If a hypertensive patient’s blood pressure is still high after taking triptans, it is called intractable hypertension. The first consideration is whether the blood pressure measurement is accurate or not, and the second consideration is whether there is a lack of improvement in lifestyle, and whether the antihypertensive treatment program is reasonable or not, whether there are certain medications taken at the same time that interfere with antihypertensive effects, whether there is insulin resistance or not, and whether there is secondary hypertension or not.
For the above possible causes, one by one, we will rule out and deal with them.
1. Strict blood pressure measurement process and method, and ambulatory blood pressure monitoring if necessary.
2. Continue to improve lifestyle, low-salt and low-fat diet, weight control, smoking and alcohol cessation.
3. Adjust the combined treatment program, if there is no diuretic in the treatment program need to add diuretics.
4. Discontinue or adjust other drugs that interfere with the effect of antihypertensive drugs, such as non-steroidal anti-inflammatory drugs, sympathomimetic amines, tricyclic antidepressants, cyclosporine and recombinant human erythropoietin.
5. Patients with insulin resistance should be combined with insulin sensitizers on the basis of antihypertensive drugs.
6. Patients with secondary hypertension should actively treat the primary disease causing hypertension.
They should go to the hospital in time for consultation and active treatment so as not to miss the condition.