Medications are an important means of controlling hypertension, but many people have many concerns and prejudices about medication, especially younger patients, who take lifelong medication too seriously, such as worrying about the side effects of medication, not wanting to take medication, and taking it off and on. This is not conducive to the effective control of blood pressure, and in the long term, it will affect long-term blood pressure control. However, there are still many prejudices and misunderstandings about antihypertensive drugs. The misunderstanding is not lifted, many patients are not able to regulate the use of drugs, always eat and stop, which is very harmful to the body. A, the wrong approach: can not take drugs on the right approach: timely medication is good for the body Many friends found after the control of hypertension, will always ask: first do not take drugs okay? First control the diet to see, can not take medication without medication. This idea is understandable, and it is really very helpful to correct lifestyle habits to control blood pressure. However, for patients whose blood pressure exceeds 140/90 mmHg for a long period of time, it increases the risk of cardiovascular accidents and has a negative impact on the systemic organs, so it is recommended that oral antihypertensive drugs should be used to control blood pressure. The best means to avoid cardiovascular complications is to keep blood pressure in the normal range. For patients whose blood pressure is not high and whose risk of cardiovascular accidents is relatively small, if the blood pressure does not fall to normal after 1 to 3 months of lifestyle adjustment, it is also necessary to start drug control early, without any room for negotiation. Second, the wrong approach: the use of drugs to leave room for the right approach: the use of suitable drugs as soon as possible Currently, there are five major classes of first-line antihypertensive drugs commonly used in clinical practice, including calcium channel blockers (CCB), angiotensin-converting enzyme inhibitors (ACEI), angiotensin receptor antagonists (ARB), diuretics, beta-blockers, are good drugs. If any drug is a bad drug, it is definitely eliminated and would not be worth using. For different groups of people, there will be different preferred recommendations for choosing antihypertensive drugs: for young people, beta-blockers and ACEI drugs are preferred; for older people, with severe atherosclerosis, CCBs may be preferred; for people with diabetes and chronic kidney disease, ACEIs and ARBs are preferred as antihypertensive drugs. These preferred recommendations are to find the right antihypertensive drug as soon as possible, and do not imply absolute good or bad. For each patient, the blood pressure can be reduced to the normal range, long-term use without significant side effects, then for this patient, the drug, is the most appropriate drug, is a good drug. As for the antihypertensive drugs to leave room for a good drug at the beginning, after the drug is not available, this logic simply does not make sense, not choose the most appropriate drug at the beginning, not a good antihypertensive, do you want to wait for poor blood pressure control, heart attack, kidney failure and then a good drug? Third, the wrong approach: a long time there is drug resistance need to change the medication correct approach: do not change the medication frequently hypertension medication, very individualized, each person is not the same sensitivity to hypertension drugs, so when you first start using the medication, it may take a while to find the right type of drug and dose. Once you find a medication that can bring your blood pressure up to standard with no obvious side effects, you should keep taking it for a long time without routine replacement, as hypertension is not a bacterium, and drug resistance does not occur. In the case of well-controlled blood pressure, do not change the medication. Because changing medication not only to take the risk of blood pressure fluctuations, but also may face the side effects of the new drug, that is more than worth the loss? If the blood pressure situation has changed, you can adjust the medication, increase the dosage or change the medication under the guidance of your doctor, rather than changing the medication because it has been used for a long time. Fourth, the wrong approach: over-reliance on drugs Correct approach: adhere to a healthy life Some patients think that after getting hypertension, as long as you adhere to long-term regular medication on the line, ignoring the improvement of lifestyle. In fact, drug treatment, should be based on a healthy lifestyle, one without the other. The four cornerstones of human health are proper diet, moderate exercise, smoking cessation and alcohol restriction, and mental health. If bad habits such as smoking, excessive alcohol consumption and high-salt diet are not controlled, it is difficult to get good results even if the drugs are good. Many people take a variety of antihypertensive drugs but blood pressure is still difficult to achieve the standard, precisely because of this reason. The correct approach is to adhere to a healthy lifestyle in addition to the rational use of drugs. Fifth, the wrong approach: only take the drug does not look at the effect of the correct approach: regular monitoring of blood pressure Some people think that as long as they take the drug everything will be fine, no longer have to worry, do not pay attention to their blood pressure value. This does not ensure that blood pressure is stable and up to standard in the long term. In addition, the principle of blood pressure lowering emphasizes individualized medication, and one of the important measures is to insist on regular monitoring of blood pressure and record it. In order to grasp the relationship between medication and blood pressure changes, and to understand what dose or combination of medications is needed to keep blood pressure stable at the desired level.