Given the patient's BMI and the medications they are currently taking, which clinical recommendation is most appropriate for managing their hypertension?
Encourage weight loss and consider adding an ACE inhibitor if blood pressure remains uncontrolled. Discontinue the nicotine patch to avoid potential drug interactions with hydrochlorothiazide. Switch from hydrochlorothiazide to a calcium channel blocker immediately. Increase the dose of hydrochlorothiazide to 50 mg daily.