Combination of antihypertensive drugs

  Different types of antihypertensive drugs should be selected according to the height characteristics of the blood pressure and the presence of comorbidities and complications, either alone or in combination with two or more drugs to lower the target blood pressure below 140/90. If there is no renal artery stenosis or abnormal renal function, you can combine ACEI or ARB drugs, which have organ-protective effects, but the doctor will choose the most suitable treatment plan according to your specific situation after consultation. In addition, we should pay attention to the change of lifestyle, light diet, quit smoking and limit alcohol, control weight, etc.  Three drug treatment principles: 1, individualized: according to the pathophysiological characteristics of different patients disease progression and complications and the use of different drugs and different doses 2, combined medication 3, graded treatment: for general hypertension first with less side effects of drugs if not achieved satisfactory results can gradually add one or more drugs with different mechanisms of action can be considered graded treatment Level 1: beta-blockers calcium antagonists angiotensin converters Enzyme inhibitors can choose a drug, one is not effective, can be replaced by another Grade 2: combination of two drugs and effective since the beginning of a small amount until the ineffective transferred to Grade 3 Grade 3: combination of three drugs and Grade 4: Grade 3 treatment is not effective can be replaced by guanethidine or colistin