Commonly asked questions about medication for hypertensive patients

  1, the blood pressure is stable after the medication do not rush to stop or reduce the medication Hypertension is a chronic disease, not a respiratory infection or acute enteritis and other diseases, with 3 or 5 days of medication, the symptoms are relieved that stop. This disease is a chronic disease, need long-term medication, some patients, taking a period of antihypertensive drugs, feel stable blood pressure to stop the drug, 1, 2 days after stopping the drug feel little change in blood pressure, but, generally stop the drug 3 days after the blood pressure began to rise, found that the blood pressure rose again after taking drugs, blood pressure can not be lowered, what is the reason? In fact, this is a characteristic of long-acting antihypertensive drugs, because the long-acting agents in the body for a long time, 1, 2 days after stopping the drug, there is still a part of the drug residual in the body, and still in effect, therefore, after stopping the drug blood pressure did not rise quickly. When the residual drug metabolism in the body is so small that it can no longer function, blood pressure also begins to rise. Therefore, do not stop using antihypertensive drugs as soon as you feel your blood pressure is stable, but at least for one month, when the weather becomes warmer, you can reduce the dosage until you maintain a stable blood pressure with the smallest dose of long-acting antihypertensive drugs. If blood pressure is still low after dose reduction, continue to reduce the dose. If it has been reduced to a very small dose and blood pressure is still low, consider stopping the drug again, but blood pressure needs to be monitored. The drug should never be stopped without a dose reduction. Zhao Lixin, Department of Cardiovascular Medicine, Second Hospital of Chifeng City, China 2. When high blood pressure is found and medication is needed, you must go to a regular hospital to at least determine whether it is primary or secondary hypertension; in addition, before using antihypertensive medication, you need to do the necessary related tests, such as blood biochemistry, blood routine, urinary routine, etc. This is very necessary! Because everyone’s constitution is different, the same hypertensive patients, medication is different, each person has its own characteristics, some antihypertensive drugs will affect blood sugar, blood lipids and uric acid, if there is chest pain, but also to do electrocardiogram examination to understand whether there is coronary heart disease, combined with coronary heart disease, hypertensive patients and hypertensive patients without coronary heart disease medication is also different. If the medication is not taken properly, it can also lead to other diseases.  3, blood pressure will change with the change of seasons In general, after the weather becomes cold, due to vasoconstriction, blood pressure will rise accordingly; on the contrary, after the weather becomes warm with vasodilation blood pressure will fall. Therefore, the dose of antihypertensive drugs can be adjusted at any time after the seasonal changes: in the area where I live, the dose can be appropriately reduced when the weather becomes warmer after May, and then appropriately increased when the weather becomes colder after October. If you do not adjust well, it is best to go to the hospital to find a doctor in the relevant department to make adjustments.  4, hypertensive patients are best to use long-acting preparations to control blood pressure Currently advocate the use of long-acting preparations, good compliance, only once a day, easy to remember, but also convenient; in addition, the blood pressure will not be high and low, will make the blood pressure control more stable.  If the blood pressure is still particularly high, for example, if the systolic blood pressure (i.e., large pressure) exceeds 180 mmHg, you can temporarily take one tablet of a short-acting preparation under the tongue, such as captopril. In general, the blood pressure will gradually drop only after taking the medicine for more than 5 days, and will gradually stabilize for more than half a month.  5, it is best to have an electronic blood pressure monitor at home Electronic blood pressure monitor in the home is simple and convenient to use, patients can measure themselves. The desktop mercury column sphygmomanometer in the home application has the following disadvantages: 1) patients can not measure themselves, inconvenient; 2) improper use of mercury is easy to leak out of the blood pressure inaccuracy, in addition, mercury is harmful to the body, improper handling is easy to be contaminated; 3) the elderly due to hearing loss, with this sphygmomanometer will make the measured blood pressure than normal low; 4) inconvenient to carry; 5) measuring blood pressure method is not standardized will also lead to For example, most people will blindly stuff the stethoscope head into the cuff, which will make the blood pressure low.  (1) If the usual blood pressure is particularly high (170/110mmHg or more) and there is no headache or dizziness, it is not easy to lower the blood pressure to 140-150/90-100mmHg, and it is not advisable to lower the blood pressure to the target value in a short time. Otherwise, it may lead to dizziness, chest tightness and other symptoms or even stroke.  (2) The diastolic blood pressure should not be lower than 60mmHg in elderly people aged 70 years or above, otherwise, it will lead to insufficient perfusion of the heart and brain vessels and ischemic cardiovascular diseases.  7, the cost of long-term antihypertensive drugs There are a large number of patients, always feel that the cost of long-term antihypertensive drugs is too high, therefore, as soon as the blood pressure returns to normal, immediately stop the drug. In fact, as long as long-term medication, wait until blood pressure is stable for 2-3 months, you can reduce the amount to the minimum daily maintenance amount can be, so that the calculation, about 200 yuan per month is enough. In this way, it is not much money for a year when taken for a long time. Otherwise, it is easy to develop complications, and when they occur, the cost will be more than that, which affects the quality of life and increases the financial burden, and also affects the lives of family members. In addition, there are some people who would rather take expensive health care products than take medicine. It should be noted here that for any kind of health care products, there is no cure, because if it can cure diseases, it is not called health care products but drugs. For hypertensive patients are no exception, health care products will not lower blood pressure.