What is the preferred initial antihypertensive medication, Telmisartan (angiotensin II receptor antagonist) or Cilacar T (Telmisartan + Hydrochlorothiazide)?

Based on the available information, I recommend starting with Telmisartan 40-80 mg once daily as the initial antihypertensive medication. If the patient's blood pressure remains uncontrolled, Cilacar T 40/12.5 mg or 80/12.5 mg once daily can be considered as an alternative or addition to the treatment regimen. It's essential to monitor the patient's blood pressure, kidney function, and electrolyte levels regularly while on these medications. If the patient has a history of heart failure or chronic kidney disease, Telmisartan may be a better option due to its potential benefits in reducing cardiovascular risk. As a second-line intervention, other antihypertensive medications such as amlodipine, lisinopril, or metoprolol can be added to the treatment regimen if necessary. The goal is to achieve a blood pressure target of less than 130/80 mmHg to minimize the risk of cardiovascular complications.