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 for patient A, but adverse reactions may occur in patient B.
Some patients only need to take one antihypertensive drug to achieve good antihypertensive effect, while others need to take a combination of antihypertensive drugs at different times of the day, or a compound preparation of two antihypertensive drugs.
The first choice of medicine is not necessarily the best.
Doctors often say that if patients suffer from diabetes or kidney diseases, ACEI or ARB antihypertensive drugs will be their wise choice.
Some studies have shown that these two drugs can not only play a role in lowering blood pressure, but also play a certain role in kidney protection.
However, this does not mean that ACEI and ARB drugs must be the best for all patients with diabetes and kidney diseases. If the blood pressure cannot drop to the standard level after using these two drugs, the patient must adjust the drug type or add another antihypertensive drug.
After all, the harm to the body caused by persistent hypertension is far greater than the protective effect of drugs on the kidney. There is no stipulation as to which kind of antihypertensive drugs must be used by which kind of people.
For different hypertension patients, according to previous data and research results, taking a certain antihypertensive drug may benefit more. Each guideline will explain who is more suitable for different types of antihypertensive drugs. However, these recommendations will overlap and there is no absolute [best].
In addition to the ACEI/ARB drugs mentioned above, there are also the following antihypertensive drugs commonly used by doctors.
What is suitable is the best.
In fact, for individuals, what is suitable is the best. The so-called suitability means that the blood pressure can be lowered, long-term administration has no obvious side effects, and the economy can bear it.
For patients who have just found hypertension, they should listen to the doctor’s advice, use drugs regularly, review in time, and find the most suitable antihypertensive drug for themselves.
For patients who have taken certain antihypertensive drugs for a long time, if their blood pressure has been well controlled and no obvious side effects have occurred, then this drug is the best and suitable for long-term administration. Never listen to the rumor that [antihypertensive drugs are changed regularly].
Healthy life also lowers blood pressure.
In addition to taking medicine, healthy diet and proper exercise can also help hypertension patients to control their blood pressure, especially young patients with slight increase in blood pressure (blood pressure < 160/100 mmHg) and no other diseases. They can even control their blood pressure within the normal range through lifestyle adjustment without taking medicine.
Lifestyle adjustment mainly includes:
- Low sodium diet (click on the blue word for details) Exercise on time (click on the blue word for details) Quit smoking and limit alcohol (click on the blue word for details)