How to correctly change the antihypertensive drugs in hypertensive patients need to choose different programs according to individual differences, different diseases, blood pressure control is too low when you need to go to the hospital to reduce the type of drugs or a single drug to reduce the dosage; blood pressure is still high after taking the drug, you can consider a single drug to increase the dosage or the two-drug combination, three-drug combination.
1. Low blood pressure: If the blood pressure of hypertensive patients drops significantly after taking antihypertensive drugs, even below 90/60mmHg, accompanied by symptoms such as dizziness, fatigue, drowsiness, etc., they need to go to the hospital to reduce the type of drugs or the dosage of a single drug if the blood pressure control is too low.
2. High blood pressure: If the patient originally taking an antihypertensive drug, blood pressure is still higher than 140/90mmHg, can consider adding a second antihypertensive drugs, common two antihypertensive, including calcium channel blockers + ARB class or ACEI class, diuretics + ARB class or ACEI class or calcium channel blockers, such as the original service amlodipine, etc., can be used with the addition of omesartan and other ARB class or canadian hydroxytia and other diuretics.
If the second antihypertensive treatment, blood pressure still does not meet the standard, generally can consider the three-drug combination, recommended for diuretics + ARB class or ACEI class + calcium channel blockers. Antihypertensive drugs can often be divided into five major categories, including diuretics such as candihydrothia, ACEIs such as captopril, ARBs such as olmesartan, calcium channel blockers such as amlodipine, and beta-blockers such as bisoprolol.
If hypertensive patients have poor blood pressure control and need to change their antihypertensive regimen, it is recommended that they visit a hospital and be guided by a doctor’s evaluation.