For all patients with high blood pressure, should be through the improvement of lifestyle or drugs to make the blood pressure standard, of course, each patient to reach the standard level is not the same. There are many types of antihypertensive drugs used in the clinic, there are clinical first line of the five major classes of antihypertensive drugs, there are second line of antihypertensive drugs, there are domestic, there are imported, there are cheap and there are expensive, there are once a day to eat, there are also two or three times a day to eat, in the end, which one to choose? In the choice of drugs, at least to follow these five principles, the selection of drugs, medication will not seem so difficult.
For the first time, the use of antihypertensive drugs, or in the process of adjusting the antihypertensive drugs, should start from the regular dose, so as not to lower the blood pressure too low, too fast to cause adverse effects, especially for the elderly, the body itself is relatively weak patients . The reason for this is the fact that it is not easy to find a way to get the best out of the world, but it is possible to find a way to get the best out of the world, and to get the best out of the world.
The current use of antihypertensive drugs according to its half-life is divided into short-acting, medium-acting, long-acting drugs, short-acting drugs have to eat three times a day, the use of inconvenience, leakage may cause blood pressure fluctuations; and long-acting drugs, due to the half-life of the longer, to cover 24 hours or even longer, as long as you take once a day, easy to take, compliance is better, and easy to make a more stable control of the blood pressure, the blood pressure is not as high as it should be.
For patients with more than moderate hypertension or blood pressure greater than the target value of 20 mm Hg or more, a combination of drugs can be considered, through the combination of different types of drugs to enhance the efficacy of antihypertensive, and can reduce the side effects of a single drug in large doses. This includes the use of some of the single-tablet combinations that are currently in common use, which also fall into the category of combination medications.
Different types of medications are selected based on the patient's age, comorbid risk factors, and underlying medical conditions, such as diabetes, coronary artery disease, renal disease, and cerebrovascular disease. The patient's response to a particular drug should also be observed for efficacy, tolerability, and associated side effects.
Although the primary purpose of choosing antihypertensive drugs is to be able to lower blood pressure, but hypertension is a long-term chronic disease, most of the patients need to long-term oral antihypertensive drugs, and many hypertensive patients are also combined with other diseases need to take medication at the same time, then we have to consider the economic problems, especially for some of the poorer economic conditions of the patients. Try to choose some of the more cost-effective drugs, such as certain domestic generic drugs, it is the difference between the efficacy of imported drugs, in fact, there is no price difference is so big, we have to screen out these cheap and effective drugs.
The choice of antihypertensive drugs is not the more expensive the better, nor the newer the better, a certain type of drug is effective for a specific group of people, but not necessarily for all the people are suitable. So the choice of antihypertensive drugs should be based on these five principles to choose a suitable drug, can smoothly control blood pressure, reduce complications.