A patient with a history of seizure disorder and hypertension is currently on lisinopril, acetaminophen/dextromethorphan/doxylamine, amoxicillin/clavulanate, and naproxen. Given their BMI of 30.2 kg/m2 and prediabetes, which of the following clinical management steps would be most appropriate to address their cardiovascular risk?
Add a statin for primary prevention of cardiovascular events. Prescribe metformin for prediabetes management. Initiate lifestyle modifications focusing on diet and exercise. Increase lisinopril dosage to better control blood pressure.