How to lower blood pressure treatment

  Antihypertensive treatment pay attention to grasp the seven principles, is possible to put the patient’s blood pressure under good control.  1, the choice of hypertension treatment drugs depends on: blood pressure levels, risk factors, target organ damage, clinical cardiovascular disease, renal disease or diabetes coexisting clinical situation; depends on the patient’s willingness and previous experience with medication, drug prices and economic conditions. Treatment is stratified by risk factors: high-risk very high-risk patients, regardless of economic conditions, must immediately begin pharmacologic and non-pharmacologic treatment for hypertension and coexisting risk factors and clinical conditions; intermediate-risk patients, if their condition permits, must first be treated non-pharmacologically and observed for several weeks for blood pressure and other risk factors before deciding whether to begin pharmacologic treatment; low-risk patients: first be treated non-pharmacologically alone and observed for patients for several months, and then decide whether to start drug therapy.  2. Early detection (early detection of cardiovascular disease risk factors and organ damage), early diagnosis, early treatment, comprehensive treatment (non-pharmacologic and pharmacologic) and lifelong treatment. All patients must improve their lifestyles.  3. First-line antihypertensive drugs are not recommended, and the establishment of individualized and combined treatment programs based on lifestyle improvement is advocated. Start with a small dose and a single drug, and after one month, if the efficacy is not good and there are few adverse effects, the dose can be increased; if there are adverse effects that cannot be tolerated, then switch to another class of drugs. grade 2 or higher hypertension often requires a combination of antihypertensive drugs in order to achieve the target blood pressure. The number of drugs used in combination should not be too many, in order to avoid complex drug interactions.  4, in order to effectively prevent target organ damage, requiring blood pressure stability within the target range for 24 hours a day, it is best to use a once-a-day dose of drugs that have a continuous 24-hour effect. One of the hallmarks is a blood pressure lowering trough ratio > 50%. To prevent sudden death, stroke or heart attack due to the sudden increase in blood pressure from the lower blood pressure at night to early morning, and can increase the compliance of treatment.  5, pay attention to the control of systolic blood pressure.  6, on drug dose reduction: hypertensive patients generally must be lifelong treatment. If you stop the medication, blood pressure will return to the pre-treatment level sooner or later. However, for non-severe or acute hypertension, the blood pressure is stable for more than one year after treatment, especially for patients who are carefully treated with non-drug therapy and closely observe the progress and effect of lifestyle improvement. Attempts can be made to carefully and gradually reduce the number or dose of medications taken. The aim is to reduce the possible side effects of the medication, but only if the efficacy of the treatment is not compromised. Patients should monitor their blood pressure very carefully when trying this gradual reduction.  7, Secondary hypertension requires efforts to remove the cause while lowering blood pressure treatment.