How to choose blood pressure medication, the choice of blood pressure medication

(Recommended reading: The first choice for lowering blood pressure "civilian prescription" How to choose drugs for special populations Most patients with hypertension will have heart disease, kidney disease, hyperlipidemia, etc., therefore, patients with other symptoms should choose antihypertensive drugs correctly. The antihypertensive drugs on the market for patients with hypertension and coronary heart disease not only have a hypotensive effect, but also have the effect of protecting the target organs.

For hypertensive patients with coronary heart disease, the occurrence of atherosclerosis, angina pectoris, and myocardial infarction should be taken into account when choosing antihypertensive drugs. For patients with a history of myocardial infarction or angina, it is best to choose receptor blockers, calcium antagonists, or ACE inhibitors. It can effectively lower blood pressure and effectively reduce the chance of another heart attack.

Diuretics for patients with hypertension and diabetes have a greater impact on blood sugar, and when they must be used, indapamide can be used, which does not have much effect on blood sugar. Receptor blockers can mask symptoms of hypoglycemia caused by overdose of insulin** and should be taken with caution. ACE inhibitors and calcium antagonists have little effect on blood glucose and are the drugs of choice for patients with hypertension and diabetes.

In patients with hypertension and renal insufficiency, the metabolism of nicardipine and nifedipine is mainly in the liver, and it can also maintain the normal operation of renal blood flow. Patients with early hypertension with renal insufficiency can also choose ACE inhibitors. High blood pressure is a common vascular disease, and once diagnosed, antihypertensive drugs need to be taken for life.

However, long-term use of antihypertensive drugs may have an impact on the heart, brain, and kidneys, how to minimize adverse reactions? Experts say – don't take blood pressure medication as soon as your blood pressure is high. Page:[1.]

Hypertension combined with asthma (or chronic obstructive pulmonary disease) is a clinical phenomenon, and patients with hypertension account for about 3% of all patients with hypertension, because antihypertensive drugs have the effect of aggravating bronchial smooth muscle spasm and inducing or aggravating asthma*** patients with hypertension should be cautious in choosing antihypertensive drugs Why should patients with hypertension and asthma choose antihypertensive drugs Calcium antagonists are the first choice for patients with hypertension and asthma**Calcium antagonists have the effects of relaxing bronchial smooth muscle, relieving bronchial smooth muscle spasm, reducing pulmonary pulse pressure, improving ventilation function, etc. Nifebenzin controlled-release tablets, nitranpine, felopine, nicapan, amichlorpine, verapamil, etc. In addition to calcium antagonists, patients with asthma and hypertension should choose losartan (Kosua), valsartan (Daiwen), ibexartan (Ambovi) and other angiotensin receptor antagonists, such as prazosin (mainingping), terazosin (Gauterin), sazosin (Biyaxin) and other A-receptor blockers such as perazosin (mainingping), terazosin (Golterin), and sazosin (Biyaxin) for specific use Consultation It should be noted that patients with hypertension and asthma should be prohibited or use antihypertensive drugs with caution: 1-Receptor blockers --Receptor blockers--especially non-selective -Receptor blockers (propranolol, etc.) have the ability to aggravate bronchial smooth muscle spasm and induce asthma attacks***, so they are suitable for patients with hypertension and asthma2

Diuretics: Diuretics have a dehydrating effect, making the sputum viscous and difficult to cough, aggravating the symptoms of the patient's respiratory tract, so it is suitable for patients with hypertension and asthmaACE inhibitors can cause dry cough***, induce or aggravate asthma, so they are suitable for patients with hypertension and asthma ("Seeking Medical Advice").

Usually pay attention to eating habits, not because of a good life on the big fish and meat every day, excessive intake of cholesterol is easy to cause cardiovascular disease and high blood pressure, if it is now high blood pressure is recommended to eat some nutritional conditioning products (note that it is not a medicine, it is a three-point poison), such as natto and fish oil are hypolipidemic and blood pressure.

I think a balanced vegetarian diet, then maintain a good attitude, exercise more, and pay attention to rest are the best blood pressure medicine!

Maybe you feel that you don't have much physical discomfort if you take medicine for high blood pressure, maybe you feel that your blood pressure goes down in the end after taking any blood pressure medicine, but have you ever thought about you in ten years?

You who find the right doctor and take the right medicine and the one who doesn't care.

With the high incidence of hypertension, the high rate of disability and mortality, and the highest benefit of lowering blood pressure, the choice of antihypertensive drugs is very important.

Among them, angiotensin-converting enzyme inhibitors (pril, such as enalapril) and angiotensin receptor antagonists (sartans, such as telmisartan) are widely used and have good efficacy.

Like captopril, enalapril, benazepril, lisropril, ramipril, fuxingpril, cinapril, pedopril, etc., the main adverse reactions: dry cough, elevated blood potassium, angioedema.

Among them, captopril and enalapril may be more troublesome for long-term users, after all, two or three times a day, while the others only need one time a day.

Saltan such as losartan, valsartan, irbesartan, telmisartan, olmesartan, candesartan and other sartans, the main adverse reactions: elevated serum potassium, angioedema (rare).

In addition, there are some compound preparations of this type of drugs, such as enalapril folic acid tablets, compound preparations of sartan and hydrochlorothiazide, etc., such as losartan potassium block hydrochlorothiazide, valsartan hydrochlorothiazide, irbesartan hydrochlorothiazide, etc.

Why do these drugs lower blood pressure and bring benefits to the human body?

These two classes of drugs are inhibitors belonging to the renin-angiotensin-aldosterone system (RaaS).

Excessive synthesis and secretion of RaaS in the body can cause damage to the brain, heart and kidney, and blood and body. It then causes vasoconstriction, vascular hyperplasia, endothelial dysfunction, atherosclerosis, and even stroke to death, left ventricular hypertrophy, fibrosis, remodeling, apoptosis, coronary heart disease, heart failure and death. It can cause decreased glomerular filtration rate, proteinuria, increased aldosterone secretion, glomerular sclerosis, and renal failure to death.

These two types of antihypertensive drugs can inhibit the excessive secretion of RAAS and play a significant role in lowering blood pressure and protecting blood vessels!

According to the Chinese hypertension guidelines.

1. Pril antihypertensive drugs are mainly used for:

In addition to lowering blood pressure**, it can also be used for heart failure, coronary heart disease, left ventricular hypertrophy, left ventricular insufficiency, carotid atherosclerosis, non-diabetic nephropathy, diabetic nephropathy, proteinuria microalbuminuria, metabolic syndrome (obesity, hyperglycemia, hypertension, dyslipidemia, high blood viscosity, high uric acid, high fat, hyperinsulinemia, etc.).

2. Saltan antihypertensive drugs are mainly used for:

In addition to lowering blood pressure**, it can also be used for diabetic nephropathy, proteinuria, microalbuminuria, coronary heart disease, heart failure, left ventricular hypertrophy, atrial fibrillation prevention, cough caused by puri, metabolic syndrome, etc.

3. These two types of drugs have good effects on improving insulin resistance and kidney protection.

In addition to the relevant contraindications, such as any pregnancy, hyperkalemia, bilateral renal artery stenosis, etc., patients with hypertension drugs** should choose one of these two types of antihypertensive drugs when combined with hypotensive drugs**.

Condition analysis: Hello, antihypertensive drugs, generally the best antihypertensive drugs to protect the target organs are angiotensin-converting enzyme inhibitors such as Fuxinpril Guidance: It is recommended that if you have high blood pressure, you can consider using Fuxinpril to control it, but if your blood pressure is still not controlled with this drug, or you can't tolerate this drug, you can use nifedipine sustained-release tablets, etc.**How high is your blood pressure?

High blood pressure cannot always rely on medication, and high blood pressure requires some bad lifestyle habits. Pay attention to diet and rest. Proper exercise. Some of the aids for high blood pressure ** can be seen (Sanshan enjoys the family).

High blood pressure is mostly caused by blood vessel blockage and vascular calcification, eat more vegetarian food and drink more water, detoxification is the fundamental.