This is a rumor-busting article about high blood pressure patients taking antihypertensive drugs, a total of about 2300 words, I hope that friends who have the opportunity to see it can spend a few minutes patiently reading it, and there will be gains.
Among mainland adults, hypertension is one of the most common chronic diseases, but also an important chronic disease that leads to the risk of cardiovascular and cerebrovascular diseases, kidney health hazards, although often on the Internet for everyone to introduce the knowledge of hypertension medication, hypertension control related knowledge, but in real life, can really smoothly control blood pressure, so that blood pressure for a long time to maintain the standard level of people, the proportion is actually very low, the reason why there will be such a situation, in addition to the hypertension disease itself does not care, Many friends of hypertension for long-term use of antihypertensive drugs some cognitive misunderstandings, but also lead to hypertension is difficult to control, difficult to achieve the important reason, today's popular science article, will choose 4 representative "antihypertensive drug rumors", one by one for everyone to explain in detail.
Myth 1: After taking antihypertensive drugs, the blood pressure is stable
For most patients with hypertension, in order to control the stability of blood pressure, it may be necessary to take antihypertensive drugs to strengthen blood pressure control, antihypertensive drug treatment is an important aspect of actively controlling blood pressure, but if we put the "burden" of blood pressure reduction, all entrusted to antihypertensive drugs, I am afraid it is difficult for us to really control our hypertension problems. If we think that if we take antihypertensive drugs, blood pressure will definitely drop and will stabilize at the standard level, then it is really a big mistake.
If you want to smoothly control blood pressure, in addition to taking antihypertensive drugs regularly every day, there are two aspects that cannot be ignored.
One is the regular monitoring of blood pressure. Different antihypertensive drugs have different mechanisms of action, for different types, different severity of hypertension problems, the antihypertensive effect is not the same, therefore, after taking antihypertensive drugs, it is very important to do a good job of home pressure self-testing, to understand whether the antihypertensive drugs taken can effectively reduce blood pressure, whether blood pressure can be smoothly controlled within 24 hours, need to confirm by measuring blood pressure, even if it has been smoothly controlled, it should also be measured regularly, see if blood pressure has changed, whether it is necessary to adjust the medication regimen, to strengthen the control of blood pressure.
The second aspect is life conditioning interventions. Relying on antihypertensive drugs alone to control blood pressure, it is equivalent to walking on one leg, it is destined that blood pressure is difficult to get stable control, if you can strengthen the control of life while rationally using drugs, actively control salt, eat reasonably, strengthen exercise, control weight, maintain a reasonable schedule, quit smoking and limit alcohol, maintain a peaceful state of mind, do these aspects, it is also indispensable to control blood pressure, and can also bring additional cardiovascular benefits.
Controlling high blood pressure is by no means enough to take antihypertensive drugs, blood pressure monitoring and life conditioning are also essential.
Myth 2: One piece of blood pressure reduction effect is not good and another piece is added
Some friends of hypertension patients, after eating a piece of antihypertensive drugs, blood pressure still can not be reduced to the standard range, they quickly on the basis of the original, the amount of medicine doubled, and then add another piece, which is actually not the best choice for us to strengthen blood pressure control.
If you take a certain type of antihypertensive drug, the antihypertensive effect is not good, by increasing the amount of medication, sometimes it is difficult to further improve the antihypertensive effect, at this time, we can combine the actual situation, you can make two choices.
First, if you take a conventional dose of antihypertensive drugs, blood pressure has hardly decreased, or even increased (it is possible to use the wrong medication), in this case, not only should not continue to increase the dosage, but should consider changing other types of antihypertensive drugs, or using other combination drug regimens to strengthen hypertension control.
Second, if you take a conventional dose of a single antihypertensive drug, blood pressure has dropped, but has not yet reached a reasonable level (130/80mmHg or less is the best), rather than increasing the dose, it is better to reasonably choose other types of antihypertensive drugs, with a combination of drugs to strengthen blood pressure control. Combination medication is one of the basic principles of hypertension medication, through the combination of antihypertensive drugs with different mechanisms of action, it can play a synergistic antihypertensive effect with half the effort, and some good combinations can also reduce the risk of adverse reactions. Sartan or puli + dipen, sartan / pry + diuretic, dipane + β receptor blocker, dipaline + diuretic, etc. are all good combinations, which can be reasonably selected according to the actual situation.
Taking a single antihypertensive drug is not effective, increasing the dose is not the best choice, adjusting the medication regimen, and combined medication is the right approach.
Myth 3: Long-term antihypertensive drugs will be resistant to drugs, and should be replaced regularly
The idea that long-term antihypertensive drugs will produce drug resistance is also widespread, but there is no scientific reason in fact. Drug resistance usually occurs in some anti-infective drugs (such as drug-resistant bacteria caused by the abuse of antibiotics) or will be depleted of related receptors (such as resistance caused by frequent high-dose nitrates), and for antihypertensive drugs, there is no drug resistance problem, long-term use, can also maintain a stable antihypertensive effect.
Some friends found that after taking antihypertensive drugs for a long time, the original well-controlled blood pressure will not be controlled, and they will blame these on "antihypertensive drug resistance", in fact, this is a wrong understanding, with the increase of age, the degree of hardening of the arteries, hypertension becomes more difficult to control is difficult to avoid, at this time, on the basis of the original medication, adjust the medication regimen, add other antihypertensive drugs, and improve the antihypertensive effect is a better approach.
If you do not care about the blue and red, do not carry out blood pressure monitoring, eat a period of time to change the medicine, eat a period of time to change the medicine, such a practice may be because of the change of the time of action of the drug, the strength of the effect changes and bring about fluctuations in blood pressure, further increase the risk of cardiovascular and cerebrovascular diseases, more than worth the loss.
Long-term use of antihypertensive drugs will not produce drug resistance, when blood pressure is out of control, it is more important to adjust the medication regimen rationally, rather than changing the medication regularly.
Myth 4: Long-term antihypertensive drugs will hurt the liver and kidneys
This is one of the important reasons that cause many hypertensive patients to eat and stop eating antihypertensive drugs, in addition, there are many rumors that the adverse reactions of antihypertensive drugs will accumulate, and there are many rumors that long-term antihypertensive drugs will cause cancer. Because of some worries of one kind or another, many people eat and stop, and many people do not dare to take antihypertensive drugs at all.
The problem of hypertension has not been controlled for a long time, accelerating the development process of atherosclerosis, soaring blood pressure will also bring cardiovascular and cerebrovascular, kidney, microvessels and other aspects of health risks, myocardial infarction, cerebral hemorrhage and other major diseases, are closely related to hypertension, blood pressure is not controlled these risks, and the risk between potential adverse reactions that may not necessarily occur, in the end who is high and who is low, really should be seriously thought out.
If it is reasonable to take antihypertensive drugs, the vast majority of antihypertensive drugs will not cause damage to liver and kidney function for a long time, and like sartan, puly antihypertensive drugs, there is a certain improvement in trace proteinuria, reduce the protective kidney effect of kidney filter pressure, and for the adverse reactions of antihypertensive drugs, the incidence is usually low, it is necessary to understand adverse reactions, but it should also be known that adverse reactions will not occur in everyone, the vast majority of hypertensive patients, can choose to suit themselves, Safe and effective antihypertensive drug regimen.
Hypertensive patients should insist on medication, control blood pressure is the most important, because of such and such concerns and discontinuation of drugs, the health risks brought by it are greater.
The above 4 rumors about taking antihypertensive drugs have been analyzed from several wrong medication cognition aspects, in fact, there are many misunderstandings and rumors about the medication of antihypertensive drugs, and everyone is welcome to leave a message below, we can continue to discuss and learn.