6 common antihypertensive drugs, which one is the best antihypertensive drug? What are the features? How to choose?

For friends with high blood pressure, the most concerned thing is how to reduce blood pressure to normal levels!

However, there are many kinds of antihypertensive drugs, there are hundreds of kinds, some imported and some domestic, some long-acting short-acting, there is this name and that name. So which antihypertensive drug is the best to choose?

In fact, there is no best antihypertensive drug for everyone, each antihypertensive drug has its own characteristics, side effects. Conversely, if there is one antihypertensive drug in the world that works for everyone, then there is no need for other antihypertensive drugs.

First, the ever-changing is inseparable, in fact, it is 6 categories of antihypertensive drugs

Although there are hundreds of antihypertensive drugs on the market, but the changes are not far from its origin, all kinds of antihypertensive drugs can not escape these 6 categories, when we look at the name of the antihypertensive drug, do not look at the name of the product, but to see the chemical name. According to this name, we can simply divide antihypertensive drugs into 6 categories:

1, leveling, 2, puly, 3, sartan, 4, diuretics, 5, lol, 6, other

That is to say, the antihypertensive drugs that contain the word "dipenetry" in the name belong to a blood pressure lowering drug, and their characteristics are basically the same; or they are similar. This type of antihypertensive drug is called CCB antihypertensive drugs, and when we popularize science, it is called a level antihypertensive drug. For example, the common nifedipine, amlodipine, felodipine, lecodipine and so on.

In the same way, the antihypertensive drug containing the word "Puly" is called ACEI, and our popular science is called Puly antihypertensive drugs;

Antihypertensive drugs containing the word "satan" are called ARB, and we call sartan antihypertensive drugs in science;

Antihypertensive drugs containing "hydrochlorothiazide", which we call diuretics;

Containing the word "lore" we call B receptor blockers, we call the popular science called lore antihypertensive drugs;

In addition to this dipalpin, pry, sartan, diuretic, lore, others are classified in other categories of antihypertensive drugs.

Second, the main characteristics of 6 categories of antihypertensive drugs

What are the characteristics and side effects of these 6 categories of antihypertensive drugs?

1. Horizons

Suitable for most patients with hypertension, especially for hypertensive patients with elevated hypertension in the elderly;

Can be used in combination with other 4 categories of antihypertensive drugs;

The main role is to lower blood pressure, some people say, the horizon instructions are not written can be used for the treatment of angina? The reality is that no cardiovascular doctor uses a level antihypertensive drug to treat angina. First of all, level antihypertensive drugs are not used for unstable angina, and secondly, for stable angina, even if level antihypertensive drugs are used, it is not to relieve angina, but to control blood pressure.

Level antihypertensive drugs, called dihydroxypyridine antihypertensive drugs, and its similar drug called non-dihydroxypyridine drugs, such as diltiazem hydrochloride, this drug can also lower blood pressure, but is mainly used for the treatment of angina. Therefore, the level is not used to directly treat angina, and the treatment of angina is called diltiazem.

Common side effects of level antihypertensive drugs: palpitations, rapid heartbeat, blushing, headaches, swelling of the lower extremities, hyperglycies and so on.

2. Puli class

It is suitable for hypertension dominated by low pressure elevation, and is suitable for the treatment of hypertension with diabetes mellitus, as well as the treatment of coronary heart disease, cardiac insufficiency, myocardial infarction and other diseases.

Primaverergics should not be used in women who are trying to conceive or become pregnant.

It cannot be used in combination with sartans.

Puly antihypertensive drugs can not only reduce blood pressure, but also eliminate proteinuria, prevent atherosclerotic exacerbations, and prevent and treat heart failure. Therefore, Puly antihypertensive drugs are not only antihypertensive drugs, but also important drugs for the treatment of cardiovascular diseases, especially for patients with heart failure, as well as patients with myocardial infarction, and Puli antihypertensive drugs are the basic drugs for the treatment of these two diseases.

The most common side effect of Puri antihypertensive drugs is dry cough, which can also cause angioedema. For example, edema of the lips or face. Angioedema with laryngeal edema and shock can be fatal. Blood potassium and renal function need to be monitored during use.

3. Sartans

Sartan antihypertensive drugs are suitable for hypertension with elevated low pressure, hypertension with diabetes mellitus, and the treatment of coronary heart disease, cardiac insufficiency, myocardial infarction and other diseases.

Sartans should not be used in women who are trying to conceive or become pregnant.

As you can see, this puly and sartan are very similar, in fact, they are a large class of antihypertensive drugs. It's just that the action points are not exactly the same.

So sartan cannot be used in conjunction with Puli.

Sartan can also be used in patients with hypertension and diabetes mellitus, atrial fibrillation, mild renal insufficiency, heart failure, myocardial infarction, and so on.

Generally speaking, if taking puly causes a dry cough, then sartan can be replaced. Blood potassium and renal function should also be monitored during sartan.

4. Diuretics

Diuretics mainly refer to hydrochlorothiazide, although hydrochlorothiazide is one of the most commonly used antihypertensive drugs.

However, hydrochlorothiazide alone is rarely used to lower blood pressure because the degree of hypotension is relatively weak and there is no vascular protection.

But we also can't leave hydrochlorothiazide, such as refractory hypertension, that is, the use of 3 antihypertensive drugs, blood pressure is still not up to standard. These 3 antihypertensive drugs must contain diuretics, illustrating the importance of diuretics for refractory hypertension.

At the same time, for unstable heart failure, diuretics are also needed to urinate and relieve symptoms such as chest tightness and breath holding in patients with heart failure.

Diuretics are often used in combination with dipine, pry, and sartan. Care should be taken to monitor the electrolyte during use, because diuresis is worried about electrolyte abnormalities.

5. Lohr class

Lore antihypertensive drugs are rarely used solely in patients with hypertension, but lore drugs can be said to be the most widely used antihypertensive drugs in the cardiovascular field.

Lore drugs can not only lower blood pressure, but also for hypertension with a rapid heart rate. The most important lore drugs can treat angina, are the basis for the treatment of heart failure, are the basis for the treatment of myocardial infarction, can treat rapid arrhythmias, and can treat hyperthyroidism. Therefore, the cardiovascular field is basically inseparable from lore antihypertensive drugs.

The most common side effects of lore include slow heart rate, aggravated pulmonary asthma, male ED, etc.

It can be combined with prypri, satan, and dipen antihypertensive drugs.

6. Other categories

Other categories are actually not a certain antihypertensive drug, but exclude the above 5 kinds, all classified in other categories.

So there is no way to explain it uniformly.

The simple principle is to first consider the use of the above 5 antihypertensive drugs. If the above 5 kinds can not be used, or use the above 5 kinds of antihypertensive drugs, blood pressure is still not up to standard, then think of the 6th category, that is, other classes of antihypertensive drugs.

Third, domestic or imported?

Most antihypertensive drugs are divided into domestic and imported, and everyone is most concerned about how to choose.

In fact, it is very simple, whether it is domestic or imported, as long as the blood pressure can be reduced to normal, choose which one.

Although this may seem like a nonsense, it can only be answered this way. Because the antihypertensive drugs are effective, they can only be known by observing blood pressure after eating themselves. Not for the doctor or patient to take it for granted.

If domestic antihypertensive drugs can reduce blood pressure to normal, then the natural choice of domestic antihypertensive drugs, on the one hand, is cheap, on the one hand, support domestic products.

Fourth, a blood pressure lowering drug is not up to standard, what to do?

Most people with high blood pressure, eat a blood pressure drug, blood pressure is difficult to reach the standard, at this time it is not recommended to double this antihypertensive drug, but a joint antihypertensive, that is, 1 + 1>2.

Step 1: Low-dose prist/sartan + low-dose diplate

Step 2: Full-dose prly/sartan + full-dose diplate

Step 3: Full-dose prly/sartan + full-dose dipen + diuretic

Step 4: Full-dose prly/sartan + full-dose diphan + diuretic + spironolactone

Fifth, which antihypertensive drug is the best antihypertensive drug

After reading so much of the above, you still don't understand which antihypertensive drug is the best antihypertensive drug.

In fact, there is no so-called best, only suitable for their own, the big principle is:

1, blood pressure can reach the standard, the main task of antihypertensive drugs is to reduce blood pressure, so the first principle is to meet the blood pressure standard.

2, choose long-acting, once a day, blood pressure is more stable, long-acting antihypertensive drugs themselves blood pressure is more stable, eat once a day, not easy to miss.

3, there are no side effects, there are many side effects of antihypertensive drugs, but not in everyone, as long as they eat no side effects, then you can take it for a long time.

4, nuts more organs and blood vessels, people with high blood pressure often have coronary heart disease, myocardial infarction, heart failure, diabetes, kidney disease, arrhythmias and other diseases. If this antihypertensive drug can not only lower blood pressure, but also treat this disease, it is naturally better.

Therefore, if the antihypertensive drugs you take, if you meet these 4 requirements, then it is the best antihypertensive drug for yourself!