A 66-year-old male with body mass index 30, with waist circumference 94cms, euglycemic known case of hypertension on telmisartan 40mg, once daily visits emergency with a history of sudden onset severe dizziness and sweating on only sitting and standing position. pt becomes alright on supine position.
bp on supine 220/110mmhg, pulse 82 regularly regular examined for one minute.bp on sitting 190/100 mmhg, oxygen saturation 97%, no history of weakness in the body no vomiting, vision normal, no tinnitus, no ear discharge, no headache, What are different options for management?