In May 2020, the International Hypertension Society’s “Hypertension Guidelines” was published, and we found a change in antihypertensive drugs. 1. The guide says how to recommend specific best standards. For single-agent treatment, you can use Pugli, Satan, Dipine, and diuretics. There are five categories of antihypertensive drugs that we commonly use at present, dipine, prepril, satan, luol, and diuretics; these five categories of antihypertensive drugs were the first choice of antihypertensive drugs. However, when the latest guideline recommends the use of a single antihypertensive drug, the recommended drugs are: dipine, prepril, satan, diuretic, and loller antihypertensive drugs are excluded. Not only that, in the combined antihypertensive combination, there is no recommendation for rol drugs. Recommendations for combined antihypertensive drugs: the first step, low-dose pril/sartan+dipine; the second step, full-dose pril/sartan+dipine; the third step, on the basis of pril/sartan+dipine+ Diuretic; the fourth step, Puli/Satan + Dipine + Diuretic + Spironolactone. Second, what kind of medicine is Rolle? Rolle is definitely a regular antihypertensive drug, our common metoprolol tartrate, metoprolol succinate, bisoprolol fumarate and so on. The imported metoprolol is our common Betaloc. Roll-type antihypertensive drugs are β-blockers, which mainly exert antihypertensive effects by inhibiting excessively activated sympathetic nerve activity, inhibiting myocardial contractility and slowing heart rate. Highly selective β1 receptor blockers have a high selectivity for β1 receptors. There are fewer adverse reactions caused by blocking β2 receptors, which can lower blood pressure, protect target organs and reduce the risk of cardiovascular events. Beta blockers are especially suitable for patients with hypertension with tachyarrhythmia, coronary heart disease, chronic heart failure, increased sympathetic nerve activity, and high dynamic state. That is to say, the antihypertensive drugs of the Roll type must be antihypertensive drugs. 3. Why the latest guideline does not recommend antihypertensive drugs for the treatment of high blood pressure, although the antihypertensive drugs are actually antihypertensive drugs. In general, the pressure-reducing amount of the Roll-type antihypertensive drugs is obviously milder. And the Roll-type drugs have a more important role in the cardiovascular field. 4. What kind of high blood pressure is also suitable for lollis? 1. High blood pressure + fast heart rate. If high blood pressure and fast heart rate, at this time, lowering the heart rate can not only lower blood pressure better, but also reduce the risk of cardiovascular disease, so if Heart rate at rest>80; 24-hour dynamic heart rate>75, we need to intervene; combined use of Lol antihypertensive drugs, because Lol not only lowers blood pressure, but also reduces heart rate. 2. High blood pressure + heart failure, heart failure caused by any reason, or heart failure caused by high blood pressure, as long as the blood pressure is not low, it is recommended to use Lol drugs, because Lol is the cornerstone of heart failure treatment, can reduce heart failure death rate. 3. Hypertension + angina pectoris. If hypertension is associated with angina pectoris and the heart rate is relatively fast, then you need to use loller to lower the heart rate and reduce myocardial oxygen consumption to control angina. Generally, the ideal heart rate of patients with angina is about 55 times at rest. 4. Hypertension + myocardial infarction Rolle drugs can prevent heart failure caused by myocardial infarction and prevent arrhythmia caused by myocardial infarction, thereby reducing the mortality of myocardial infarction. 5. Hypertension + rapid arrhythmia Rolle drugs can also treat various rapid arrhythmias, such as sinus tachycardia, atrial tachycardia, atrial fibrillation, ventricular tachycardia, and various premature beats. Even if there is no hypertension, as long as the blood pressure is not low, as well as heart failure or myocardial infarction or rapid arrhythmia or angina or hyperthyroidism and other diseases, will be the first choice of Lol drugs. Therefore, although the latest Hypertension Guidelines do not recommend Rolles as the first choice for single-hypertension or combined blood pressure reduction, for the above-mentioned types of hypertension or several diseases, Rolls are essential, even There is no substitute for medicine!
Many people say that Sanqi can lower blood pressure, blood sugar and blood fat! Many people have heard that Sanqi lowers blood pressure, blood sugar and blood fat! Many people start to eat Sanqi to lower blood pressure, lower blood sugar, lower blood fat… In fact, if we can’t answer a lot of questions, we can figure it out from the opposite! The counter-proof method is: if Panax notoginseng can really lower blood pressure, blood fat, and blood pressure; everyone can eat Panax notoginseng. Why do you still invent so many antihypertensive drugs, hypoglycemic drugs, and lipid-lowering drugs? side effect. What can one or three seven do? Sexual taste: sweet, slightly bitter, warm. Meridian: Return to the liver and stomach. Efficacy: Sanyu to stop bleeding, reduce swelling and pain. Indications: Used for hemoptysis, vomiting blood, epistaxis, bloody stool, bleeding, bleeding, trauma bleeding, chest and abdomen tingling, tumbling pain. This is the most basic information of Sanqi in traditional Chinese medicine. Sanqi is very hot at present, and it is promoted by many people as having the effect of lowering the third high, preventing cardiovascular and cerebrovascular diseases, anti-cancer, improving immunity and so on. But on the one hand, it is more theoretical research, and not much clinical research. In fact, it is relatively simple to do some comparative studies. Let’s take a simple example: choose 200 people with high blood pressure, and their blood pressure is all grade 1 high blood pressure. They are randomly divided into 2 groups: the first group: only eat Sanqijiang The second group of pressure: only take antihypertensive drugs to reduce blood pressure and observe for a few months to see whether the blood pressure of these two groups of people can drop. I think most of the blood pressure of the group of antihypertensive drugs can drop, but this group is difficult to say . Such a simple comparative study can also be used for hyperlipidemia and diabetes, so it may be very objective to explain whether Sanqi can reduce San Gao. But why there has been no authoritative official research of this kind, more is just some publicity, if the advertising can be lowered three times, don’t want the hospital. Of course, we have not denied March 7th. We just said that March 7th fell three times higher. At present, the evidence is insufficient. Sanqi, as one of the most commonly used traditional Chinese medicines, has its own characteristics and advantages. That is, in the hands of a doctor of traditional Chinese medicine, according to the specific conditions of the patient, after differentiating and treating, decide whether to use Sanqi to treat the disease. 2. Why did some people eat Sanqi really reduce the three highs? We do not rule out that some people finish Sanqi, especially mild hypertension, diabetes, and high blood lipids, and the various indicators gradually decline, or even return to normal, then how is this What’s going on? In the same way, we can also do a comparative experiment. Let us take a simple example: choose 200 people with high blood pressure, the blood pressure level is all grade 1 hypertension, and they are randomly divided into 2 groups: the first group: eat only Sanqi to lower blood pressure The second group: through a healthy lifestyle, such as a low-salt diet, weight control, exercise, quitting smoking and alcohol, etc. to lower blood pressure and observe for a few months to see whether these two groups of people can drop blood pressure, I think so simple Comparative experiments can also explain many problems. You can be sure that healthy life can definitely lower blood pressure. This is obtained by observing big data and writing it into the guide; as to whether it is possible to lower blood pressure by simply eating Sanqi. The same healthy lifestyle can not only lower blood pressure, but also lower blood lipid and blood sugar; then if a person is eating Sanqi at the same time and active healthy life at the same time, after a few months, the three highs will be reduced. Can you say that 3-7 has dropped 3 times and completely denied the role of a healthy life? Don’t think that only eating medicines for the stomach can cure the disease. A low-salt, low-fat and low-sugar diet, weight control, exercise, quit smoking and alcohol, avoid staying up late, be happy, etc. These healthy lives can also reduce the three highs! 3. How to correctly reduce the three highs? In fact, which drug or which method can reduce the three highs? It is very simple to verify. After we have been taking medicine for a certain period of time or taking a certain method for a certain period of time, we measure the blood pressure to see if there is any decrease; check the blood sugar and blood lipids to see if there is a decrease, will it be over? Why discuss it here? At present, the only regular way to lower the three highs is the healthy lifestyle and the antihypertensive and hypoglycemic drugs and lipid-lowering drugs if necessary. For the newly discovered mild three highs, the three highs may eventually be achieved through a low-salt, low-fat, low-sugar diet, weight control, exercise, quitting smoking and alcohol, avoiding staying up late, being happy, and so on. But there are still a lot of people who simply live a healthy life. Although the three highs may fall, they may not return to normal, so in the end, they have to rely on regular antihypertensive drugs, hypoglycemic drugs and lipid-lowering drugs to reduce the three highs. Finally, remind everyone that we must pay attention to the three highs. If we do not control long-term hypertension, diabetes, and hyperlipidemia, we will definitely accelerate atherosclerosis, increase atherosclerosis, and significantly increase the risk of cardiovascular and cerebrovascular diseases. So found
Aunt Chen, I have been suffering from high blood pressure for a year, and my blood pressure has been well controlled recently. I said: These two medicines are the same and cannot be prescribed together. Aunt Chen said: I have eaten for half a year, and my blood pressure control is pretty good! I said: Combined medicine means that different types of antihypertensive drugs are taken together. The effect is better and safer. Although Puli and Satan have different names, these two types of drugs are close relatives. Of course, close marriage is not acceptable. Will increase side effects, can not be taken at the same time, can only choose one. 1. What is Pupril? Captopril, Enalapril, Benazepril short-acting Puley class antihypertensive drugs, generally need 2-3 times a day; Lisinopril, Ramipril, Fosinopril Li, cilazapril, perindopril, and midapril are long-acting antihypertensive drugs, once a day. Puli class antihypertensive drugs, professional term called angiotensin converting enzyme inhibitor (ACEI), is to inhibit angiotensin converting enzyme, block the production of renin angiotensin, inhibit the degradation of kininase and play a hypotensive role . Common side effects include: dry cough, headache, dizziness, fatigue, nausea, diarrhea, flushing of the skin, muscle cramps, dry throat, itching, severe hypotension, increased blood potassium, or neuroledema of the larynx, if accompanied by larynx Edema can cause suffocation. 2. What is Satan Antihypertensive drugs are long-acting antihypertensive drugs, including: losartan, valsartan, irbesartan, telmisartan, candesartan, olmesartan, alisha Tan etc. The term for satanic antihypertensive drugs is called ARB, also called angiotensin Ⅱ (AngⅡ) blocker. Angiotensin Ⅱ has the effects of constricting blood vessels, raising blood pressure, promoting aldosterone secretion, water and sodium retention, and sympathetic nerve excitation. Satan drugs can produce angiotensin-converting enzyme inhibitor (ACEI) after blocking angiotensin Ⅱ ) Similar pharmacological effects. Common side effects: lead to increased blood potassium. Third, the difference between Puli and Sartan “renin-angiotensin-aldosterone system” has a regulatory effect on cardiovascular function, the English abbreviation is RAAS or RAS (renin-angiotensin system). This system is led by the sympathetic nervous system, and the secreted angiotensin has the effect of constricting blood vessels. If there are any factors that promote the production of angiotensin, the contraction of blood vessels will increase and blood pressure will increase. Of course, angiotensin can also stimulate increased aldosterone secretion, cause water and sodium retention, and also increase blood pressure. “Puli” and “Satan” are two major types of antihypertensive drugs that play a role in this system, collectively referred to as “renin-angiotensin system inhibitor (RASI)”. In the specific role, the “Puli” drugs inhibit the activation of angiotensin, and the “Satan” drugs inhibit the receptors that bind to angiotensin. The two act on different “targets” of the same system, on one string For the grasshopper, the target of Puli is close, so clinical can use Puli to choose Puli as much as possible, and Pali does not tolerate before choosing Satan. Simply speaking, satan is a delayed or reserve army of puli. When taking puli and there are some unacceptable side effects such as dry cough, you can use satan instead of satan instead of puli + satan. Fourth, the benefits of Puli or Satan not only can reduce blood pressure, but also the cornerstone medication for the treatment of heart failure, can prevent heart enlargement, inhibit ventricular remodeling, prevent heart failure; can protect blood vessels, prevent atherosclerosis Increasing sclerosis; reducing proteinuria; conducive to the prevention of atrial fibrillation and so on. Therefore, Puli or Satan is not a simple antihypertensive drug, but also a commonly used drug for cardiovascular diseases. 5. Commonly used antihypertensive drug combinations If one antihypertensive drug is not effective, then a combination of antihypertensive drugs is required: 1. Low-dose prednisolone/sartan + dipine; if it has not yet reached the standard: 2. Full-dose prednisolone/saline Tan + dipine; if it has not yet reached the standard: 3, in puli/satan + dipine + diuretic; if it has not yet reached the standard: 4, puli / satan + dipine + diuretic + spironolactone. Therefore, even if Puli and Satan can control the blood pressure well, they cannot be used together, because it belongs to a close relative marriage!
The level antihypertensive drugs are the most commonly used antihypertensive drugs among the six major antihypertensive drugs. The level of antihypertensive drugs is the most. There are dozens of types of antihypertensive drugs currently on the market. If different manufacturers are added, there are hundreds. A class of antihypertensive drugs. 1. Nifedipine, a short- and medium-acting dipine antihypertensive drug, 2 to 3 times a day; nifedipine sustained-release tablets I, 2 times a day; felodipine, 2 times a day; nitrendipine, 2 times a day ～3 times; Nicardipine, twice a day; 2. Long-acting dipine antihypertensive drug nifedipine sustained-release tablets III, once a day; Nifedipine controlled-release tablets, once a day; ammonia benzenesulfonate Clodipine, once a day; Levamilodi besylate, once a day; Felodipine sustained-release tablets, once a day; Lasidipine, once a day; Benidipine, once a day ; Lecadipine, 1 times a day; Manidipine, 1 times a day; Sinidipine, 1 times a day; Barnidipine, 1 times a day; 3. Many people who are not used as regular antihypertensive drugs Speaking of nimodipine, the nimodipine instruction manual can be used for: 1, ischemic cerebrovascular disease 2, migraine 3, cerebral vasospasm caused by subarachnoid hemorrhage 4, sudden deafness 5, mild 3. Moderate hypertension. Although the instructions say that it can be used for hypertension, and it also contains the word dipine, but in clinical work, we simply choose nimodipine to control blood pressure. Nimodipine is a calcium antagonist that selectively acts on cerebrovascular smooth muscle. It acts on cerebrovascular smooth muscle and is fat-soluble. It easily passes through the blood-cerebrospinal fluid barrier and binds with specific receptors of the central nervous system to expand cerebral blood vessels and increase cerebral blood. Flow rate has a protective effect on ischemic brain injury, especially on ischemic cerebral vasospasm. Having said so much, what do you mean? Nimodipine is mainly used to protect ischemic brain injury, which is to protect cerebral blood vessels. 4. Which high blood pressure drugs are the dipine antihypertensive drugs for? 1. Elderly hypertension is a common antihypertensive drug for elderly hypertension; 2. Peripheral vascular disease, such as vascular stenosis of the extremities combined with hypertension; 3. Simple hypertension, such as Only high pressure and low pressure are normal; 4. Stable angina, such as angina pectoris with hypertension; 5. Carotid atherosclerosis, such as carotid plaque with hypertension; 6. Coronary atherosclerosis, such as cardiovascular stenosis Complicated with high blood pressure. 5. Common side effects of dipine antihypertensive drugs Some of the more common side effects or adverse reactions: rapid heartbeat, facial flushing, ankle edema, gum hyperplasia, etc. Transient hypotension 5%; the incidence of lower extremity edema is 4% to 12.5%; dizziness, headache, nausea, fatigue and facial flushing 10%, relatively rare adverse reactions: individual tongue numbness, dry mouth, sweating, nausea, Loss of appetite, etc. It may also occur: stuffy nose, chest tightness, shortness of breath, constipation, diarrhea, gastrointestinal cramps, abdominal distension, skeletal muscle inflammation, joint stiffness, muscle cramps, nervousness, tremors, nervousness, sleep disorders, blurred vision, imbalance, male dysfunction Wait. In short, dipine antihypertensive drugs are the most commonly used antihypertensive drugs, and one of the first antihypertensive drugs for hypertension, and can be combined with diuretics, puli or satan, luol and other drugs to reduce blood pressure. Faced with side effects and adverse reactions, we need to calm down. Any medicine has two sides, and there are more or less side effects or adverse reactions. But it will only happen to a very small number of people. As long as we do a good job of monitoring, if it does not happen to ourselves and can play the role of antihypertensive, then it is a better antihypertensive drug for ourselves.
Some friends took the medicine as soon as they discovered that there was an increase in blood pressure, but in the process of taking medicine, due to various reasons, there was a problem of excessive blood pressure reduction, high blood pressure harmed health, and low blood pressure Symptoms are often more pronounced. If the blood pressure drops too low, discomfort symptoms such as fatigue, dizziness, and palpitations will appear, and the risk of acute cardiovascular and cerebrovascular events will also increase. Want to know what to do if taking antihypertensive drugs causes hypotension? We should first understand the specific causes of hypotension caused by taking medicine, and we can find the corresponding solutions based on the specific reasons. There are many reasons why blood pressure drops are too low by taking antihypertensive drugs. There is no high blood pressure problem itself. Why there is no high blood pressure? In the process of diagnosing hypertension, some friends will have a high blood pressure measurement value in the clinic, or even diagnosed hypertension, but it is actually a “false hypertension”. For this situation, we will also call it It is called “white coat hypertension”, most of which occurs in the state of measurement in the clinic, usually through 24-hour blood pressure monitoring, or a lot of family self-measured blood pressure, can clearly confirm whether it is a false white coat hypertension problem. If you don’t have high blood pressure problems, just friends who have transient blood pressure rises in the clinic. If you find that the blood pressure rises, and you don’t judge whether it is true high blood pressure or false high blood pressure, you rush to take blood pressure Medicine controls blood pressure, of course, there will be a decrease in blood pressure, and even obvious symptoms of hypotension. In view of this situation, if it can be confirmed that it is a pseudo-hypertension problem that is not a hypertensive patient, the best solution is of course to stop the drug. After the drug is stopped, the blood pressure will naturally return to the normal state. For patients with mild hypertension, there are some friends who overdose the drug. The condition of hypertension is not serious, but the problem of hypotension occurs due to the overdose. For this kind of situation, we also divided into two types-the first case, which is a problem of mild hypertension, has not taken life conditioning intervention, began to take antihypertensive drugs, in the process of blood pressure control At the same time, I realized the importance of life conditioning intervention, and further actively strengthened the life conditioning control. Originally, the blood pressure was slightly elevated. Through life intervention, the blood pressure can be lowered, so that in the case of life intervention + medication, it will be This leads to the further effectiveness of antihypertensive drugs and the possibility of hypotension. In this case, if it can be confirmed that life conditioning intervention alone can effectively control the blood pressure level, the antihypertensive drugs can also be stopped. The second situation is overdose caused by unauthorized choice of medication without following the doctor’s advice. The choice and application of antihypertensive drugs is not as simple as going to a pharmacy to buy an antihypertensive drug. The first principle is the low-dose starting medication. If the single-agent administration is not well controlled, you can consider combined medication. If you notice high blood pressure, you should buy antihypertensive drugs. You don’t understand the situation. Although you take one tablet a day, it is a compound antihypertensive drug (equivalent to a combined medication). At the same time, the dosage of the drug is relatively large. The first principle is that under such circumstances, it is entirely possible that the overdose will cause the blood pressure to drop too low. For this situation, you should consult a doctor in a timely manner and combine your own blood pressure control, please ask the doctor to choose a reasonable antihypertensive medication plan. Either reduce the amount of medicine, or choose to take a single drug, or stop taking antihypertensive drugs, or switch to other types of low-dose antihypertensive drugs. Specific drug adjustments should also be analyzed and determined in conjunction with specific circumstances. Hypertensive patients are affected by seasonal changes. There are also some hypertensive patients, especially hypertensive patients with a long course of disease and severe degree of arteriosclerosis. The blood pressure level will be difficult to control in the cold season, but in the warm season. The reduced situation is not surprising. Our blood vessels also have the characteristics of thermal expansion and contraction, and the blood pressure value will fluctuate with the change of the season. It is completely normal. Some hypertensive patients, whose blood pressure rise is not easy to control in the winter, have adopted a more potent antihypertensive drug regimen, and if they continue to use this medication regimen in the summer, on the premise that the basic blood pressure in the summer has decreased, It is very likely that there will be excessive hypotension and hypotension. For this situation, it is generally not recommended to take medicine in winter, and to stop medicine in summer. Generally, it is generally appropriate to adjust the medication plan and reduce the amount of antihypertensive drugs. For example, eating two
Now there are more and more young people suffering from high blood pressure. Many people are in their 30s or even 20s, and they have already experienced an increase in blood pressure, or even a diagnosis of high blood pressure. How can young people regulate high blood pressure? In terms of medication, what are the more suitable options and precautions? Today I will briefly introduce you to this knowledge. The incidence and characteristics of hypertension in young people Compared with the problem of hypertension in the elderly, young people, especially young people with new hypertension, often have their own characteristics. The occurrence of hypertension in young people is often closely related to the increase in cardiac output and the acceleration of heart rate. The increase in cardiac output leads to an increase in the volume of blood in the arterial blood vessels, and the arterial blood vessel wall is subjected to more pressure. It will gradually increase, and the heart rate is too fast. When the heart is dilated, the blood flow back to the heart is insufficient, which will lead to an increase in diastolic blood pressure. Young people have new hypertension, and the elasticity of the blood vessel wall is still relatively good, and the degree of arteriosclerosis is also Smaller, if it is not actively controlled, hypertension will gradually affect the health of arteries and blood vessels. After the long-term development of hypertension, it will be transformed into hypertension caused by major arteriosclerosis and increased resistance to blood flow in the inner walls of arteries. . For young people with high blood pressure, the characteristics are also very clear, that is, the problem of low pressure rise often occurs first, and even many young people with high blood pressure are purely low pressure and high pressure but not exceeding the standard. The reason why it appears The characteristics of such high low pressure are closely related to the increase in cardiac output, the faster heart rate, the increase in sympathetic excitability, and the increased activity of the renin-angiotensin system. When regulating the problems of high blood pressure and high pressure in young people, we should also conduct targeted conditioning and treatment. Do young people have to take medicine to control hypertension? If it is a young person, and it is a newly discovered mild hypertension problem, of course, it is not necessarily to be controlled by taking medicine immediately. Whether to take medicine or not, we must make a comprehensive assessment to determine the degree of blood pressure increase and other cardiovascular disease risk factors. For example, young friends with simple low pressure and high problems have a diastolic pressure of just over 90, a high pressure of more than 130, and no risk of chronic diseases such as diabetes. In this case, it is not recommended to rush to take medicine. Life conditioning interventions to strengthen blood pressure control. Why there is low pressure and high, may have a certain relationship with the following life factors-obesity has a long-term taste, high salt, high fat, high sugar diet, long-term smoking, long-term heavy drinking, long-term emotional anxiety, tension, and stress often These life factors such as staying up and sitting for long periods of time are all controllable and help to improve the important aspects of blood pressure. For mild young people with high blood pressure or simple high blood pressure in young people, you may wish to start from the above Take a look at the aspects of life improvement and conditioning in a targeted manner. In many cases, if you can actively improve and adjust bad habits, and maintain healthy and good habits for a long time, high pressure problems, mild hypertension The problems can be effectively recovered and improved, and it is entirely possible to fully recover to a healthy level below 120/80. And if it is found to be more serious hypertension problems, such as secondary hypertension with a blood pressure exceeding 160/100, or there are other basic chronic diseases such as those found in diabetic patients, or after 3~ Young people who are still unable to effectively lower their blood pressure after 6 months of strict self-controlled life conditioning intervention should consider taking drugs to control their blood pressure. Drug selection for hypertension in young people For young people with hypertension, if it is evaluated that it is necessary to take drugs to strengthen blood pressure control, it is still necessary to remind everyone that the premise of medication must also be based on adequate life conditioning interventions Carrying out such blood pressure control is more effective. The problem of hypertension in young people is also very important to choose antihypertensive drugs in a targeted manner. From the perspective of the pathogenesis and characteristics of hypertension in young people, the choice of drugs that inhibit the activity of the renin system and the activity of the sympathetic nervous system is often the best choice. Such antihypertensive drugs can mainly consider sartans and common drugs A class of antihypertensive drugs, both of which are inhibitors of the renin-angiotensin system, for targeted conditioning and control of young people
Many people have high blood pressure and feel that they have to take medicine for a lifetime, and they will become addicted. Therefore, if they do not take medicine, many complications of high blood pressure will appear within a few years. In fact, high blood pressure is not always necessary to take medicine for life; in addition, taking antihypertensive drugs is not addictive, even if taking antihypertensive drugs for life, it is more beneficial to patients. 1. No need to take antihypertensive drugs for life 1. Newly developed grade 1 hypertension Newly found grade 1 hypertension, blood pressure does not exceed 160/100, without any discomfort, and without diabetes and cardiovascular and cerebrovascular diseases, then This part can temporarily avoid taking antihypertensive drugs. Only through a healthy lifestyle: low-salt high-potassium diet, weight control, exercise, avoid staying up late, quit smoking and alcohol can also reduce blood pressure. If the blood pressure can drop below 140/90 in 3 months, then continue to maintain a healthy lifestyle and monitor blood pressure without taking medicine. If the blood pressure is still higher than 140/90 after 3 months, then antihypertensive drugs and antihypertensive drugs are needed. 2. If you have already started taking antihypertensive drugs while taking antihypertensive drugs, but in the following days, you can strengthen your healthy life, such as losing weight, staying up late, exercising, etc., your blood pressure will further decrease until Blood pressure can be reduced to normal without taking antihypertensive drugs, so you don’t need to take antihypertensive drugs. In the stage of taking antihypertensive drugs, at any time, hypotension occurs for any reason, do not need to continue to take antihypertensive drugs, such as after myocardial infarction, after pulmonary embolism; for example, with increasing age, some people may have lower and lower blood pressure , You can also stop antihypertensive drugs. Second, the situation of having to take antihypertensive drugs for life 1. The blood pressure will rise if you don’t take antihypertensive drugs. In fact, it is good to judge whether to take antihypertensive drugs. That is, if you don’t take antihypertensive drugs, your blood pressure will increase. It will be higher than 140/90, then it means that the drug cannot be stopped. This part of people estimate that they will take antihypertensive drugs for life, because not taking antihypertensive drugs will cause more problems. Some people say that antihypertensive drugs have toxic and side effects, while others say that antihypertensive drugs can be addictive. First of all, any medicine has more or less side effects, but the logical relationship is that we take medicine because we are sick. It is to prevent greater harm. If hypertension is not controlled, heart failure, kidney failure, cerebral infarction, cerebral hemorrhage, myocardial infarction, etc. will occur. You said whether to take medicine or not. In addition, the side effects of drugs can only happen to a very small number of people, and there are many types of antihypertensive drugs. There is always a suitable one for yourself. It is not addicted to antihypertensive drugs, because high blood pressure will increase the blood pressure without taking medicine, so it is necessary to take medicine to control blood pressure. For example, why do we eat three meals a day because we are hungry? Instead of eating addiction, it leads us to three meals a day. 2. Comorbidities such as hypertension have been combined with heart failure, myocardial infarction, diabetes, or heart failure caused by high blood pressure, myocardial infarction. This group of people also have to take antihypertensive drugs for life, because the current antihypertensive drugs are not only antihypertensive drugs, such as Ply / Satan can protect blood vessels and heart, prevent heart failure; For example, Luoer can prevent heart failure, treatment Arrhythmia; for example, puli/sartan can treat proteinuria; for example, diuretics can improve the symptoms of patients with heart failure. Therefore, taking antihypertensive drugs at this time is not only for lowering blood pressure, but also for lowering blood pressure. At the same time, protecting blood vessels, protecting the heart, protecting the kidneys, and eliminating proteinuria. In short, not all hypertension must take antihypertensive drugs for life; but for those who must take antihypertensive drugs for life, long-term use of antihypertensive drugs will definitely bring more benefits.
In 2020, the latest “Hypertension Guideline” is published. There is no change in the national hypertension judgment standard, but the hypertension classification has been changed. 1. Current blood pressure standards commonly used in China and Europe: “Chinese Hypertension Guide” Normal blood pressure: high pressure 90-120mmHg and low pressure 60-80mmHgmmHg; normal high value: high pressure 120-139mmHg and (or) low pressure 80-89mmHg; hypertension: High pressure ≥140mmHg and/or low pressure ≥90mmHg. That is, in our country and Europe, high pressure ≥140mmHg and/or low pressure ≥90mmHg need to consider the diagnosis of hypertension. But Americans’ blood pressure standards are lower than ours. The high blood pressure standards in the United States are high pressure ≥130mmHg and/or low pressure ≥80mmHg. 2. The classification of hypertension has also changed. The old guidelines stipulate that hypertension is divided into three levels: 120-139/80-89 belongs to high normal blood pressure; 140-159/90-99 belongs to grade 1 hypertension; 160 -179/100-109 belongs to grade 2 hypertension; greater than 180/110, belongs to grade 3 hypertension. The latest hypertension guideline in May 2020 canceled Grade 3 hypertension, and referred to Grade 2 and Grade 3 hypertension as Grade 2 hypertension, which means that later hypertension will be divided into two grades, Grade 1 hypertension and Grade 2 hypertension hypertension. All grade 2 hypertension is relatively serious hypertension. 3. Misunderstanding of high blood pressure 1. Diagnosis of high blood pressure by measuring blood pressure once Diagnosis of high blood pressure, only once the blood pressure in the clinic is high, high blood pressure cannot be diagnosed. It usually takes 1 to 4 weeks (depending on blood pressure level) to take 2 to 3 clinic measurements to confirm the diagnosis of hypertension. The previous requirement was that the blood pressure was higher than 140/90 for three times on different days. Now the different days are changed to 1-4 weeks, which means more time is given to rule out other factors that interfere with the temporary increase in blood pressure. It is more recommended that family blood pressure monitoring or 24-hour ambulatory blood pressure monitoring, which is more accurate than the blood pressure of the consulting room, that is, the hospital monitoring station. The diagnostic criteria for hypertension in households to measure blood pressure is ≥135/85mmHg, which corresponds to 140/90mmHg for blood pressure in the clinic. That is to measure blood pressure at home, ≥135/85mmHg is high blood pressure! The diagnostic criteria for hypertension after ambulatory blood pressure monitoring are: average high/low pressure 24h ≥130/80mmHg. daytime ≥135/85mmHg. nighttime ≥120/70mmHg. 2. High blood pressure is not uncomfortable and there is no need to treat it. Many people think that high blood pressure will cause dizziness, headache, and head swelling. In fact, most high blood pressure does not have these symptoms. Most people do not feel any symptoms when they have high blood pressure, but only actively measure blood pressure Found at the time. It has only been discovered when other diseases have been merged, or when complications of hypertension have occurred. High blood pressure without symptoms does not mean no harm. We can always see patients with cerebral infarction, cerebral hemorrhage, myocardial infarction, heart failure, and renal failure. In fact, most of them are caused by long-term hypertension without control. Therefore, to find that hypertension must be measured frequently, not by feeling. Secondly, if you notice high blood pressure, whether you feel it or not, you must find a way to lower your blood pressure to a normal level. 3. Antihypertensive drugs are the only way to lower blood pressure. When it comes to antihypertension, most people think that only antihypertensive drugs can lower blood pressure. In fact, this is not the case. There are two ways to lower blood pressure. One is to live a healthy life. The basis of blood pressure is suitable for all people with high blood pressure; one is antihypertensive drugs. Whether you eat or not take antihypertensive drugs, you have to live a healthy life. Low-salt diet, adhere to exercise, control weight, avoid staying up late, reduce stress, stay away from tobacco and alcohol, etc. These can lower blood pressure. For newly discovered grade 1 hypertension, if there are no complications, then you can not take medicine and reduce blood pressure through the above methods, many people can eventually achieve normal blood pressure. 4. Once you start taking antihypertensive drugs, you have to eat them all your life. Some people say that high blood pressure is addictive. In fact, it is not that antihypertensive drugs will cause addiction, but that if our blood pressure cannot be controlled by a healthy life, we can only take medicine. Because if you do not take medicine, the result is long-term high blood pressure, resulting in heart, brain, kidney and other diseases. If we can lower our blood pressure to normal through a healthy lifestyle, then we can not take antihypertensive drugs, and even some people who are taking antihypertensive drugs, through weight loss, low salt
In patients with hypertension, blood pressure will drop in summer, can you break the blood pressure medicine? This problem is a confusion encountered by many hypertensive patients, especially elderly hypertensive patients. Today we will come to the popular science together. Why does high blood pressure fall in summer? As the weather gets hotter, some friends of high blood pressure patients find that their blood pressure has dropped. What is the reason? The reason for the decrease in hypertension is mainly due to the principle of “heat expansion and contraction”. Although our blood vessels have a certain elastic structure, they are also affected by temperature. Therefore, when the temperature increases, the blood vessels will also In cold weather, it is relatively more relaxing, and its performance in blood pressure is that blood pressure will be lowered. In addition, there is more sweating in summer, which leads to a relative decrease in blood volume, which is also one of the reasons for the decrease in blood pressure in summer. However, it should be pointed out that the blood pressure in the hypertensive patients decreases in summer, and the more obvious the decrease is, it is often the case that the degree of arteriosclerosis is more serious. Therefore, elderly hypertensive patients and patients with hypertension for many years The probability of the phenomenon is greater, so in this case, it is generally not recommended to stop taking antihypertensive drugs completely. Stop taking antihypertensive drugs when they are suddenly stimulated by cold (such as entering the air-conditioned room from a hot outdoor, such as showering Etc.), blood pressure is also more likely to rise suddenly, and the chance of severe fluctuations in blood pressure will also be greatly increased, which will lead to a further increase in the risk of cardiovascular disease, more than gains. Therefore, even if the blood pressure is reduced in summer, it is generally not recommended to stop the drug completely for patients with hypertension, but it may be considered to reduce the dosage. Under what circumstances, patients with hypertension can consider taking medication in summer. Generally speaking, if your blood pressure returns to normal in the summer when you continue to take antihypertensive drugs for a long time, you will reach the standard level of about 120/80, and you cannot As a standard for taking drugs in reduced amounts. We control blood pressure, we should control the excessively high blood pressure, and try our best to achieve stable control. The basic goal is to control the blood pressure below 130/80 to reach the standard. If you take medicine in summer, the blood pressure can reach this level. In autumn and winter, blood pressure Still exceeding the standard, it can only mean that your medication in autumn and winter should be adjusted reasonably, and does not mean that you can take a reduced dose in summer. Only in the summer when taking the original medication plan, there was an excessive decrease in blood pressure. For example, the original blood pressure was controlled to about 130/80, but in summer, the blood pressure dropped to below 100/60, and even palpitations and fatigue often occurred. , Dizziness, sweating and other low blood pressure symptoms, you should consider adjusting the antihypertensive medication regimen and take it in moderation. If it is possible to reduce the amount of medication, can a piece of medicine be taken apart? Of course, this issue cannot be generalized, and the specific situation still needs to be analyzed in detail. If you originally used a combination of medicines, such as the common situation of taking two antihypertensive drugs in combination, for the case of excessive blood pressure in summer, you may wish to combine your own situation and reduce one antihypertensive drug, leaving only one of them. Taking antihypertensive drugs to do so can greatly improve medication compliance, but which one to reduce, if you do not have the relevant knowledge, you should still consult a doctor to determine. And if you are taking a medicine originally, whether it is a compound antihypertensive drug or a single antihypertensive drug, whether the drug can be taken apart or not depends on the specific type of drug. For example, some long-acting antihypertensive drugs, such as the antihypertensive drugs of the sartan and puli class, and our common amlodipine, these drugs are in the form of ordinary tablets, and they can all be taken apart. Breaking up and taking, generally speaking, the dose is reduced by half, and it will not affect the release characteristics of the drug. If the medicine you are taking is a sustained-release tablet or a controlled-release tablet, you need to further analyze the specific situation. Generally speaking, enteric-coated tablets, sustained-release tablets, controlled-release tablets and other dosage forms are not recommended. These drugs are usually coated with enteric or controlled drug release. After breaking open, the coating structure of the drug will be destroyed, so that the effect of enteric release or slow release of drugs cannot be achieved, such as our common nitrate. Fendipine sustained-release tablets 1, sustained-release tablets 3, controlled-release tablets, etc. These drugs are all types of drugs that cannot be taken apart. However, due to the continuous development of pharmaceutical preparation technology, there are some sustained-release preparations that use controlled The release technology is not as simple as coating the outside of the tablet, but is made by the microsphere coating technology
In 2020, the hypertension standard was adjusted. Before, hypertension was classified into 3 levels, and now hypertension is classified into 2 levels. That is, the previous level 2 and level 3 hypertension are called level 2 hypertension. If after accurate measurement, the blood pressure is indeed ≥140/90, <160/100, then it is called first grade hypertension. Whether to take medicine for first-grade hypertension, or whether to take medicine for life, is divided into the following four situations: 1. First-grade hypertension without medicine For newly discovered grade 1 hypertension, and without any cardiovascular and cerebrovascular diseases, Or diabetes without any discomfort. It is not recommended that patients rush to take medicine. Only need to control blood pressure through a healthy lifestyle. Controlling blood pressure does not mean that you must take antihypertensive drugs. There are many ways to lower blood pressure: low-salt diet, exercise, weight loss to control weight, avoid staying up late, abstain from alcohol, reduce stress, etc. can lower blood pressure. If these first-grade hypertension, through a healthy life, the blood pressure drops below 140/90 in about 3 months, then it means that you can continue to live a healthy life without taking medicine, but you must live a healthy life for a long time, and you need to monitor blood pressure for a long time. . 2. There are still some people who can get rid of the drug's first-grade hypertension. For example, if you find grade 1 hypertension, after the above healthy life, the blood pressure fails to return to normal, then you need to take antihypertensive drugs to control blood pressure. But it is not necessary to take medicine for life. If these people continue to adhere to a healthy lifestyle in the later period, their blood pressure gradually becomes better and gradually lower, and their blood pressure can reach the standard without taking medicine, so naturally they do not need to take medicine for a long time. But the premise is to continue to insist on strengthening a healthy life and strictly demand yourself. 3. Hypertension that requires long-term or even lifelong medications There are a large number of grade 1 hypertensions that require long-term medications, that is, people who cannot be reduced to normal through a healthy life, and ultimately can only control blood pressure through antihypertensive drugs. Because our goal is very clear, that is, the blood pressure is up to standard. Only when the blood pressure is up to standard can we minimize the diseases of heart, brain, kidney and other diseases. Some people have also found heart failure, angina pectoris, myocardial infarction, renal failure, and diabetes when they found high blood pressure. So long as the blood pressure is not low, you must take medicine for a long time, because antihypertensive drugs can not only lower blood pressure, but also protect Blood vessels, protect the heart, and protect the kidneys, so when high blood pressure merges or high blood pressure develops into heart, brain, and kidney disease, you basically have to take antihypertensive drugs for life. Fourth, there will be complications of first-grade hypertension. Some people found that there was no comorbidity when they found grade 1 hypertension, which was simply grade 1 hypertension, but it did not attract attention. Not only did they not actively lower blood pressure, even It has also intensified, continue to smoke and drink, do not control diet, do not exercise, obesity, stay up late and other unhealthy lifestyles. Then even with Grade 1 hypertension, malignant results such as cerebral infarction, cerebral hemorrhage, myocardial infarction, renal failure, heart failure, etc. will eventually occur. Therefore, grade 1 hypertension is not terrible, but the key depends on attitude. We attach importance to Grade 1 hypertension and may not even need to take medicine for a long time; we do not attach importance to Grade 1 hypertension and may even develop into various diseases of the heart, brain and kidney.
We recommend that patients with hypertension take medicine to control their blood pressure, and try to choose long-acting antihypertensive drugs, but long-acting antihypertensive drugs are by no means omnipotent. The scientific and reasonable control of hypertension is by no means just looking for a long-acting antihypertensive drug. You can control the medicine by eating it. This is not a problem. A friend with high blood pressure has taken long-acting antihypertensive drugs, but his blood pressure is still over 170 in the afternoon. For such a situation, because we do not know the specific reasons, but You can also analyze and discuss with you from various possibilities. One of the possible reasons-the long-term effect of antihypertensive drugs is not long enough to take medicine. The long-term retention of such drugs in the body can generally achieve a certain antihypertensive effect within 24 hours, but these drugs are not without. Disadvantages. The disadvantages of these drugs are often that they need to be taken for a period of time to achieve the best antihypertensive effect. Generally speaking, the common long-term antihypertensive drugs such as amlodipine, sartans, and prednisolone Effective antihypertensive drugs need to be taken for 2 to 4 weeks before they can reach a steady blood drug concentration and can achieve better antihypertensive effects. Therefore, if you are just beginning to take antihypertensive drugs, take one Antihypertensive drugs, the antihypertensive effect is not ideal. In the afternoon, the blood pressure rises again. You can consider taking it for a while. If you take the medicine for more than 4 weeks, the blood pressure still cannot be effectively controlled, you should consider other reasons. The second possible reason-the strength of the medication is not strong enough, the dose of the medication is not enough, or the combination should be used, but a single drug is used to control blood pressure. If the blood pressure cannot be controlled, it is naturally not surprising. Just like this friend’s situation, blood pressure can soar to 170 in the afternoon after taking medicine, which shows that this friend is at least moderate to severe hypertension with secondary hypertension or higher. For such high blood pressure problems, joint therapy is usually recommended. Use at least 2 antihypertensive drugs to strengthen blood pressure control, and if this is the case, there is no medication evaluation plan made by doctors, but just buy a long-acting antihypertensive drug to take, the antihypertensive effect is not ideal, appears In the afternoon, it is entirely possible that blood pressure cannot be effectively controlled. Therefore, it is strongly recommended that for hypertensive patients, what kind of medicine to use, whether to take one or more, you must ask a professional doctor to judge and evaluate, do not find a medicine to eat, you can control your blood pressure, It is a trivial matter that the blood pressure cannot drop. If the drug is contraindicated and used without knowing it, it may cause greater health hazards and risks. The third possible reason-life conditioning has not kept up with the high blood pressure conditioning control, don’t simply understand that insisting on taking medicine. If you live on a high-salt diet, sit for a long time without exercise, irritable and anxious, do not change your habit of smoking and drinking, and want to control blood pressure smoothly, it is even more difficult. Although the blood pressure can be further controlled by strengthening the medication, increasing the dosage of the medication, or taking multiple antihypertensive drugs in combination, this way of life-regulating intervention, relying on the method of controlling blood pressure by drugs, for the stability of blood pressure control, Long-term large-dose medications cause safety risks and other issues, far from being well-conditioned at the same time, it is safer and more efficient. Therefore, if the blood pressure does not go down after taking antihypertensive drugs, first of all, how should one’s life conditioning intervention be done? If you haven’t made any targeted adjustments in your life, take action now. The fourth possible reason-stress factors affect the reasons we mentioned earlier are all long-term conditioning and improvement methods. This point is about some possible short-term effects. Emotions, sudden cold stimulation, smoking, drinking strong coffee, strong tea, and holding back urine can all lead to an increase in blood pressure. In the process of controlling hypertension, if you take antihypertensive drugs, your blood pressure will drop, but if Suddenly angry about a thing, blood pressure will immediately rise, let alone high blood pressure patients, just ordinary people, the same blood pressure will also increase to a certain extent. Therefore, in response to this friend’s question, if you take antihypertensive drugs, your blood pressure is usually well controlled, but suddenly one day when the blood pressure is measured to 170, then you should also consider the possibility that some external stress factors may cause a sudden increase in blood pressure Sex, in this case, you may wish to wait for a while, the mood has calmed down, other factors have been eliminated, and another blood pressure measurement may return to normal. Understand the impact of these external factors, you should also pay attention to them as much as possible
Of course, hypertension can not be taken casually. In fact, all diseases can not be taken casually. If you eat it incorrectly, you will not cure it. If you eat it wrong, it will be counterproductive and aggravate your condition. 1. Not all high blood pressure must take medicine to control blood pressure. For newly discovered grade 1 hypertension, that is, no more than 160/100, and no diabetes and cardiovascular and cerebrovascular diseases, then you can not take medicine temporarily. Start by lowering your blood pressure through healthy lifestyles, that is, a low-salt diet, weight control, exercise, and avoid staying up late. A large number of people can achieve normal blood pressure through the above methods without taking medicine. At this time, taking medicine, it is a bit excessive, nothing to find trouble. If the blood pressure has not returned to normal after 3 months, it is recommended to start taking antihypertensive drugs. 2. There are many types of antihypertensive drugs. Under the guidance of a doctor, you should choose the 6 most commonly used antihypertensive drugs: dipine, plymouth, satan, diuretic, luol, other, etc. Hundreds, although all are called antihypertensive drugs, but the antihypertensive mechanism, amount of antihypertensive drugs, side effects of drugs, etc. of each antihypertensive drug are different. Therefore, instead of discovering high blood pressure, just buy a suggestion to eat, blood pressure will return to normal. Sometimes taking antihypertensive drugs may not be suitable for you, or there are side effects, or a kind of antihypertensive drugs is not strong enough, or you cannot take care of other diseases. These problems must be considered before taking antihypertensive drugs. 3. Observe the side effects of drugs. Common antihypertensive drugs have side effects. Before we took this antihypertensive drug, no one knew whether there would be side effects, so when we started taking a certain antihypertensive drug You must first understand the common side effects of this antihypertensive drug, observe whether you will have side effects, and immediately contact your doctor to find the corresponding way or change the medicine. Diping: General adverse reactions include facial flushing, headache, rapid heartbeat, nausea, hypotension, and gingival hyperplasia. Hypotension usually occurs when the dosage is too large or in combination with other antihypertensive drugs; peripheral edema is a common adverse reaction , More common in the ankle, can also occur in the hand; Puli class: common adverse reactions are dry cough, angioedema, hypotension, impaired renal function, hyperkalemia, etc.; occasional headache, dizziness, fatigue, nausea, Hair loss, decreased sexual function, cholestatic jaundice, acute pancreatitis, intramuscular painful contracture, etc.; sartans: side effects such as increased blood potassium, increased blood creatinine, and increased incidence of increased blood potassium and blood creatinine Puli class is low. Teratogenic effect, so pregnant women are prohibited to use; bilateral renal artery stenosis is prohibited. Diuretics: hypokalemia, hypomagnesemia, hyperuricemia, impaired glucose tolerance and insulin resistance Rolles: slow heart rhythm; nausea, vomiting, mild diarrhea and other gastrointestinal symptoms; can also cause skin rash, thrombocytopenia, etc. Allergic reactions; cause conduction block, acute cardiac insufficiency, etc.; induce or aggravate bronchial asthma; cause fatigue, insomnia, mental depression and other symptoms; male sexual dysfunction. Fourth, the combination of medicine is a knowledge that most people with hypertension, through a blood pressure medicine, blood pressure may not be able to return to normal, this time is not to increase the amount of a blood pressure medicine, but recommended joint blood pressure reduction, also Is to use two antihypertensive drugs. However, it is not that both antihypertensive drugs can be combined together. For example, puli and satan can be understood as the same major class of antihypertensive drugs, and naturally they cannot be used in combination, that is, they cannot be taken at the same time. Commonly used antihypertensive drugs: the first step: low-dose pril/sartan+dipine; the second step: full-dose pril/sartan+dipine; the third step: on the basis of pril/sartan+dipine+ Diuretic; Step 4: Puli/Satan + Dipine + Diuretic + Spironolactone. 5. Combining other diseases, it is the professional choice of antihypertensive drugs. Hypertension is sometimes not an independent disease, often combined with heart disease, kidney disease, diabetes; or if hypertension is not actively controlled at the early stage, it may develop into a crown Heart disease, heart failure, arrhythmia, kidney disease and other diseases. At this time choose antihypertensive drugs, more particular. Because most antihypertensive drugs can not only lower blood pressure, but also have other important effects. Hypertension + Diabetes: Puli or Satan is preferred; Hypertension + Coronary Heart Disease: Puli or Satan is preferred, and Rolle is selected for heart rate; Hypertension + Angina: Diltiazem or Rolle is preferred; Hypertension + Myocardial Infarction: Pluton Reliolol, or partial satan (valsartan, candesartan, losartan); high blood pressure + heart failure: Pryliol and lorol, or partial satan (valsartan, candesa)
Can’t I stop “hypertensive drugs” once I use them? Yes. why? The following are all analyzed from the perspective of Western medicine: First of all: the blood pressure medicine has no dependence! It is because Western medicine believes that hypertension is an incurable disease, but a disease that can be controlled with antihypertensive drugs for a long time requires long-term treatment with antihypertensive drugs. From the perspective of Western medicine: High blood pressure is a lifelong disease. Uncontrolled high blood pressure can cause multiple organ complications such as coronary heart disease, myocardial infarction, cerebral hemorrhage, cerebral infarction, and chronic renal failure. At present, there is no cure for Western medicine, only lifelong maintenance treatment with antihypertensive drugs. According to the recommendations of the hypertension guidelines, antihypertensive drugs should be used if the blood pressure is greater than or equal to 140/90mmHg. It is true that early hypertension can also lower blood pressure through diet control and weight loss, but for higher blood pressure and long-term hypertension, these means are only supporting roles, and drug antihypertension still plays a dominant role. When you are diagnosed with high blood pressure, the doctor will tell you: you have been diagnosed with high blood pressure, you must take oral antihypertensive drugs all year round, if you can’t stop the drug, you should take oral antihypertensive drugs on time. If you stop the drug suddenly, it will cause high blood pressure. Rebound is worse for your health, so you should stick to oral antihypertensive drugs for a long time, try to keep your blood pressure within the ideal range. Hypertensive patients should usually pay attention to low-salt and low-fat diet, do not eat too greasy food, and do not eat Food too salty. The following is from the point of view of traditional Chinese medicine: Hypertension can be cured, without the need to take medicine for life, once cured, there is no need to take any medicine. How does Chinese medicine treat hypertension? The treatment of this disease with Chinese herbal medicine decoction requires treatment based on syndrome differentiation. Common types of hypertension include hyperactivity of liver yang and deficiency of liver and kidney. 1. Liver-kidney-yin deficiency type: Symptoms: dizziness for a long time, vision loss, dry eyes and astringent eyes, less sleepy forgetfulness, upset dry mouth, tinnitus, tiredness, backache and knee weakness, nocturnal emission, spermatorrhea, thin red tongue, The pulse is thin. Governing Law: Nourish liver and kidney, nourish yin and fill essence. Recipe: Fan’s Ancestral Secret Recipe No. 2 is added or subtracted according to clinical symptoms. 2. Inflammatory type of liver fire: Symptoms: dizziness and pain, its tendency is more dramatic, the eyes are bitter, the chest is swollen and painful, irritable, irritable, less sleepy and dreamy, yellow urine, dry stool, yellow tongue and red fur, yellow pulse . Governing law: clearing liver and purging fire, clearing dampness and heat. Recipe: Fan’s Ancestral Secret Recipe No. 1 is added or subtracted according to clinical symptoms.
On May 6, 2020, the International Society of Hypertension (ISH) officially released the 2020 edition of the International Hypertension Practice Guidelines, which revised the combined use of antihypertensive drugs. 1. Recommendations for the use of antihypertensive drugs in the old guidelines: 1. Recommend a hypotensive drug for mild hypertension. Puli, satan, dipine, diuretics, and luol antihypertensive drugs can all be used. But most hypertensive patients use a kind of antihypertensive drugs, blood pressure is difficult to meet the standard, so it is necessary to use antihypertensive drugs in combination, the benefits of combined medication: 1+1> 2, and can fight some side effects of drugs, and take more care Vascular diseases. 2. A combination plan: Satan/Puli+dipine; Satan/Puli+diuretic; Dipine+diuretic; Dipine+Lol; or direct compound preparation; these 5 combinations are the first recommended in the old guidelines Combination medicine. If two are not possible, there may be 3 other antihypertensive drugs: dipine + satan / puli + diuretic, dipine + satan / puli + luol 2. What changes have been made in the new guidelines: 1. Specific best standards Recommend that monotherapy can be used with puli, satan, dipine, diuretics. The new guideline removes the antihypertensive drugs as the first choice for antihypertensive drugs, possibly because on the one hand, the antihypertensive effect of antihypertensive drugs of the antihypertensive drugs is slightly weaker than other antihypertensive drugs. On the other hand, the strengths of the Lol drugs are heart failure, angina, and arrhythmia. Although Roll is not the first choice of antihypertensive drugs for hypertension, but for hypertension with fast heart rate, especially patients with heart failure, angina, and arrhythmia, Roll is indispensable or even irreplaceable. Commonly used roll drugs: bisoprolol, metoprolol flat tablets, metoprolol sustained-release tablets, atenolol, propranolol, betaxolol, labetalol, carvedilol, Arolol et al. 2. The effect of single medicine has not reached the standard, the ideal solution is to use a single compound preparation. The second part does not directly recommend the combination medicine, but recommends a single compound preparation. To put it bluntly, it is also a combination medicine, but instead of buying two antihypertensive drugs to eat, it is because the antihypertensive drug has been replaced by the pharmaceutical factory before leaving the factory. We mix them according to the ratio. For example, the new single-piece compound preparations are generally composed of two drugs with different mechanisms of action. Most of them are taken orally once a day. It is easy to use and can improve compliance. At present, the new monolithic compound preparations marketed in China mainly include: Pugli + thiazide diuretics; satan + thiazide diuretics; dipine + satan; dipine + puli; dipine + lolli; thiazide diuretics Agent + potassium-sparing diuretic, etc. 3. When the single drug treatment effect is not good, adjust the medication according to the following 4 steps: If you use a blood pressure lowering drug, or use a compound antihypertensive drug, the blood pressure has not yet reached the standard, it is recommended to adjust according to the following plan: first step : Low-dose prednisolone/sartan+dipine; that is, the use of predil or satan combined with dipine, because predil and satan basically belong to a large category, so the simple understanding of ply is the same as ply, so it cannot be used in combination. Can only use Puli/Sartan+Diping. And an antihypertensive drug generally starts with a small dose. If the effect of the small dose is not good, the second step, which is the full dose, will be used. Step 2: Full-dose Pupril/Satan+Dipine; Commonly used antihypertensive drugs: Captopril, Enalapril, Benazepril, Lisinopril, Ramipril, Fosinopril Lee, cilazapril, perindopril, and midapril. Commonly used antihypertensive drugs of satan: losartan, valsartan, irbesartan, telmisartan, candesartan, olmesartan, alishartan medoxomil. Commonly used antihypertensive drugs of nifedipine: nifedipine, nifedipine sustained-release tablets, nifedipine controlled-release tablets, amlodipine, levamlodipine, felodipine, felodipine sustained-release tablets, lasidipine, ni Cardipine, nitrendipine, benidipine, lecardipine, manidipine, cinnidipine, and barnidipine are equal. The third step: on the basis of puli/sartan+dipine+diuretics; if the blood pressure still does not reach the standard, it is necessary to add diuretics on the basis of the above combination. Although there are many diuretics, the commonly used diuretics combined with lowering blood pressure generally refer to: hydrochlorothiazide. The fourth step: Puli/sartan+dipine+diuresis+spironolactone. If the combination of three antihypertensive drugs is still not up to the standard, it is recommended to add spironolactone, spironolactone can also be understood as a potassium-sparing diuretic, but it is also a competitive inhibitor of aldosterone. The old guideline not only used the first antihypertensive drug alone, but also used the common antihypertensive drugs in the combined antihypertensive drugs; but the new guideline, the status of the antihypertensive drugs has been reduced, because I have said that at the beginning , By Lorre
I have taken medicine for mild hypertension, can I still stop? Isn’t it possible to stop blood pressure medication once it is taken even if life conditioning controls the blood pressure? This is a common misconception about the use of high blood pressure medicine. Whether or not the antihypertensive medicine can stop depends not on whether to start the medicine, but on our blood pressure control. For patients with hypertension, according to the level of blood pressure, the degree of harm to the body is also different. Usually for patients with hypertension whose blood pressure exceeds 140/90, but not more than 160/100, it is called mild hypertension. It is also called first-grade hypertension. Is it possible to control and regulate first-grade hypertension without taking medicine? For this problem, we still cannot generalize. If it is a simple first-degree hypertension situation, it is very necessary to not take medicine first and consider not taking antihypertensive drugs first, but to regulate blood pressure by way of life conditioning intervention; And if you are a friend with other chronic cardiovascular disease risk, such as a friend with diabetes, when the blood pressure exceeds 140/90, you should strengthen the use of life conditioning and strengthen the rational use of drugs to regulate blood pressure. Why do you not need to take medicine for simple first-degree hypertension, and you need to take antihypertensive drugs if you have diabetes and first-grade hypertension? The truth is not complicated. The simple first-degree hypertension problem is often the early stage of high blood pressure. Such blood pressure is often controlled through life conditioning, and the first-degree hypertension with diabetes problems is likely to be due to the development of diabetes. , Causing increased blood pressure caused by increased degree of arteriosclerosis, such a high blood pressure, cardiovascular disease risk is higher, blood pressure control is often more difficult, as early as possible to control blood pressure to 130/80 Healthy level can control the risk of cardiovascular disease earlier and reduce the health hazards caused by hypertension and diabetes. Therefore, for such cases, we generally recommend taking antihypertensive drugs while doing life conditioning. Often, antihypertensive drugs that can reduce blood pressure and have cardio-renal protection are the first choice. Let’s not talk about medication today, let’s talk briefly about the life conditioning of first-degree hypertension. We have talked a lot about life conditioning interventions for high blood pressure. Let me briefly talk about a few more things-control your diet. If you have a habit of high-salt, high-fat, high-sugar diet, it is best to be controlled and eat lightly. Pay attention to controlling salt intake, and minimize the adverse effects of diet on blood pressure. Healthy eating habits are often connected. If you don’t know how to eat healthily, you can take a look at the Mediterranean diet or DASH diet structure. Strengthening physical exercise, the effect of exercise training on the regulation and control of the early stage of hypertension is often very obvious. Physical exercise can enhance body consumption and strengthen weight control. It also helps to exercise cardiopulmonary function, improve heart rate, and relieve vascular tension. , Is a very good way of life conditioning. Smoking cessation and alcohol restriction are closely related to high blood pressure. Smoking is not only harmful to cardiovascular health, but also leads to increased blood pressure. Long-term large-scale drinking will also cause health hazards to blood vessels and the heart. Blood pressure, we must first quit smoking and limit alcohol. Maintain a peaceful state of mind. Many mildly hypertensive friends have long-term anxiety, short temper, irritability, and tension. Emotions will affect the body’s autonomic nerves, and the autonomic nervous tension will further accelerate the heart rate. It causes blood vessels to contract, which leads to an increase in blood pressure. It is also important if you can learn to soothe bad emotions and maintain a calm state of mind. Maintain good work and rest. Staying up late is also a taboo for high blood pressure. Adequate sleep can ensure the health of the body, and the health of the heart and blood vessels are closely related to healthy sleep. If it is not necessary for working life, it is helpful to develop good sleep habits as much as possible. Improved blood pressure conditioning. Generally speaking, if it is a simple first-degree mild hypertension, if you can improve some of your life factors that may have an adverse effect on blood pressure from the above aspects, often mild hypertension will have A certain reduction and improvement, it is completely possible to completely return to normal. If you haven’t taken any life conditioning interventions, but have already started taking antihypertensive drugs, you don’t have to worry about not stopping the drugs. Various types of common antihypertensive drugs, no drugs are useful
Uncle has had high blood pressure for more than ten years. He has been strictly taking antihypertensive drugs, taking medicines on time every morning, never interrupted, and more punctual than eating. But recently I always felt dizzy. I went to the community hospital to measure it. His blood pressure was 96/60mmHg. He used to take antihypertensive drugs and his blood pressure has been normal. Why is it low now? Uncle called and asked me what to do if I needed to stop the medicine. There are many types of hypertension, including primary hypertension, secondary hypertension, and stress hypertension. What we commonly refer to as hypertension refers to essential hypertension. Primary hypertension is incurable and basically requires lifelong medication control. But in the summer, many people do have lower blood pressure. The main reasons include: 1. The summer weather is hot, the body’s surface blood vessels dilate, resistance decreases, and blood pressure decreases accordingly. 2. If you drink less water in the summer, sweat more, lose water, and the blood volume in the blood vessels decreases. 3. Excessive sweating, loss of salt, blood vessel tension will also drop, and blood pressure will drop accordingly. Everyone knows that hypertension is very harmful and can cause cardiovascular and cerebrovascular diseases such as myocardial infarction, cerebral infarction, and cerebral hemorrhage. As everyone knows, hypotension also has great harm. Hypotension can cause insufficient blood supply to organs and tissues. Older people are more tolerant of hypotension, and are more prone to insufficient perfusion of important organs, causing ischemic diseases such as angina, cerebral infarction, deep vein thrombosis, renal insufficiency, and so on. Since hypotension is so harmful, do patients with hypertension in summer need to stop taking antihypertensive drugs? This question is not generalized. Whether to stop the medicine depends on the specific situation. Usually people with hypertension have their own sphygmomanometer at home. If the blood pressure is repeatedly measured at home and the systolic blood pressure is lower than 120mmHg, then you should go to the hospital to adjust the medication plan. For example, before taking 3 antihypertensive drugs, it can be reduced to 2 , Before taking 2 kinds of antihypertensive drugs, can be reduced to 1. Dizziness and weakness after taking antihypertensive drugs, especially dizziness and darkening of the eyes when suddenly sitting up or standing, then immediately lie down to measure blood pressure. If the blood pressure is too low, the use of antihypertensive drugs should be suspended. In some patients with mild hypertension, their blood pressure will drop to a normal level in summer. You may also consider taking your medication. During the withdrawal, you still need to monitor your blood pressure, try to measure it once a day, and pay attention to low-salt diet and normal work and rest, and exercise properly. It is important to remember that it is not possible to stop the drug without permission because of a single or low blood pressure. It is best to adjust the medication after visiting the cardiovascular department. Even if the blood pressure is normal in the patients with hypertension in the following cases, the medicine cannot be stopped in summer. 1. Patients with a previous history of myocardial infarction need to use ACEI or ARB drugs for secondary prevention to prevent recurrence of myocardial infarction, reverse myocardial structure, and prevent heart failure. Such patients should not be stopped without authorization. 2. Patients with long-term hypertension and cardiac insufficiency cannot stop ACEI or ARB drugs. At this time, antihypertensive drugs are to protect the heart, reduce heart burden, and treat heart failure. 3. People with diabetes or kidney disease, especially those with a lot of proteinuria, often need ACEI or ARB drugs to protect kidney function and reduce proteinuria. Although my uncle has high blood pressure, I have been taking 1 antihypertensive medicine and it has been well controlled. There are no complications and no diabetes or heart disease. From the current situation, low blood pressure is not conducive to blood supply to important organs, so I It is recommended that he suspend medication for a period of time and measure his blood pressure every day.
Do you need to take antihypertensive drugs if you have high blood pressure? Can all patients with hypertension take any type of antihypertensive drugs? Understanding and clarifying these issues is very important for patients with hypertension. Today we will discuss with you the related issues of medication for patients with hypertension. Patients with hypertension do not have to take medicine. With hypertension, it is not necessary to take medicine. The first thing we should do is to assess our blood pressure increase and cardiovascular disease risk to determine whether we need to take medicine To control high blood pressure. For example, in such a situation, there is a newly discovered hypertensive patient. The blood pressure level is just over the 140/90 limit. If this friend has no other cardiovascular disease risk, there is no need to take antihypertensive drugs immediately to control blood pressure. We know that in this case. For hypertensive patients, first of all should strengthen the regulation of blood pressure from the aspects of life conditioning intervention. For example, a low-salt diet, such as strengthening physical exercise, such as maintaining a calm mind, such as strengthening weight control, weight loss and weight loss, such as maintaining a good work and rest, and other aspects can help regulate our high blood pressure levels. . For patients with first-grade hypertension whose blood pressure does not exceed 160/100, it is generally recommended that you do not have to rush to take medication. You can try to improve your life from the first. If strict life conditioning is used to improve blood pressure illegally and effectively, then consider It is not too late to take antihypertensive drugs. Hypertensive patients can not take medicine casually. Hypertensive patients even need to take medication to control the situation, such as secondary hypertension. Or it is first-grade hypertension, and there have been cases of targeted organ damage or existing cardiovascular disease. These conditions require the initiation of drug therapy to strictly control blood pressure levels. But even under such circumstances, we should not choose a blood pressure medicine casually. There are still a lot of attention to the problem of medication for hypertension. Here is a brief summary for everyone. First, the type of medicine cannot be chosen casually. Hypertensive patients use different drugs, and the choice of drugs is different. For example, the problem of high blood pressure in young and middle-aged people, if it is a typical high pressure situation. Well, in drug selection, it is generally recommended that in the absence of contraindications, drugs that can inhibit sympathetic nerve activity and inhibit the renin-angiotensin system, such as our common puli and satan, should be preferred. As another example, β-blocker drugs that can control the heart rate of patients with hypertension are all antihypertensive drugs that should be preferred. But for example, some elderly hypertensive patients belong to the situation of salt-sensitive hypertension, or the presence of edema. Choose now. Diuretic antihypertensive drugs can not only effectively control blood pressure but also improve body edema. Therefore, the right choice of antihypertensive drugs can be used to do more with less effort to regulate and improve blood pressure, and if the choice is not suitable, you may take a larger dose of drugs, and there is no good antihypertensive effect. Second, in addition to the type of antihypertensive drugs, the dosage of antihypertensive drugs cannot be used casually. It is generally recommended that patients with high blood pressure start with a low dose. The benefit of the low-dose practical drug is that it can effectively increase the tolerance of the drug and reduce the incidence of adverse drug reactions. So if the buck type has been selected. Pay attention to the dosage of medicine. . It is safer, more scientific, and reasonable to use low-dose medication when it does not achieve such an effect, and then increase the dosage or use it in combination with other drugs. Third, the selection and application of antihypertensive drugs should also pay attention to related contraindications, if the body clearly has the contraindications of taking such antihypertensive drugs. I chose such a hypotensive drug in this situation. On the contrary, it will cause a great risk of adverse reactions. For example, both anti-hypertensive drugs such as sartan and prednisone have teratogenic effects. If a woman in pregnancy takes this medicine to lower blood pressure. It will lead to a greater risk of medication. Another example is that friends with severe renal insufficiency cannot take diuretic antihypertensive drugs. If you already have renal insufficiency, take a diuretic antihypertensive drug. There is a high risk of elevated blood potassium. It may also affect the health of cardiovascular diseases. Fourth, the long-term use of antihypertensive drugs should still pay attention to the risk of adverse reactions. Different antihypertensive drugs have different risks of adverse reactions. , Used in the probability of occurrence in different individuals
Many patients with chronic kidney disease are clinically associated with proteinuria, but their blood pressure is normal, but nephrologists let patients take antihypertensive drugs, many patients are puzzled: my blood pressure is normal, why use antihypertensive What about drugs? Usually antihypertensive drugs prescribed by doctors to patients with proteinuria are ACEI preparations, such as captopril, benazepril, perindopril, fosinopril, etc.; or ARB preparations, such as losartan, irbesartan , Valsartan, candesartan, etc. These drugs are RAAS blockers. In addition to the antihypertensive effect, they can also reduce proteinuria and have a certain protective effect on the kidneys. Its protective effect on the kidneys is as follows: significantly dilates the glomerulus out of the ball artery, reduces the pressure in the glomeruli, reduces the permeability of the glomerular capillaries to proteinuria to reduce proteinuria, and can also block renal cell fiber hyperplasia And cell hypertrophy and hyperplasia, reduce extracellular matrix deposition, inhibit the response of interstitial inflammatory cells, as well as anti-oxidation, as well as inhibit sympathetic nerve activity, inhibit endothelin, improve glucose and fat metabolism disorders and other effects. Therefore, the purpose of doctors to allow some patients with chronic kidney disease proteinuria to take ACEI or ARB preparations is to reduce proteinuria, protect renal function, and delay the progress of renal failure through the effects of the above aspects, not just to lower blood pressure . Of course, for patients with proteinuria and high blood pressure, it can be said that the medicine is dual-use and the two birds with one stone. But for patients with proteinuria with chronic blood pressure and normal blood pressure, such drugs can also be applied. It should be noted that antihypertensive drugs such as ACEI or ARB must be taken under the specific guidance of a nephrologist, and pay attention to observe changes in renal function glomerular filtration rate and serum potassium, and adjust the dosage at any time. During the process of taking medicine, patients need to pay attention to slow movements when getting up or sitting up to prevent postural hypotension. In addition, if there are obvious symptoms of dizziness and dizziness after taking, the blood pressure is lower than 90/60mmHg, consider reducing the amount Or deactivate.
The temperature has risen, and it has only been two days before summer is felt. There are many outpatients, including many who adjust their blood pressure. Almost every day outpatients have long-term high blood pressure, but recently found that blood pressure is not as high as in winter, ask if you want to stop the medicine, what to pay attention to in the diet. 1. Why is blood pressure lower in summer than in winter? Many friends with high blood pressure have the feeling that blood pressure in summer is relatively low and blood pressure in winter is relatively high; the simple principle is that the blood vessels heat and contract, and the blood pressure will decrease after the blood vessels expand in the summer and dilate. Cold, blood vessels contract, blood pressure will rise. To make it more complicated, the weather is hot, the body’s heat dissipation is increased, and the blood vessels on the body are mostly in a state of relaxation, and the blood vessels are dilated, which relatively reduces blood pressure, just like we eat nitroglycerin. Will drop the same. At the same time, there is more sweating, and the blood volume may be reduced, just like the diuretic antihypertensive drugs we eat, which are reduced by diuresis. Summer sweating is relatively large, which is equivalent to diuresis, so the blood pressure is relatively low. For more sensitive people, after seasonal changes, blood pressure fluctuations are relatively large, which will lead to relatively low blood pressure in summer. 2. Should the antihypertensive drugs stop? Can you stop? Can you reduce or stop antihypertensive drugs? This is very complicated and needs to be divided into several situations, because each person’s tolerance, age, comorbidity, sensitivity to antihypertensive drugs, and how much they take are different. So it cannot be generalized. 1. How to take antihypertensive drugs at the same time, but also take care of heart disease such as puli, satan, luol, diuretics and other antihypertensive drugs, not only can treat high blood pressure, but also important treatment of heart failure, angina pectoris, myocardial infarction Wait for drugs. Therefore, how to combine heart disease must not be reduced or stopped at random. You must consult a professional doctor to decide. Generally, it is not recommended to stop or reduce the drug unless hypotension occurs. 2. If it is pure high blood pressure, taking antihypertensive drugs is just to lower blood pressure: if the blood pressure is close to 100 or close to 90, you can consider reducing or stopping the drug at this time, such as taking a blood pressure drug You can eat half of the anti-hypertensive medicine; if you eat two antihypertensive drugs or more than two antihypertensive drugs, you can first reduce one antihypertensive drug. If the blood pressure is only normal, but it is more ideal than winter, about 120/80, then it must not be reduced or stopped. Regardless of whether or not to reduce the drug, we must monitor blood pressure for a long time, because our blood pressure is naughty, you don’t know when it will fluctuate. 3. What are the precautions for diet? So when summer comes, what attention should be paid to the diet of hypertensive people? In fact, the blood pressure of hypertensive people is well controlled, just like the normal diet, the only thing to pay attention to is the low sodium salt and high potassium salt. But this low-sodium and high-potassium diet is not the only thing to pay attention to in summer. 1. Low sodium salt For all people with high blood pressure, long-term low sodium is recommended. At present, most of us eat more than 10g of salt per day, but high-health healthy salt intake does not exceed 6g per person per day, so a low-salt diet is needed to reduce Put salt in stir-fried dishes, and eat less salty foods such as soy sauce, pickles, mustard, bacon and so on. Of course, for people who are usually very strict with low salt, if they sweat too much in summer, then eating salt in summer can be less strict. 2. There is no need for special records for high-potassium and high-potassium foods. Most fruits, vegetables and whole grains and grains contain high potassium, so it is conducive to blood pressure control to have more fruits, vegetables and whole grains. 3. High blood pressure diet, there is no absolute taboo. Remember to low sodium salt, but in general, try to grasp low oil, low fat, low calorie, low sugar, etc. diet, because too much greasy and sugar will increase hyperlipidemia and The risk of diabetes, which increases the risk of cardiovascular disease caused by high blood pressure, so a high-health diet should be based on low sodium and high potassium salts, with more details in vegetables, fruits, and whole grains, less salt and less oil. Sugar, should not drink alcohol, add enough protein, such as eggs, milk, fish, shrimp, lean meat, etc., and appropriate nuts. 4. The diet details should pay attention to the summer, no matter whether there is high blood pressure, diet, it is recommended not to be too cold, not too greasy, drink mung bean soup to avoid heat stroke, do not eat too much to ensure adequate water. In short, for friends with high blood pressure, a healthy diet is a long-term thing, not just a summer thing. No matter whether it is winter or summer, we must monitor blood pressure for a long time, and we must eat healthy for a long time!
A friend asked, what is the difference between the antihypertensive drug losartan and telmisartan? Today, let’s talk briefly about this topic with you. Antihypertensive drugs with the word “Satan” in their names are all the same type of antihypertensive drugs. If they are classified from the perspective of drugs, these drugs are angiotensin 2 receptor antagonists and are very commonly used in clinical practice. A class of antihypertensive drugs. These drugs are similar to the drugs of the general class. They are all drugs of the renin-angiotensin-aldosterone system inhibitor class. Their mechanism of action is mainly by inhibiting the activity of angiotensin, thereby suppressing vascular tension, relaxing arteries and Vein blood vessels, thereby reducing blood pressure. Since they are the same class of drugs, let’s talk about their similarities first. In addition to the same mechanism of action, losartan and telmisartan also have similar antihypertensive effects. Generally speaking, saltan drugs are long-acting. Antihypertensive drugs, generally taken once, can achieve a 24-hour stable blood pressure control. Due to its long-term effect and mildness, generally speaking, in the early days of medication, it is not possible to quickly achieve the best antihypertensive effect, so it is usually necessary It takes only 2 to 4 weeks of medication to reach a stable blood concentration and play a better effect of lowering blood pressure. Therefore, if you find that your blood pressure control is not good at the beginning of the medication, do not rush to increase the amount of medicine or add other blood pressure Drugs, you may wish to try it for a while. In terms of adverse reactions and contraindications, sartans are basically similar. Whether losartan or telmisartan is contraindicated for women during pregnancy. In addition, bilateral renal artery stenosis and severe renal insufficiency Those (blood creatinine exceeding 265) are also prohibited. In terms of adverse reactions, diarrhea and gastrointestinal adverse reactions should be paid attention to when taking sartans. In terms of the applicable population, losartan and telmisartan are both suitable for antihypertensive use of various hypertensive patients without related contraindications. For young people with high low pressure, satan drugs are one of the preferred antihypertensive drugs. For the initial treatment of hypertension, hypertension with coronary heart disease, atrial fibrillation and other cardiovascular diseases, hypertension with chronic kidney disease, hypertension with trace proteinuria patients are also very suitable antihypertensive drugs. In the joint application of drugs, the satanic drugs are also similar. Both losartan and telmisartan can be used in combination with diuretics and dipine CCB receptor antagonists to enhance the antihypertensive effect. During the treatment and conditioning of heart failure, satan antihypertensive drugs can also be used to replace patients who suffer from dry cough intolerance when taking puli class antihypertensive drugs. After talking about the common points, let’s talk about the small difference. Although they belong to the class of satanic drugs, these two drugs are different chemical structures after all, and there are certain differences in certain aspects. In view of some common problems of daily medication in patients with hypertension, Mainly talk about the three points of difference between these two drugs-the drug has a different action time. The half-life of losartan is 9 hours, and the half-life of telmisartan is more than 20 hours. The half-life of drugs refers to the metabolic excretion of drugs in the body The time required for blood concentration to decrease by half. Therefore, compared with losartan, telmisartan stays in the human body for a longer time, and it often has a better effect in controlling the stability of blood pressure. Losartan has a unique effect of lowering uric acid. Among the satan drugs, losartan is a good medicine for patients with high uric acid. The study found that in addition to lowering blood pressure, losartan also has a role in promoting uric acid excretion for high uric acid. Therefore, if you have high uric acid Patients, choose antihypertensive drugs between losartan and telmisartan, it is recommended that you choose losartan. In recent years, there have always been reports of carcinogens detected in satanic drugs. Many friends were worried when taking satanic drugs. The first thing to note is that satanic drugs themselves are not carcinogenic. Carcinogens are genotoxic impurities contained in the preparations of sartans. Based on the current news from all aspects, losartan, irbesartan, and valsartan have been reported to be carcinogens, and telmi Satan has not yet reported.