As a patient with hypertension, you may have experienced these scenes: when hypertension was just diagnosed, the doctor suggested taking nifedipine controlled-release tablets. Results Soon after taking the medicine, edema and numbness appeared in both lower limbs, and the ankle was too swollen to put on shoes.
Later, the doctor changed to Fosinopril. Shortly after taking it, my throat itched and I coughed uncontrollably, especially at night. Taking a lot of antitussive drugs has no effect. Later, it was suggested to stop using fosinopril, and the cough was good.
Later, the doctor tried to prescribe metoprolol for you, but found that you had asthma.
Later, the doctor wanted to treat you with indapamide, asked about your medical history and found that you were allergic to sulfonamides.
Later, the doctor prescribed telmisartan capsules for you, but the antihypertensive effect was not up to standard.
Later, the doctor prescribed telmisartan+amlodipine for you, and your blood pressure was finally controlled.
Later, I finally understood with tears in my face that some antihypertensive drugs are not used when they are missed? ~
Of course, this is only a hypothetical adjustment process of hypertension treatment scheme, from which you can roughly know that although there are many kinds of antihypertensive drugs, it is difficult to determine the one that really suits you and you need to try one by one.
In fact, every patient with hypertension has had a similar experience? Drug selection-treatment observation-drug adjustment-scheme determination? Process, deeply understand the treatment plan that suits you is hard-won.
So you should cherish your treatment plan and stick to it to the end.
In life, there are indeed many incentives for hypertensive patients to hesitate to give up the existing treatment plan, often? This mountain looks higher than that one? 、? There is no best, only better? The idea is very noisy: 1, envy others for their good treatment effect, or listen to others. This antihypertensive drug is effective and has no side effects? .
2. The patient said:? I'm taking that imported medicine now. Although expensive, it has good antihypertensive effect and no side effects. .
3. Individual doctors may mobilize patients to change drugs according to their own experience and cognition.
4, watching TV, reading newspapers, according to the advertisement, I want to choose traditional Chinese medicine to lower blood pressure, because I think in my bones: long-term use of traditional Chinese medicine is nontoxic and harmless? .
5. A friend asked anxiously in the clinic. Doctor, I have been taking this antihypertensive drug for 2 years. Will it hurt my liver and kidney? Is taking it for a long time harmful to your health? Do you want to change the dressing? ?
What suits you is the best: there may be patients who use a certain drug (such as fosinopril) with good results, but will you use this drug? Dry cough? This medicine doesn't suit you.
So imported drugs, expensive drugs and new drugs must be good drugs? This view is very wrong. Why? Let the pharmacist explain it to you.
There may be some potential unknown toxic reactions in new drugs, but the safety of old drugs has been studied more thoroughly and used more safely. Expensive imported drugs and joint venture drugs do not mean better efficacy and safety.
For example, aliskiren is a valuable imported new drug, but you may have angioneurotic edema after using this drug. Is this medicine still good for you?
If the low-cost compound antihypertensive tablet can stably control the blood pressure of patients with essential hypertension within the target range, and there is no abnormality in liver and kidney function and no obvious adverse reactions, then this medicine is the most suitable medicine for them, although the price of this medicine may be very low, and the ingredients are all old medicines.
Medical treatment is an art, and every doctor will have different treatment plans for the same kind of hypertension according to his knowledge source, cognitive level and professional expertise, especially when there are many drugs to choose from. If your previous treatment plan can make your blood pressure reach the standard steadily, please insist on not changing the medicine casually.
If you have been taking a drug for several years, are you worried that taking this drug for a long time will lead to. Damage to the liver and kidneys? The problem is. Hurt the liver? Actually, you know this best.
You have a physical examination every year and always pay attention to your liver and kidney function related indicators. Generally speaking, if you take a certain antihypertensive drug for several years without obvious hepatorenal toxicity, there will be no toxic reaction if you continue to take it, which may lead to? Harmful interactions of other drugs.
Especially Chinese medicine is also a medicine, which is a three-point poison! Can you say that arsenic is nontoxic? Aconitum is not poisonous? Aristolochia can't cause renal failure? If you can control hypertension with simple western medicine, don't use complicated Chinese patent medicines, especially if these Chinese patent medicines can't control blood pressure well.
Therefore, for patients with hypertension, lowering blood pressure is a lifelong task, which must be carried out unremittingly, must? Monopolistic? . In particular, you can't follow the trend to take medicine, watch advertisements to take medicine, and you can't think? Is imported medicine a good medicine? 、? Is expensive medicine a good medicine? .
Because it is difficult to find a treatment plan that suits you, don't change it casually unless this plan can't control blood pressure smoothly.
A friend said that my antihypertensive drugs are often changed by doctors. Medical treatment is an art, the same hypertension, different doctors may choose different drugs according to their own experience and knowledge level, but? All roads lead to Rome? . Focus on your own way of lowering blood pressure, not because of different doctors prescribing drugs, not because of patients' suggestions, and not because of the idea of worshipping foreign things.
In the aspect of antihypertensive treatment strategy, outside? Temptation? A lot, everyone should keep their initial heart, persevere and go their own way? A distinctive way to reduce blood pressure? .