Many friends are complaining, my blood pressure always can’t drop down how to do?
First of all, it should be understood that after taking medicine for 3 or 4 days, blood pressure did not drop significantly, which is a normal phenomenon and is not called [poor antihypertensive effect].
Lowering blood pressure is not as fast as possible. When doctors start treatment, they usually expect blood pressure to drop to the normal range within weeks to months.
Therefore, don’t think that if the blood pressure does not improve significantly after using the medicine for a few days, it is inappropriate to change the medicine, which is not conducive to blood pressure control.
Of course, there are also some patients who suffer from a kind of hypertension that is not easy to handle: refractory hypertension.
How do you call it [refractory]?
In short, everything that should be tried has been tried, and blood pressure is not well controlled.
The medical definition is: on the basis of lifestyle improvement, when three antihypertensive drugs with different mechanisms of action (one of which is diuretic) are taken regularly and in sufficient quantity, the blood pressure still cannot reach the standard (below 140/90 mmHg), which is generally found in patients with elderly, obese, diabetes and kidney diseases.
This part of hypertension patients account for about 10% of the patients treated by standard methods.
Don’t worry about classifying yourself into the scope of [refractory hypertension]. This [refractory] diagnosis is based on standardized treatment.
You should first see if you have standardized treatment and rule out [pseudo-refractory hypertension].
The following points are mainly excluded:
1. Improper blood pressure measurement method
If the measurement posture is not correct, cuff size is not appropriate, etc.
2. Drug factors
Irregular medication, not in accordance with the doctor’s advice prescribed dosage, times of medication;
The choice of antihypertensive drugs is inappropriate, such as low dose, or unreasonable combination medication scheme;
Take drugs with boosting effect, such as oral contraceptives, glucocorticoids, etc.
3. Bad lifestyle or failure to control other risk factors
High salt diet, obesity, smoking, heavy drinking, hyperlipidemia, long-term psychological stress, insomnia, etc.
4. Other conditions that may cause blood pressure to rise
Abnormal renal function and long-term chronic pain;
Psychological diseases such as anxiety and depression have not been well controlled.
You can remember the above points and compare them with the doctor. If the above reasons are excluded, your blood pressure is still not well controlled before refractory hypertension can be diagnosed.
At this time, don’t easily lose confidence in your own treatment. You can go to a special hypertension clinic for treatment, adjust the medication plan, and take the medicine strictly according to the doctor’s instructions.