Although, people have begun to realize the importance of blood pressure control, but many hypertensive patients still have such a doubt: since they have taken antihypertensive drugs, why blood pressure still can not come down; or just down and pop back up? Perhaps, look at the following points, can help you find the reason. First, improper use of drugs. Inappropriate use of drugs have a variety of circumstances: 1, the drug dosage is not enough, the dose is small; some hypertensive patients can not accept the “hypertension needs lifelong treatment” this reality, afraid of long-term use of antihypertensive drugs will have side effects, or will lower the blood pressure too low. Many people find their blood pressure normal after taking antihypertensive drugs for a period of time, and then reduce or even stop the drugs without permission. The so-called “normal blood pressure” is the effect of the drug, once the drug is stopped, blood pressure will rise again. Generally speaking, if a patient with hypertension can control his blood pressure below 140/90 mmHg after taking medication and has no uncomfortable symptoms, he should continue to take his original medication, and the type and dosage of medication do not need to be adjusted. If the blood pressure is controlled below 120/80 mmHg after medication, there is no need to worry about it, as this is the optimal blood pressure and the original medication dose can be maintained. If the blood pressure continues to fall below 110/70 mmHg, the existing drugs can be halved or one antihypertensive drug can be discontinued under the guidance of the doctor, but do not discontinue all drugs to avoid the blood pressure rising back to the pre-drug level in a few days. 2, do not understand the half-life of drug metabolism, the interval between medication is too long; poor compliance with medication, no symptoms do not measure blood pressure, blood pressure is not high to stop taking medication, often missed or did not adhere to long-term medication; some hypertensive patients like to “follow the feeling”, only when there is a headache, dizziness, weakness, insomnia and other symptoms, will think about to Take antihypertensive drugs. Once the discomfort disappears, they will no longer take the medication. The blood pressure fluctuation will be artificially aggravated by the stopping and eating of antihypertensive drugs, and the danger to the body from high to low blood pressure is greater than the continuous increase in blood pressure. 3, frequent drug changes, many hypertensive patients are more “anxious”, two or three days after taking medication found that the effect is not good, they repeatedly ask the doctor to change the medication, or simply change the hospital, change the doctor. In fact, it is difficult for doctors to control the blood pressure of all patients to a normal level at the first consultation (the first prescription), so patients should not be overly impatient. If the blood pressure is low, you can slightly reduce the amount of antihypertensive drugs under the guidance of the doctor; if the blood pressure is high, you can also slightly increase the amount of antihypertensive drugs under the guidance of the doctor, do not change the medication frequently, and do not frequently increase or decrease the amount of medication. It should be reminded that 2/3 of hypertensive patients often need a combination of two or more antihypertensive drugs to control blood pressure, a single drug, even if the price is more expensive, the efficacy is good, but also can not reduce all high blood pressure to normal. 4, think that the faster the blood pressure is lowered, the better to increase the dose of drugs without authorization, not knowing that too fast to lower blood pressure may lead to cerebral insufficiency, myocardial ischemia and even syncope; 5, the use of health products instead of antihypertensive drugs, hearsay medication. Some hypertensive patients “amazing courage”, do not go to the hospital to ask the doctor, preferring to “hearsay” to choose the drug, taking medication on their own initiative. As soon as they hear which person is taking what antihypertensive drugs effective, they go to the pharmacy to buy drugs to take. If you are lucky, your blood pressure may come down; if you are unlucky, you may even change several drugs, but your blood pressure will not come down. In fact, each antihypertensive drug has different effects on the heart and other organs while lowering blood pressure, so you need to consult your doctor about which drugs can be combined and how to increase or decrease the dosage. These patients should not follow the trend of taking medication or dispensing their own medication, but should adjust their medication regimen under the guidance of a cardiologist. In addition, health care products are no substitute for antihypertensive drugs in the treatment of hypertension, blindly changing medication will eventually lead to blood pressure fluctuations and even cardiovascular and cerebrovascular events. Second, secondary hypertension is not targeted treatment. Secondary hypertension, refers to the hypertension caused by some specific etiology. Common causes are renal substantive, renal vascular hypertension, endocrine and sleep apnea syndrome. Therefore, patients with poor results of hypertension medication should see if there are certain other primary causes and actively treat them so as to reduce blood pressure at the root. Third, ignore non-pharmacological treatment. The treatment of hypertension is more “on its own”. Some patients feel that as long as they take their medication, they can live their lives with the same flair as before. In fact, if you don’t change your habits, medication will have little effect. The only way to control blood pressure well is to take medication and improve lifestyle habits at the same time. In addition, insomnia is one of the important influencing factors that affect the efficacy of hypertension and induce blood pressure fluctuation. Staying up late and insomnia can disrupt the body’s biological clock and disrupt the circadian rhythm of blood pressure, which directly affects the effect of blood pressure reduction. Therefore, hypertensive patients must pay attention to the quality of sleep, usually should try to avoid staying up late, life should be regular, to combine work and rest. Once there is persistent insomnia or poor sleep conditions, patients should pay great attention to, and timely medical care, under the guidance of doctors through drug and non-drug therapy to adjust to avoid blood pressure fluctuations and poor control. Fourth, ignore the spiritual and psychological factors. Hypertension is also a psychosomatic disease, the occurrence of hypertension is related to psychological factors, psychological factors to maintain the stability of blood pressure is also crucial. Due to the rapid development of society, competition pressure intensified, the work pace increased, interpersonal tension and other factors make the pressure of social groups generally increased, about 70% of hypertensive friends have varying degrees of tension, upset, irritability and other emotions, and increased psychological pressure can cause anxiety, depression, causing the cerebral cortex excitation – inhibition system imbalance, sympathetic nerve activity Enhancement, vasoconstriction, spasm; secondly, also prone to neuroendocrine dysfunction, inducing arrhythmia; can also activate platelet function, causing platelet aggregation, increased blood viscosity, all of the above factors can make blood pressure rise, fluctuations increase, not easy to control. In addition to psychological shock, strong personality, stubborn, argumentative, impatient, irritable, etc., is also an important factor that leads to blood pressure is not easy to control. Patients with hypertension should maintain a cheerful and optimistic mood, be calm and collected, avoid great joy and sadness, cultivate hobbies, cultivate temperament, and deal with some of life’s ups and downs in a low key manner. At the same time, should try to avoid adverse stimuli to prevent blood pressure from rising or fluctuating.