Hypertension is a lifelong disease, and for most patients with hypertension, they need to receive long-term antihypertensive medication while paying attention to lifestyle improvement. However, many people currently have misconceptions about hypertension medication. Misconception 1: Knowing the disease, unwilling to take medication. Although some patients have been diagnosed with hypertension, but feel that there are no particularly uncomfortable symptoms, or bored with taking medication, or worried about drug addiction, or worried about the side effects of drugs and refuse to take antihypertensive drugs. These people’s blood pressure is not effectively controlled for a long time, over time, is bound to cause damage to the heart, brain, kidneys and other important organs. Director Xia said that the purpose of blood pressure control is to protect the target organs, to prevent hypertension caused by cardiovascular accidents, hypertensive nephropathy and other complications. For patients with mildly high blood pressure around 150/90mmHg can first not take medication, through improving lifestyle to regulate, if the observation of 3-6 months blood pressure control is not good, you must use drugs to control. Long-term clinical practice has proved that the side effects of drugs used to treat hypertension are reversible and mild, and should be safe as long as the drugs are used in strict accordance with the doctor’s instructions, so hypertensive patients should not be afraid of medication. Myth 2: Fish for three days, sunbathe for two days. Many hypertensive patients only take antihypertensive drugs when they feel uncomfortable, and some patients do not take drugs when their blood pressure is not high, and then take drugs when their blood pressure rises, in fact, these practices are very unscientific. The antihypertensive drugs will cause the blood pressure to fluctuate from high to low and up and down. Some studies have confirmed that blood pressure often fluctuates on the human body is very harmful, even more than the harm of mild and moderate hypertension. Hypertension is the result of a combination of factors, and there is no method or drug that can fundamentally cure hypertension, which needs to be controlled by drugs for life. After the target blood pressure is reached, the dose should be adjusted under the guidance of the doctor, according to the effective maintenance amount of long-term use, do not feel good symptoms and then suddenly stop the drug. Myth 3: Follow the experience of others with medication. The clinic often sees a family of many people have high blood pressure, eat the same medicine, the result is that some blood pressure control is better, while some control is not good. Some hypertensive patients do not go to the hospital to see a doctor, but according to the experience of others to buy their own pharmacy antihypertensive drugs. In fact, the cause of hypertension is complex, and there are many clinical subtypes, and each person’s responsiveness, adaptability and tolerance to drugs vary depending on age, risk factors and comorbid diseases. At present, there are many varieties of antihypertensive drugs, and the performance of each drug is also different. Therefore, hypertensive patients cannot take drugs in the same fixed pattern, but should adhere to the principle of “individualized” medication. If you have cerebrovascular disease, calcium channel antagonists should be preferred; if you have diabetes, hyperuricemia or urine protein, angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists such as Lortin or Ambovy should be preferred; if you have coronary heart disease or angina pectoris, beta-blockers such as betalactone should be preferred. Director Xia said that hypertensive patients should first go to the hospital for some necessary tests, including blood, urine, electrocardiogram, as well as some biochemical and other blood pressure vascular tests. The purpose of all these tests is to allow the doctor to properly assess the overall status of the hypertensive patient and develop the most appropriate treatment plan. Myth 4: Blindly chasing new and expensive drugs. It is common for patients to ask for drugs by name, and for doctors to prescribe the new drugs recommended in advertisements, or to ask for the “best and most expensive” drugs. Director Xia said, one is that some of the so-called new drugs advertised are not necessarily new, many drugs are the same ingredients, but different manufacturers use different trade names; secondly, the new drugs recommended in the advertisement may not necessarily be better than the old drugs used in clinical practice for many years, any kind of drugs have to pass a long period of clinical verification; thirdly, the new drugs are effective, but not necessarily suitable for you, antihypertensive drugs and all other The same as all other drugs, expensive is not necessarily the best, only for you is the best. Some advertisements boast that a certain drug can cure all diseases and even cure high blood pressure, which is purely a misleading, must not be gullible. Myth #5: Changing medications back and forth. There are many patients who do not follow the doctor’s instructions on medication, but take matters into their own hands and switch around, resulting in significant fluctuations in blood pressure, long-term effective control. The reason for this is that some are eager to reduce blood pressure, to immediately see the effect of taking medicine 3 days is not obvious to change the drug; some are adverse reactions after taking the drug, fear of side effects; some are influenced by the surrounding hypertensive patients, such as the aforementioned, others eat what drugs they also blindly follow to eat. In fact, there is a process for any medicine to cure the disease, some antihypertensive drugs such as angiotensin converting enzyme inhibitors have a mild effect, from taking the drug to the ideal smooth control of blood pressure generally 1-2 weeks of time, during this period do not change the drug back and forth. Sometimes unsatisfactory blood pressure control is not necessarily the wrong drug, may also be the wrong dose, you can adjust the variety of drugs and dose under the guidance of the doctor, do not take the initiative to change the medication back and forth. Myth #6: Hate the disease and overdose on medication. As the elderly have varying degrees of cardiovascular sclerosis, the vascular cavity is also correspondingly thinner and blood flow is reduced, it is generally advocated to choose a small dose, more moderate antihypertensive drugs, and daily observation of the changes in blood pressure after the drug within 1 week, and finally choose an optimal effective maintenance amount. It is best to maintain blood pressure in the elderly at around 160/90mmHg. The faster the elderly lower their blood pressure, the better, and not the lower the better. There are many hypertensive patients who have already adapted to higher blood pressure, and a sudden drop too low will instead cause discomfort, some adverse symptoms, leading to ischemia of important organs and postural hypotension, and even cerebral thrombosis and myocardial infarction. Medication for the elderly generally advocates the use of long-acting drugs, a single medication. If the blood pressure is not well controlled by a single drug, it can be combined with a low-dose antihypertensive drug with different mechanisms of action under the guidance of a doctor, so that the advantages complement each other and increase the antihypertensive effect. But do not take the initiative to use several antihypertensive drugs together, which may lead to blood pressure drop too low, too fast and induce cardiovascular accidents, while the interaction between different drugs may reduce the therapeutic effect or increase the chance of adverse drug reactions.