There are six major classes of antihypertensive drugs recommended by the World Health Organization: diuretics, calcium antagonists (CCB), beta-blockers, alpha1-blockers, angiotensin-converting enzyme inhibitors (ACEI), and angiotensin II receptor antagonists (ARB). 1, diuretics: often used alone for anti-mild hypertension, also used in combination with other drugs to treat moderate and severe hypertension
The diuretic is especially suitable for patients with heart failure and swelling. Representative drugs are hydrochlorothiazide, indapamide. Long-term use of these drugs may lead to reduced glucose tolerance
The long-term use of these drugs may lead to reduced glucose tolerance, increased blood sugar, hyperuricemia and other metabolic disorders, as well as increased blood cholesterol and triglycerides, reduced high-density lipoprotein and decreased libido and other complications, so generally used intermittently under the guidance of a doctor. 2, beta-blockers: widely used in patients with mild to moderate hypertension, especially for young hypertensive patients and treatment of exertional angina pectoris, but not for patients with cardiac insufficiency, bronchial asthma, diabetes
(because it can reduce insulin secretion and interfere with glucose metabolism). The representative drugs are ponerol, metoprolol, atenolol, bisoprolol, labetalol, carvedilol. 3, angiotensin I converting enzyme inhibitors: for primary, renal hypertension has a very good effect
It can improve glucose and lipid metabolism, prevent and control cardiac insufficiency, reverse ventricular hypertrophy, commonly used with ventricular hypertrophy, heart failure, diabetes, hyperlipidemia, moderate and severe hypertension in the elderly. However, it is not suitable for renal insufficiency
The representative drugs are captopril, enalapril, perindopril, benazepril, fosinopril, ramipril, etc. 4, calcium antagonists: suitable for all types of hypertension, especially for patients with severe hypertension with coronary artery disease, angina pectoris, cerebrovascular accidents, renal pathology. Representative drugs are nifedipine, diltiazhuo, amlodipine, felodipine, lacidipine, nifedipine, etc. 5, angiotensin II receptor blockers: good antihypertensive effect and small side effects, commonly used are losartan, valsartan, etc.. It is recommended that you choose the combination of drugs, a month later will be normal, unless secondary hypertension, there is no blood pressure can not be lowered, it is certainly not the right method.