When it comes to antihypertensive drugs, it is estimated that hypertensive patients can be as familiar as they are. However, many hypertensive patients in the medication, ignore some details, which is like in daily life, obese people had better eat more vegetables and coarse grains, the elderly had better eat more high calcium food, a variety of antihypertensive drugs are also suitable for each, improper use of drugs, not only affect the efficacy, some may even lead to serious consequences.
Hypertension is a common disease, in order to rational use of antihypertensive drugs, taking medication should pay attention to the following points.
1, avoid unauthorized use of drugs.
There are many kinds of antihypertensive drugs, and the mechanism of action is different. Different types of hypertension, its pathogenesis is not exactly the same. If the choice of antihypertensive drugs is not reasonable, the antihypertensive effect will not be fully developed. Sometimes it is mistaken that antihypertensive drugs do not work. Therefore, the drug treatment of hypertensive patients should be under the guidance of a doctor, according to the severity of the disease and body differences graded.
2, avoid not measuring blood pressure, only by self-feeling medication.
Some patients take less when there is no discomfort, dizziness and discomfort to increase the dose. In fact, self-perceived symptoms and the severity of the disease is not completely consistent, blood pressure is too low will also appear dizzy discomfort, if you continue to take the drug is dangerous, increase the dose of dangerous. The correct approach is to measure blood pressure regularly, adjust the dose in a timely manner, and maintain consolidation.
3, avoid single medication.
In addition to mild hypertension, try not to single medication. The advantage of combined medication is to produce a synergistic effect, reduce the dose of each drug, offset the adverse drug reactions.
4, avoid lowering blood pressure too fast, too low.
Some hypertensive patients hope that the faster the blood pressure drop, the better, the kind of understanding is wrong. Short-term blood pressure range is best not to exceed 20% of the original blood pressure, because the blood pressure is too fast or too low, will make patients feel dizzy, weakness, but also can induce cerebral thrombosis and other serious consequences, this phenomenon is particularly common in the elderly.
5, avoid intermittent taking antihypertensive drugs.
Some patients with elevated blood pressure on the medication, blood pressure is lowered on the discontinuation of drugs, this view is very wrong. Blood pressure control, that is the result of the role of drugs, but the body factors that lead to abnormal blood pressure still exists, so once diagnosed with hypertension, it is necessary to take long-term medication.
6, avoid no symptoms do not take medication.
About 50% of hypertension patients are asymptomatic, wait until there are symptoms to take medication, may have been very dangerous. It is recommended that people over the age of 35 should have their blood pressure monitored every year. Hypertension patients with stable blood pressure control, monitor twice a week; blood pressure has not been controlled and stable, measured every day.
7, avoid frequent changes in medication.
For hypertensive patients, if blood pressure fluctuates occasionally, it is recommended to temporarily add some antihypertensive drugs, but do not recommend repeated drug changes, each drug to play a stable antihypertensive effect takes a certain amount of time. In addition, antihypertensive drugs without significant side effects and satisfactory blood pressure control, can be used for a long time, there is no need to replace, otherwise the body is prone to drug resistance.
8, avoid taking drugs before going to bed.
The time of use of antihypertensive drugs should be decided according to the results of dynamic blood pressure monitoring, if the blood pressure is high at night, should eat at night; if the blood pressure is high during the day, should eat in the morning; if the blood pressure is high in the early morning, should use long-acting preparations. The vast majority of patients are high blood pressure during the day, if inappropriate evening medication, but easy to cause hypotension, insufficient blood supply to organs, and even induce cerebral thrombosis, angina pectoris, myocardial infarction, etc..
9, avoid relying solely on antihypertensive drugs.
Hypertension has more causes, so the treatment also needs to take comprehensive measures, otherwise it is impossible to achieve the desired therapeutic effect. The correct approach is in addition to the selection of appropriate drugs, but also pay attention to the combination of work and rest, low salt and low-fat diet, appropriate participation in sports and cultural activities, avoid emotional excitement, ensure adequate sleep, weight control, etc..
10, avoid not lowering blood pressure to achieve the “standard” treatment.
The higher the blood pressure, the higher the incidence of cardiovascular and cerebrovascular events. 2004 national hypertension survey results show that the blood pressure control rate of hypertensive patients is only 6.1 percent. Therefore, achieving the standard of blood pressure reduction is the key to improving the prognosis of hypertensive patients. General hypertensive patients require a reduction to below 140/90 mm Hg; elderly people have systolic blood pressure control below 130/80 mm Hg; and those who develop proteinuria need low blood pressure.