Hypertension is one of the common chronic diseases

To treat high blood pressure

Long-term medication control is the most important measure

Yes Say

Once you suffer from high blood pressure, you usually have to take medicine for life

So, what are the medicines for treating high blood pressure?

What are the contraindications?

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According to the 2018 edition of "Guidelines for the Rational Medication of Hypertension", commonly used antihypertensive drugs fall into the following four categories:

1. Diuretics

This is the basic medicine for high blood pressure. Its purpose is to remove excess sodium from the body. It can be used in conjunction with almost any other antihypertensive medicine.

Mainly include:

Applicable to:

Most patients with hypertension, especially suitable for elderly patients with hypertension, simple systolic hypertension or patients with heart failure. , and refractory hypertension.

Notes:

Thiazide diuretics are contraindicated in patients with hyperuricemia and gout.

2. Calcium channel blocker (CCB)

One of the most commonly used antihypertensive drugs with the largest number of users, it does not affect sugar and lipid metabolism, protects target organs, and prevents Arteriosclerosis function.

Mainly include:

Applicable to:

Especially suitable for patients with elderly hypertension, volumetric hypertension, angina pectoris, tachycardia, and arteriosclerosis. .

Notes:

3. Renin-angiotensin-acidosterone system inhibitors

This type of antihypertensive drugs also has effects on targeted organs. Protective effect, can significantly reduce mild and moderate hypertension.

Mainly include:

Applicable to:

Patients with ventricular hypertrophy, cardiac insufficiency, coronary heart disease and other heart diseases, diabetic nephropathy, non-diabetic nephropathy, metabolic syndrome syndrome, proteinuria or microalbuminuria.

Notes:

4. Beta blockers

can be used to slow down the heart rate. They are a type of drug that can both lower blood pressure and treat angina pectoris. drug.

Mainly include:

Atenolol, metoprolol, bisoprolol, betaxolol, propranolol (propranolol), etc.

Applicable to:

Hypertensive patients with rapid psychosis, coronary heart disease, chronic heart failure, aortic dissection, etc.

Notes:

If a single drug cannot lower blood pressure, a combination of multiple antihypertensive drugs is needed. Note that medication must be taken under the guidance of a doctor, and never add or reduce medication without authorization.

In addition, if you want antihypertensive drugs to work properly

you must also pay attention

01 You can stop taking the drugs once your blood pressure is normal. Already?

Wrong

After taking medicine for a period of time, the concentration of the medicine will reach a stable state in the body, so blood pressure can be kept normal. But after stopping the medication, blood pressure will rise again soon.

However, it takes a certain period of time for blood pressure to rise again. During this time, blood pressure will become normal without taking medication. Therefore, some patients think that once blood pressure is normal, they do not need to take medication.

Moreover, excessive blood pressure fluctuations caused by drug withdrawal will also increase the incidence of complications such as myocardial infarction and cerebral infarction.

Remember, "Adherence to taking medication is the key to longevity for patients with hypertension." Do not stop or reduce medication without authorization.

02 Will antihypertensive drugs damage the kidneys?

Wrong

It is high blood pressure that damages the kidneys, not the drugs that treat high blood pressure.

In addition, the rational use of antihypertensive drugs such as dipine, prolin, and sartans can also protect kidney function.

03 Do I need to change antihypertensive drugs every few years?

Wrong

If you have found a medicine that suits you and there are no side effects, it is not recommended to change antihypertensive medicines at will, so as to avoid rashly changing medicines and causing blood pressure fluctuations.

Unless a new drug comes on the market that is more effective and has fewer side effects, you can change the drug under the guidance of a doctor.

04The faster the blood pressure is lowered, the better?

Wrong

Daily antihypertensive treatment generally follows the principle of slow and steady. It usually requires 4 to 12 consecutive weeks of medication control to stabilize blood pressure.

If you pursue rapid blood pressure reduction, you may easily cause serious cardiovascular and cerebrovascular diseases such as stroke.

Of course, if a sudden increase in blood pressure leads to dangers such as fainting, in this case, emergency treatment or hospitalization will be required to lower the sudden and sharp increase in blood pressure.

05 Can health products replace antihypertensive drugs?

Wrong

Whether it is health products or health care devices such as anti-hypertensive watches, anti-hypertensive caps, anti-hypertensive insoles, etc., they cannot replace anti-hypertensive drugs.

Moreover, the antihypertensive effect of health products has not been scientifically clinically certified at all, and there are even exaggerated and other false claims.

The treatment of high blood pressure still requires long-term medication control. Trusting health products will not only fail to achieve the treatment goals, but will also delay standardized treatment, ultimately endangering one's own health.

Hypertension cannot be cured by itself

Nor can it be cured

Only long-term use of antihypertensive drugs

Control blood pressure with drugs

Only by avoiding the harm caused by high blood pressure!