How to choose high blood pressure antihypertensive drugs?

There are five main categories of oral antihypertensive drugs for hypertension, and in the absence of other comorbidities or clinical diseases, the five major categories of antihypertensive drugs can be used as the first choice, as long as the patient's blood pressure is lowered, it can effectively protect the patient's heart, brain, kidney and blood vessels. However, if the patient has other clinical conditions, consider that each antihypertensive drug may have its preferred indications or contraindications. There are drugs that cannot be used in certain circumstances, i.e. contraindications.

For example, antihypertensive drugs that slow down the heartbeat are not suitable if the patient's heart rate is relatively slow. For patients with diabetes, chronic kidney disease, and heart failure, one or two of these types of antihypertensive drugs are often recommended. It is important to understand that there are contraindications to each class of antihypertensive drugs, and if the patient's condition does not allow their use, avoid the corresponding antihypertensive drugs.

For the specific use of antihypertensive drugs, you must consult a doctor in a regular hospital to make a comprehensive and accurate judgment before choosing.

Each drug has a relative ***, let's first understand a blood pressure medication, so as to choose a blood pressure medicine that is most suitable for you and has the best effect.

First of all, we need to know how much our blood pressure is, sit quietly in the chair for about five minutes, and then measure our blood pressure to avoid high blood pressure after Yunao, blood pressure is not only divided into primary and seasonal, the most important thing is that we have to see how much our blood pressure is low-grade hypertension or intermediate and high-dimensional.

The normal blood pressure is 120 80, the normal range is 120-139 80-89mmHg, and the high blood pressure is 140-150 is low-grade hypertension. If your blood pressure is around 145, you can buy Chinese medicine decoction pieces to soak in water, such as eucommia, ginkgo biloba, roblin, hawthorn, these kinds of soaking water.

Blood pressure high blood pressure above 150 below 170, you have to take Western medicine antihypertensive drugs, Western medicine blood pressure drugs are divided into 6 kinds, careful friends may look at the principle of efficacy in the instructions, which is written what is the principle of this drug to lower blood pressure, such as diuretics are to remove blood pressure through urination to discharge water in the blood, such drugs are not suitable for the blood silk with bad kidneys.

Horizontal-type antihypertensive drugs have a relieving effect on patients with angina, and the principle of lowering blood is to increase the flow rate of the heart arteries, so that the blood reflux becomes faster, so as to remove pressure, and the forcing effect is easy to atrial and arrhythmia.

Enalaprimolol and others are angiotensin-converting enzyme inhibitors, simply put, they dilate the coil, thereby lowering blood pressure, and the blood vessel walls of middle-aged and elderly people are relatively brittle, so it is not suitable to use drugs that dilate blood vessels for a long time.

For people with blood pressure above 175 and below 185, taking one antihypertensive drug can not be lowered, and you have to take two or more kinds of drugs, such as ejianpril and diuretics, etc., and other antihypertensive drugs with two principles of action can be lowered.

When choosing drugs for severe hypertension, don't choose the same medicine when taking two kinds of blood pressure drugs, for example, if you buy a reserpine and take nitratepine, these two drugs belong to the same type of drugs, and you should choose those that are not the same antihypertensive principle, for example, taking amlodipine can be reduced to about 145, and then you can choose a Chinese medicine Zhenju.

Don't eat high-calorie and high-protein foods, such as pork, you can eat some fish and meat Tébi sea fish, don't eat nut foods such as peanuts, melon seeds, walnuts, and high sugar.

There are six broad categories of drugs for high blood pressure, but not all patients are suitable for each class of drugs. For example, ACE inhibitors and ARBs are suitable for patients with poor kidney function. But it has a problem, that is, many patients will cough and thirst after using it, which is easy to cause thirst reaction.

If it cannot be tolerated, ARB or ACE inhibitors are not appropriate. This class of drugs is not suitable for use. CCB is suitable for stroke risk, but it has an adverse effect that can cause foot swelling and edema of both ankle joints.

Diuretics are suitable for patients with hypertension and heart failure, who may develop edema of the feet, because of renal insufficiency, and this diuretic may have an immediate effect. Long-term use of diuretics may cause electrolyte loss, and different patients need to choose different drugs**.

Expert tips: how to choose antihypertensive drugs suitable for patients with high blood pressure: ACE inhibitors and ARBs are suitable for patients with poor kidney function and proteinuria, cough, thirst, and intolerance after use, they are not suitable for ARB or ACE inhibitors, CCB is suitable for patients at risk of stroke, diuretics are suitable for patients with hypertension and heart failure, and long-term use of diuretics may cause electrolyte loss.

Most of the patients we are very common to, or like the calcium ion antagonists, nifedipine controlled-release tablets or felodipine sustained-release tablets and so on. This kind of drug is generally suitable for some systolic blood pressure, that is, high blood pressure is relatively high or has had cerebrovascular disease in the past, and he has some dilated cerebral arteries, so it is called calcium ion antagonist. The second type is for example, ACE inhibitors or ARBs, called ACE inhibitors, or angiotensin inhibitors, which are suitable for some people who have diabetes, or have had heart failure, myocardial infarction, coronary heart disease, and they are more suitable for drugs like ARB or ACE inhibitors.

Be sure to go to the hospital for a check-up and follow the doctor's instructions to take it. If the antihypertensive effect is not good, go to the hospital for examination, and if you want to change the dress, you can't make your own decisions. Be sure to take the medicine prescribed by the doctor.

Patients with hypertension should choose suitable antihypertensive drugs according to their age and physical condition, such as diuretics can be used as the first choice for patients with uncomplicated hypertension, mainly suitable for mild to moderate hypertension, especially senile hypertension, including simple systolic hypertension, obesity and heart failure in the elderly.

There are also receptor blockers, which are suitable for mild to moderate hypertension, especially for young and middle-aged people with a fast heart rate at rest, and for hypertension with high renin activity, with angina pectoris or post-myocardial infarction, and for patients with supraventricular tachyarrhythmias. Calcium channel blockers are indicated for all degrees of hypertension, especially in patients with senile hypertension with coronary heart disease, angina, peripheral vascular disease, diabetes mellitus or impaired glucose tolerance, hypertension during pregnancy, and renal impairment.