At present, the clinical antihypertensive drugs have diuretics, beta-receptor antagonists and other five categories, the choice of drugs should be based on the condition of the decision, there is no so-called best antihypertensive drugs.
1. Diuretics, such as hydrochlorothiazide, have a smooth and slow onset of action and long-lasting effect, and are suitable for the treatment of mild and moderate hypertension, combined with obesity, diabetes and other hypertensive people, after taking them, hypokalemia can occur, affecting the metabolism of blood lipids, blood uric acid, so hyperlipidemia, gout and other people are prohibited.
2. β-receptor antagonists, such as metoprolol, with rapid onset and strong effect, can be used to treat different degrees of hypertension, especially in young and middle-aged patients with fast heart rate, its adverse effects include bradycardia, peripheral vasospasm, etc., and is contraindicated in acute heart failure, asthma and other groups.
3. Calcium channel blockers, such as amlodipine, rapid onset of action, good antihypertensive efficacy, applicable to the combination of coronary heart disease, diabetes and other people, but after taking may appear palpitations, dizziness and other adverse reactions, need to pay attention to is allergic to the drug is prohibited.
4. Angiotensin-converting enzyme inhibitors (ACEI), such as enalapril maleate, is suitable for hypertension combined with proteinuria, diabetes mellitus and other people, and its adverse reactions are irritating dry cough, angioedema and so on. It should be noted that it is forbidden for people with blood potassium 5.5mol/L and severely impaired renal function.
5. Angiotensin receptor antagonist (ARB), such as chlorosartan, has a slow onset of action, long-lasting and smooth lowering of blood pressure, with fewer adverse reactions, and is a safer antihypertensive drug. It is suitable for patients with hypertension combined with proteinuria and heart failure.
All of the above mentioned drugs need to be taken under the guidance of a professional physician, and should not be used blindly on their own.