High blood pressure 160 what medicine to take to lower blood pressure

Renal hypertension

Hypertension, mainly due to increased blood pressure caused by renal parenchymal lesions and renal artery lesions, is called renal hypertension in symptomatic hypertension.

Renal hypertension is a type of secondary hypertension that is mainly due to increased blood pressure due to renal parenchymal lesions and renal artery lesions.

The occurrence of this disease is mainly due to glomerular vitreous degeneration, hyperplasia of interstitial tissue and connective tissue, tubular atrophy, and narrowing of renal arterioles, resulting in both substantial damage to the kidneys and insufficient blood; The mid-layer mucinous muscle fibers of the renal artery wall proliferate, forming most small aneurysms, causing the inner wall of the renal arterioles to protrude in a bead-like manner, resulting in segmental stenosis of the renal arteries. nonspecific Takayasu's arteritis, which causes renal hypoperfusion; Under the combined effect of the above factors, it leads to the occurrence of hypertension. Hypertension will cause kidney damage, and the two promote each other and will further develop the disease, so it is necessary to be active in renal hypertension.

The ** of renal hypertension mainly includes the following aspects:

1. Drug selection for renal hypertension: For the pathogenesis of renal hypertension, in terms of drug selection, all drugs that can reduce renin release or inhibit angiotensin-converting enzyme, or dilate renal arteries, improve renal blood and oxygen supply, and reduce blood volume can play a role in reducing renal hypertension. There are several drugs that are commonly used for renal hypertension:

1) Diuretics, generally thiazides, if the renal function is obviously impaired, loop diuretics should be selected, such as furosemide and butylureamine.

2) Calcium antagonists, which reduce peripheral resistance by reducing the concentration of intracellular calcium, do not affect cardiac output, and will not lead to sodium and water retention when applied for a long time, and even have a diuretic effect, such as nifepyridine, Baixintong, Luohuoxi, etc.

3) Receptor blockers, adrenergic receptor blockers, can inhibit renin secretion, and have a good effect on hyperreninic hypertension, such as propranolol, aminoyl propranol, medopropolol, etc.

4) Drugs that improve the blood supply and oxygen supply to the kidneys and reduce the release of renin, such as hydralazine, dihydralbeazine, long-pressure determination, etc.

5) ACE inhibitors, such as captopril, enalapril, perindopril (Yashida), phenaprila (lotincin), etc.

6) Drugs that inhibit renin activity, such as clonidine, methyldopa, etc.

2. For renovascular hypertension: percutaneous renal arterioplasty, surgical revascularization, and drugs can be selected according to the condition. The purpose is not only to lower blood pressure, but also to protect kidney function.

Surgeries** include kidney transplantation, revascularization, and nephrectomy. It should be noted that ACE inhibitors and angiotensin-type receptor blockers are contraindicated in patients with bilateral renal artery stenosis, impaired renal function, or poor renal function on the non-stenotic side, because these drugs relieve the constriction of the ischemic glomerular arteries, reduce the pressure in the glomerular sac, and worsen renal function.

You can try Ambono Beijing Fuwai Hospital-Department of Cardiovascular Medicine-Deputy Chief Physician Yu Mengyue View the original post".

Preamble: If the blood pressure is still above 160 after taking this medicine, it means that this ** method does not relieve blood pressure well, if the blood pressure level is still at 160 during the period of taking antihypertensive drugs, it may be that the amount of medicine taken is not enough, or it may be that the type of medicine taken is not right, and some of it may be because the time of taking the medicine is unreasonable.

At present, if the patient's blood pressure is about 160, it is not enough to take a single antihypertensive drug, it is best to choose a variety of drugs to take together, so as to have the effect of lowering blood pressure. Nowadays, there are many types of antihypertensive drugs on the market, and the effects of different antihypertensive drugs are also very different, so it is necessary to choose the appropriate antihypertensive drugs according to the actual situation of the patients themselves, so if the blood pressure of hypertensive patients is still 160 during the period of taking, then it may be because the type of drug selected is wrong.

Many patients have very high blood pressure in the early morning, so it is best to choose to take it at night before going to bed, so that the blood pressure can be well controlled from night to early morning, if you take it in the morning, it may be that the blood pressure in the morning is okay, but when it is pure on the second day, the blood pressure will still be very high before taking it, so the patient will always feel that there is no obvious antihypertensive effect. When taking antihypertensive drugs, the time is also very particular, and only a reasonable allocation of antihypertensive drugs can play a role in relieving blood pressure.

It is best to take antihypertensive drugs two hours before the blood pressure rises, so that the blood pressure can be well controlled and the blood pressure is in a stable state. If you take antihypertensive drugs under the guidance of a doctor, but there is no obvious effect, you must pay attention to your way of taking, if after taking it for a period of time, blood pressure is not well controlled, you should go to the hospital for examination in time, you can tell the doctor your own situation, and then choose the appropriate method.

If you take medicine for high blood pressure and your systolic blood pressure is still 160mmHg, it means that your blood pressure is not up to standard. The goal of blood pressure reduction needs to be achieved in different groups, and the blood pressure reduction goal is slightly different in different groups, but basically it is easy to grasp that systolic blood pressure should be reduced to below 140mmHg, and diastolic blood pressure should be reduced to below 90mmHg. Different antihypertensive drugs need to be used in the antihypertensive process, and if existing antihypertensive drugs have been used, there are two aspects in the adjustment process:

1. Increase the dose of existing ** drugs;

2. Combined with other antihypertensive drugs, 2-4 kinds of antihypertensive drugs can be combined to achieve blood pressure.

If you want to lower blood pressure, you need to eat less greasy food, eat more light food, and you also need to cooperate with exercise.

You can lower your blood pressure through proper exercise, or go to the hospital to check your physical condition, or you can lower your blood pressure through dietary therapy.

Blood pressure 150 120, what blood pressure medication do you need to take.

Hello, I have seen your question and am sorting out the answer, please wait for a while Hello, you can give drugs such as felodipine, irbesartan hydrochlorothiazide, valsartan **. It is also important to improve lifestyle behaviors: lose weight, reduce sodium intake, replace calcium and potassium, reduce fat intake, stop smoking, limit alcohol consumption, and exercise appropriately.

Do I need to take medicine to unclog blood vessels?

Hello, can be taken together.

There are 5 main categories of commonly used: diuretics. Oral advice on the choice of antihypertensive drugs is also required under the guidance of a local physician. If there is hyperlipidemia must be at the same time**, calcium antagonists, angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists.

Hypertension that does not respond well requires a combination of antihypertensive drugs. High blood pressure requires long-term medication, and if you can't, you must insist on taking medicine for a long time.

Eat more celery. Control of essential hypertension depends mainly on medications: a low-salt diet, a low-fat diet is recommended first. Be sure to abstain from smoking, drinking, and avoiding emotional agitation

Receptor blockers. These need to be paid attention to, otherwise the blood pressure lowering effect is not good, especially its roots.

[Western Medicine**].

Angiotensin-converting enzyme inhibitors are commonly used captopril (Kaibotong), enalapril (Yueningdin), Benalapril (lodesin), etc., Kaibotong 12 5-50 mg each time, starting with a small dose per day and gradually increasing. Calcium antagonists are commonly used in patients with heartache, 10 mg each time, 3 times a day; The new calcium antagonists include nitrandipine, nicardipine, nimodizine, and long-acting calcium antagonists are coronic. -Receptor blockers are commonly used with propranolol (propranolol), metoprolol, and atenolol, with propranolol 10 to 30 mg three times daily.

Diuretics are mostly dihydrogram urinary plugs, 12 5 25 mg each time, 2 to 3 times a day; Furosemide (furosemide), triamterene, etc. can also be used. Peripheral sympathetic inhibitors commonly use reserpine, 0 1 0 25 mg each time, 2 3 times a day. Central nervous system inhibitors can choose clonidine and methyldopa.

Traditional Chinese Medicine Prescription] l. Hyperhepatic Yang type.

Head swelling and headache, or dizziness, irritability, red face, dry mouth and bitter mouth, yellow urine and knotted stools, red tongue and less yellow, strong pulse. It is advisable to calm the liver and latent yang. Prescription medicine Gastrodia hook vine drink plus or minus:

10 grams of gastrodia, eucommia, parasitic, skullcap, motherwort, gardenia, vermilion, and nightshade, 12 grams of hook vine, 12 grams of Sichuan hyssop, and 18 grams of cassia raw.

2. Liver and kidney yin deficiency type.

Soreness in the waist and knees, dizziness and tinnitus, astringent eyes and dry mouth, loose night sweats, red tongue and little moss, and thin pulses. It is advisable to nourish the liver and kidneys. Prescription medicine Liuwei Dihuang Pill plus flavor:

24 grams of cooked ground, 12 grams of yam and dogwood, 9 grams of Poria cocos, Danpi and Zexiao; 10 grams of wolfberry and turtle plate, and 6 grams of boiled grass.

3. Medium-resistance type of phlegm turbidity.

Dizziness, swelling of the head, nausea and vomiting, chest tightness, poor food intake, thin and white tongue, or self-greasy and turbid, smooth or slippery pulse. It is advisable to strengthen the spleen and dissolve phlegm. Prescription medicine Banxia Atractylodes gastrodia soup with flavor:

10 grams of gastrodia, 10 grams of tribulus terrestris, citrus aurantium, tangerine peel, 12 grams of fried atractylodes and bamboo ru, 15 grams of hook vine and poria cocos, 20 grams of fried coria seeds, and 6 grams of green wood incense.

I'm just low pressure high, eating captopril.

What medicine do you take for high blood pressure?

Hypertension is a common indicator of cardiovascular and cerebrovascular diseases, and there are many factors that cause hypertension, is it primary or secondary? Once it is determined that it is high blood pressure, it is necessary to take medicine for a long time, do not take medicine because you feel uncomfortable, and stop taking medicine if you are comfortable, otherwise there must be a hidden danger of cardiovascular and cerebrovascular accidents.

Of course, high blood pressure is related to diet, send a few words:

To eat grain, eat whole grains.

Eat colorful dishes.

Drink the soup with seaweed soup.

Eat meat with fewer legs.

To eat oil, you should eat double sub-oil.

Eat less oil, salt and drink more water.

It is very difficult to do the above six points, except for those who have retired and have time to adjust their lives at home (late), people during work do not have time to care about their diet, and the incubation period of the three highs (high blood pressure, high blood lipids, and high blood sugar) is just at a young age, what should I do? It is recommended that we overcome the desire to eat, balanced nutrition, appropriate intake, especially edible oil, must eat edible oil containing two essential fatty acids (linoleic acid and -linolenic acid) and the appropriate proportion (double linolenic acid), the edible oil on the market is basically containing a single essential fatty acid or the proportion of basically unreasonable edible oil, recently saw Zalangzi double Asian edible oil, should be a good oil, it is with safflower seed oil with flaxseed oil, to overcome the shortcomings of ordinary edible oil essential fatty acids single, It is very good for the prevention of cardiovascular and cerebrovascular diseases.