increasing the dose to 50mg twice a day, in order to have a better control of his blood pressure. While, I would not recommend making further changes to bendroflumethiazide doses, as this is a normal maintenance dose. But, this drug is not recommended as first line therapy for high blood pressure. You can discuss with his doctor the possibility of switching from bendroflumethiazide to another antihypertensive drug like hydroclorothiazide or a calcium channel blocker (nicardipine, amlodipine, etc.). Some lifestyle modifications would also help maintain normal blood pressure values: - diet modifications (reduce salt and caffeine intake) - stop smoking or alcohol intake - perform a lot of physical activity (walking, jogging, aerobics, etc.) - reduce weight if he is overweight. Hope to have been helpful! Kind regards, Dr. Iliri