The Most Widely Used Antihypertensive Drugs-Dipine

Antihypertensive drugs are good helpers to help hypertension patients control blood pressure and avoid cardiovascular and cerebrovascular complications. There are several types of commonly used antihypertensive drugs. In our country, one of them is the most widely used, called calcium channel blocker, or CCB for short. Since most of these drugs end with [dipine], they are also called [dipine antihypertensive drugs], such as nifedipine, amlodipine, levamlodipine, nimodipine, nitrendipine, felodipine, etc. Why is the horizon widely used? This is related to the characteristics of drugs. These drugs rely on calcium ions to play a antihypertensive role. Myocardial contraction and vasoconstriction depend on calcium ions entering myocardial cells and vascular smooth muscle cells. Vasoconstriction and myocardial cell contraction require a large amount Read More …

How to Protect Kidney for Hypertensive Patients?

Hypertension is currently one of the most common chronic diseases with the highest incidence rate in the world. It is estimated that 1 billion people in the world suffer from hypertension. Data from the National Health and Nutrition Survey (NHANES) in the United States show that the prevalence rate of hypertension is on the rise year by year. However, the degree of hypertension control in our country is not optimistic. Many friends are worried about the impact of antihypertensive drugs on the kidney. Some even dare not take antihypertensive drugs for fear of hurting the kidney. Let’s introduce the harm of hypertension to the kidney and the effect of antihypertensive drugs on the kidney. Friends who do not have the Read More …

Diuretics, a Antihypertensive Drug with a Long History

Diuretics are a [long-standing] antihypertensive drug. Its mechanism of lowering blood pressure is well understood. We often compare blood vessels to water pipes and heart to water pumps. The blood is the water in the water pipes. Some people suffer from hypertension, that is, there is too much water in the water pipe and the pressure on the water pipe will be great. If we discharge some water from the pipe, the pressure will drop. Diuretics play a role in draining water, draining more water from blood vessels, reducing blood volume and blood pressure. However, among hypertension patients in our country, the use of diuretics is far less extensive than that of other three types of antihypertensive drugs. Why? Disadvantages Read More …

Hypertension cannot be cured, why do you still have to take medicine?

For patients who have just discovered hypertension, the most concerned question is: Do you want to take medicine? When you eat what? Although everyone does not want to take medicine, most hypertension patients need drugs to control their blood pressure and often take medicine for life. When explaining the problem of taking medicine, people are often most confused by two problems: Why can’t hypertension be cured? Since it cannot be cured, taking medicine still has side effects, why take medicine? We need to answer these two doubts slowly. Why is hypertension not cured well? There is no mention of secondary hypertension with definite causes. Blood pressure increases caused by this other disease. After removing the causes, blood pressure may be Read More …

Accurate Guided Antihypertensive Drugs-ACEI and ARB

The 2014 US Guidelines for Adult Hypertension Treatment (JNC8) recommend four categories of antihypertensive drugs: thiazide diuretics, angiotensin converting enzyme inhibitors (ACEI), angiotensin receptor blockers (ARB) and calcium channel antagonists (CCB). Among them, ACEI and ARB drugs play a very important role in the treatment of hypertension. From the doctor’s point of view, they are [precision guided weapons] among antihypertensive drugs. The functions of these two drugs are somewhat similar. Let’s introduce them together. ACEI antihypertensive drugs are usually named after [XX], such as captopril, enalapril, fosinopril, lisinopril, peridopril, etc. ARB is usually called [sartan] antihypertensive drugs, including telmisartan, losartan, valsartan, candesartan, irbesartan, etc. Precision guided hypotension The antihypertensive effect of these two drugs is related to [angiotensin]. It is Read More …

Take antihypertensive drugs and never make these 5 mistakes!

Hypertension is the most common chronic disease and the most important risk factor for cardiovascular and cerebrovascular diseases. In order to control blood pressure within the normal range, besides diet adjustment accidents, rational drug use is also a very important means. However, there are still many prejudices and misunderstandings about antihypertensive drugs. If the misunderstanding is not relieved, many patients will not be able to regulate medication at ease. They will always stop eating and do great harm to their bodies. Next, I will give you an answer to the five most common mistakes, hoping to dispel your misunderstanding of antihypertensive drugs, standardize medication under the guidance of doctors, control blood pressure and live a healthy life. Error 1: If Read More …

Antihypertensive drugs that can lower blood pressure and control heart rate.

Receptor blockers are commonly used cardiovascular drugs, which are widely used in patients with hypertension, coronary heart disease and heart failure. These drugs are often called [XX prolol], such as propranolol, metoprolol, bisoprolol, aroprolol, carvedilol, etc. Why can receptor blockers lower blood pressure? This starts with the receptor. There are three types of adrenergic receptors: 1 Receptors are mainly distributed in myocardium, which can excite and cause increased heart rate and myocardial contractility. Receptors exist in bronchus and vascular smooth muscle, which can excite and cause bronchiectasis, vascular relaxation, visceral smooth muscle relaxation, etc. 3 receptors mainly exist in adipocytes and can stimulate and cause lipodecomposition. Receptor blockers commonly used clinically, according to the characteristics of drugs, can block the Read More …

Which antihypertensive drug is better?

Which antihypertensive drug is better? This is a difficult question to answer. In the eyes of doctors, there are mainly four standards for ideal antihypertensive drugs: It has definite antihypertensive effect and can protect cardiovascular system at the same time. Long-acting preparations that can play a stable role within 24 hours a day can only be taken once a day, which is more convenient. The adverse reactions are small and the safety is good. The price is reasonable. There is a standard, but no drug is suitable for all hypertension patients. The treatment of hypertension patients needs to be individualized, that is to say, different ages, physical conditions and suitable antihypertensive drugs are different. A drug is a good medicine Read More …

Cold weather blood pressure also to make trouble, how to deal with?

The weather is getting colder and colder, and many friends with hypertension find that at this time, the previously stable blood pressure is easy to rise. Many studies have also found that the incidence of cardiovascular and cerebrovascular diseases is also higher in winter. Why is this? How do friends with hypertension deal with fluctuating blood pressure? Blood vessels expand with heat and contract with cold, causing blood pressure to fluctuate. Blood vessels also have the characteristics of expansion with heat and contraction with cold. When blood vessels contract in cold, blood pressure will rise. When it is hot, blood vessels dilate, causing blood pressure to drop. Cold can stimulate the body to produce many changes to resist cold and Read More …

Afraid of side effects, I dare not take medicine: I can’t pick up sesame even if I lose watermelon.

Recently, a middle-aged male dialysis patient of about 50 years old, Lao Zhang, was admitted to our dialysis room. He has long-term uncontrolled hypertension and renal failure. Lao Zhang found hypertension when he was in his 30s. He took the medicine for a month and stopped taking it afterwards. First, he felt that his hypertension was not uncomfortable, plus there were so many side effects written on the drug instructions, thinking that the drug was three points poisonous. Second, I am only in my 30s, so I can’t stand taking medicine for most of my life, so I stopped taking medicine. In the long run, hypertension and nephropathy finally occurred. However, Lao Zhang still did not control his blood pressure Read More …