Antihypertensive “medicine” should not be stopped

Hypertension is a common clinical disease, China also belongs to the high incidence of the country, has reached more than 200 million patients, but in such a large population of hypertension, only less than 10% of patients with good blood pressure control. Why are there so many hypertensive patients with poor blood pressure control? One important reason is that patients’ self-monitoring and management ability is very poor, and one of the most important manifestations of this is the irregularity of the medication taken by hypertensive patients. Clinical often encountered such hypertensive patients, that their blood pressure for a period of time are very normal, nothing uncomfortable, there is no effect, will privately stop the drug. In fact, this practice is very undesirable. Antihypertensive “medicine” can not be stopped. Hypertension is a lifelong disease, can not be cured, the best response is to life-long medication will be the blood pressure control standard. Many patients stop taking antihypertensive drugs mainly out of three considerations: that the blood pressure has been normalized do not need to take medication, that antihypertensive drugs cost expensive, that taking antihypertensive drugs will cause damage to the body. Is it possible to stop taking antihypertensive drugs when blood pressure is normal? No. People with high blood pressure should continue to take their medication. Maintaining blood pressure within the normal range does not mean that the patient’s hypertension has been cured and antihypertensive drugs can be discontinued, it only means that the patient’s blood pressure is under good control. Most of the antihypertensive drugs marketed in the past 20 years are long-acting drugs, so many times a time not to take, the patient’s blood pressure will not immediately rise, which will mislead many patients with high blood pressure that their blood pressure has been normal, do not need to take medication, but once the drug effect of the time has passed, the patient’s blood pressure will rise again. And in fact, when the blood pressure exceeds the normal range, blood pressure has begun to the heart, brain, kidney infringement, if you stop taking antihypertensive drugs lead to repeated rise and fall of blood pressure, not only will the heart, brain, kidney to cause greater harm, and ultimately cause the deterioration of the condition. Do you think antihypertensive drugs are expensive? A large number of facts have proved that long-term high blood pressure will lead to heart attack, cerebral infarction, cerebral hemorrhage, renal failure and other heart, brain and kidney complications of high blood pressure, any one of which occurs, the cost of treatment is much higher than the cost of antihypertensive drugs, and often this time the health has been irretrievable. Will taking antihypertensive drugs cause damage to the body? In fact, the side effects of most antihypertensive drugs are very small, compared with the complications of high blood pressure is minimal, most patients according to the instructions of the medication for life will not cause liver and kidney damage. Therefore, hypertensive patients should get rid of their own concerns, learn to grasp the main aspects of the contradiction of things, not to be choked, insist on taking antihypertensive drugs to improve the prognosis of hypertension. Overseas studies have shown that regular guidance to hypertensive patients and urging them to strengthen self-monitoring of blood pressure can enhance self-efficacy and improve self-management ability, which can effectively prevent and control the prognosis of hypertension. Strengthening the self-management ability of hypertensive patients let us start from the regular use of medication, do not wait until the harm occurs only to think of escaping the danger! (Note: When the blood pressure drops below the normal range, the medication should be adjusted under the guidance of the doctor.)