Recently, I have seen a lot of patients with unstable blood pressure, and to sum up, these people with unstable blood pressure are basically two main reasons: on the one hand, it is caused by drugs, and on the other hand, it is caused by life.
First, the effect of drug inappropriateness on blood pressure
In the clinic, some hypertensive patients with unstable blood pressure are encountered, especially some elderly people. The main reason for their blood pressure fluctuations is that the drug choice is not appropriate.
1. The strength of the drug is not enough
Hypertension is divided into 1, 2 and 3 levels according to blood pressure levels, some people have blood pressure of 150/100mmHg, and some people have blood pressure of 220/120mmHg.
Different blood pressure values, naturally choose different intensity of antihypertensive drugs, such as lore antihypertensive drugs, diuretic antihypertensive drugs, these two antihypertensive drugs are relatively weak, rarely used alone in medium-intensity hypertension patients.
For example, in medium-intensity hypertension, sometimes you have to choose antihypertensive drugs such as dipen, pry, and sartan.
Besides, everyone's response to antihypertensive drugs is different, for example, Zhang San and Li Si's blood pressure is 180/110mmHg. Taking one medicine does not mean that both people's blood pressure can drop to the same level.
Therefore, when we find that our blood pressure is not ideal, or when it is high, we see if the strength of the drug is not enough, whether it is necessary to find a doctor to change the medicine.
2. The dose of the drug is not enough
There is also a common problem, often people ask: Doctor I take antihypertensive drugs, why can't my blood pressure come down?
I said: How many antihypertensive drugs do you take, how much do you eat?
Patients often say: eat XXX, eat a tablet.
I said: If there are no special circumstances, the reason is simple, the medicine is insufficient. Not every person with high blood pressure, after taking a tablet of antihypertensive drugs, blood pressure can reach the standard. Everyone's basal blood pressure is different, and everyone's tolerance to drugs is different, so some people take one antihypertensive drug, and some people have to take two tablets. Some people even have to take 3 antihypertensive drugs, and they have to take them twice to reduce their blood pressure to the desired level.
3. The dosage form of the drug is not appropriate
Drugs cause blood pressure instability, and the reason for the often fluctuation is that the selected antihypertensive drugs are not suitable, and long-acting antihypertensive drugs are not selected.
At present, our common antihypertensive drugs are divided into short-acting, medium-acting and long-acting antihypertensive drugs according to the efficacy time. Short-acting antihypertensive drugs generally last as long as 3-4 hours, and they need to be taken 4 times a day. Then if we choose short-acting antihypertensive drugs, such as nifedipine, captopril and other short-acting antihypertensive drugs, then the possibility of blood pressure fluctuations is relatively large.
Therefore, we try to choose long-acting antihypertensive drugs as much as possible, once a day, not only convenient to take medicines; and blood pressure is relatively more stable.
Second, the blood pressure caused by non-drugs is not up to standard or unstable
1. Seasonal influences
Recently, the temperature in the north has decreased, the maximum temperature has been below zero, and many friends with high blood pressure have found that their blood pressure has been much higher than before.
This is the seasonal change, the temperature decreases, the blood pressure rises, after the winter to the spring and summer, the temperature rises, and some people's blood pressure will improve again.
In this case, we need to measure more, if it is high, we must find a doctor to add a little antihypertensive drugs, if it is low, we must find a doctor to reduce a little antihypertensive drugs, so that blood pressure will be more stable.
2. Sleep effects
Many people will find that if you don't sleep well tonight, your spirit will be worse tomorrow, and if you measure your blood pressure, you will find that your blood pressure is also higher than usual.
Poor sleep quality, insomnia, easy to wake up, etc., will affect blood pressure, this situation is simply adjusted antihypertensive drugs are not effective. We need to improve sleep first, in addition to removing the causes of insomnia, if necessary, we need to take sleep medication to improve sleep.
Only by ensuring adequate and high-quality sleep can we ensure stable blood pressure.
3. Weight effect
We can still meet such patients in the clinic, who can usually take medicine on time, but found that recently the blood pressure is higher than before. The first thing that comes to everyone's mind is that the antihypertensive drugs are not working, and they have to change the medicine.
In fact, at this time, we have to measure our weight to see if we are fat. Getting heavier and heavier can also affect our blood pressure. Therefore, friends with high blood pressure should actively control their weight and avoid being overweight or obese as much as possible.
4. Dietary effects
Recently eaten
Too salty and too oily, often go out to eat, often order takeaway and other reasons, can lead to increased blood pressure. So if your blood pressure isn't ideal, ask yourself if it's healthy to eat.
Eat as many vegetables and fruits as possible, coarse grains, reduce oil and salt, control fatty meat, processed meat and other foods.
5. The effects of alcohol consumption
Many people think that drinking alcohol can dilate blood vessels and lower blood pressure. In fact, after a small amount of alcohol, some people's blood pressure will decrease within 6 hours. But from the perspective of long-term effects, drinking alcohol will raise blood pressure, and the more you drink, the more it rises. And drinking alcohol will aggravate atherosclerosis and increase the risk of cardiovascular and cerebrovascular diseases.
6. Exercise effects
If you can usually insist on exercise, but recently for various reasons, you have not been able to adhere to exercise, it may lead to an increase in blood pressure. Because exercise is conducive to blood pressure control, if you can't adhere to effective exercise, then blood pressure will rise again.
Therefore, if conditions permit, it is still recommended that everyone can adhere to a certain appropriate exercise, which is not only conducive to controlling blood pressure, but also conducive to the prevention of cardiovascular and cerebrovascular diseases.
7. Mood effect
Our emotions can also cause our blood pressure to fluctuate. For example, under the emotions of anxiety, anger, irritability, stress, etc., our blood pressure will rise.
On the contrary, in a comfortable mood, happy, optimistic and other positive emotions, our blood pressure will be more ideal.
So we try to maintain a good attitude and a good mood!
In short, the blood pressure is not stable, or the blood pressure fluctuates, we have to find the cause, find the reason, we know how to adjust!