As the saying goes: people eat grains, which can not get sick, when the body is uncomfortable, will go to the outpatient clinic to get a little anti-inflammatory drugs, with the continuous enrichment of our diet, many people have suffered from three highs, especially high blood pressure, the need for long-term medication, the main purpose of our medication is to prevent and treat diseases, but some drugs must be taken for a long time.
Even if the symptoms are relieved and the disease is controlled, it cannot be suddenly stopped, otherwise once the drug is suddenly stopped, the body cannot adapt to this change suddenly, which may cause repeated aggravation of the disease and even endanger life.
It is a three-point poison of medicine, but often taking medicine is not good for the body, which makes many people fall into a dilemma, so how should we choose on the issue of medication? Let's take a look at which medicines can not be stopped once eaten.
01
First of all, why do high blood pressure require long-term medication?
Many people after suffering from hypertension, will take antihypertensive drugs to stabilize blood pressure, which can not only reduce the probability of cardiovascular and cerebrovascular diseases, but also avoid excessive blood pressure, resulting in heart, brain and kidney damage, if the blood pressure is high for a long time, not only to the body damage, serious cases and even lead to stroke kidney failure and other situations.
Therefore, the vast majority of hypertensive patients need to rely on taking drugs for a long time to help them control their blood pressure, so most patients need to take antihypertensive drugs for a long time or for life, but in fact, as long as the following three criteria are met, they can stop taking antihypertensive drugs:
1, the departure of hypertension patients: trigger hypertension patients, you can change your eating habits or change your own living habits to help themselves control blood pressure, if the blood pressure is stable is better, long-term in, 140 ~ 159/ 90 ~ 99 mm pump column range below the standard, then at this time, you can stop taking medication after asking the doctor.
2, the cause of secondary hypertension has been solved: in general, hypertension is divided into primary hypertension and secondary hypertension, the biggest difference between the two is that the former basically has to take medicine for life, there is no way to cure.
Secondary hypertension is caused by some diseases, such as pheochromocytoma, renin secretory tumor, etc., if it has been surgically removed, and then consult a doctor, stop taking antihypertensive drugs according to the doctor's advice.
3, after the onset of complications, when blood pressure is relatively low: some common hypertension complications, such as stroke, myocardial infarction, heart failure, after the attack, there will be a significant decrease in blood pressure, in fact, this can stop taking antihypertensive drugs, although these conditions can stop taking drugs, but the time to stop should be slowly reduced, do not suddenly stop taking drugs, and after stopping the drug to review, observe whether there is a recurrence of hypertension.
02
Once these 6 medicines are eaten, they cannot be stopped casually! Sudden suspension is risky! Hope to know
1. β receptor blockers: such as metoprolol, atenolol, propranolol, bisoprolol and other β receptor blockers are used to inhibit sympathetic excitement, slow down the heart rate, reduce myocardial oxygen consumption, reduce the risk of cardiovascular events, mainly for hypertension, myocardial infarction, arrhythmias, angina and so on.
Long-term use of β receptor blockers, if the drug is suddenly stopped, it may cause reflex heart rate increase, induce or aggravate angina, and even myocardial infarction.
2, antihypertensive drugs: the main purpose of our application of antihypertensive drugs, is to reduce blood pressure to the normal range, maintain a stable level, minimize the damage to target organs such as the heart, brain and kidneys, and if the drug is suddenly stopped, blood pressure may rebound, even exceeding the level before medication.
3. Nitrate drugs: such as nitroglycerin, isosorbide nitrate, isosorbide mononitrate, etc., nitrate drugs can dilate blood vessels, relieve coronary vascular spasm, inhibit platelet aggregation and adhesion, improve myocardial blood supply, and relieve angina.
However, long-term use of nitrates will produce tolerance and dependence, and if the drug is suddenly discontinued, it may cause rebound coronary artery spasm, cause angina recurrence, and even cause acute myocardial infarction or sudden death.
4, anti-epileptic drugs: such as carbamazepine, sodium valproate, magnesium valproate and other anti-epileptic drugs, mainly by inhibiting the abnormal discharge of brain cells, to control seizures, if long-term use of sudden discontinuation, inhibited brain cells will be abnormal discharge again, resulting in epilepsy recurrence, and even induce epilepsy to appear state of continuation.
Therefore, after 1 to 2 years of stabilization, complete control of seizures, and normal EEG, the dose can be gradually reduced under the guidance of a doctor until the drug is discontinued.
5 hypoglycemic drugs: The main purpose of taking hypoglycemic drugs is to control blood sugar to normal levels, thereby reducing or delaying the occurrence of diabetic complications, if the drug is suddenly stopped, blood sugar may rise rapidly in a short period of time, and even lead to diabetic ketoacidosis.
6, glucocorticoid drugs: such as prednisone, cortisone and dexamethasone, oral glucocorticoid drugs can be anti-inflammatory, anti-allergic, anti-shock, anti-immune rejection, if the long-term use of sudden discontinuation, may cause adrenal insufficiency, rebound phenomenon, so that the original disease recurrence, and even lead to more serious disease.
03
What are the risks of high blood pressure?
1, diabetes: hypertension and diabetes are typical metabolic diseases, so at the same time as the high pressure value continues to rise, it is possible to cause diabetes problems, this is because after the development of hypertension to a certain extent, it will cause vascular damage, the formation of blood clots, easy to lead to atherosclerosis, will make the circulatory system affected, and the metabolism of blood glucose, you need to rely on the blood circulation system to carry out, if it triggers insulin resistance will directly lead to diabetes.
2, hyperlipidemia: hypertension also has a certain risk of hyperlipidemia, this is because people with hypertension, generally belong to the obese population, there is a certain fat content itself, and at the same time that hypertension increases the metabolic burden, there will also be disorders in the metabolism of fat, so there is a greater probability of causing hyperlipidemia, after optimizing hyperlipidemia, the patient's blood viscosity will rise significantly, and it is easy to form a vicious circle with hypertension.
3, kidney failure: the reason why hypertension is easy to lead to kidney failure, is that after the blood pressure value rises, the blood circulation of the kidneys is obstructed, and it is easy to cause glomerular arteriosclerosis, which will cause renal excretion dysfunction in the early stage, and after glomerular lesions is a typical chronic kidney failure, manifested in the case of uncontrollable, water electrolyte disorders will occur, and eventually uremic disease may occur.
4, gout, hypertension patients and a certain possibility of gout, this is due to hypertension affects metabolic function, especially after damage to the kidneys, can not excrete excess uric acid and uric acid concentration, rising, the formation of urate crystals, may cause gout, and after the uric acid concentration rises, it will also further aggravate the kidneys, damage is a huge stimulus to patients.
5, aggravate the primary disease: people with hypertension in addition to may cause a variety of diseases, in addition to the appearance of other primary diseases, hypertension will also aggravate the performance of the disease, this is due to the adverse effects of hypertensive diseases on the whole body, so no matter what kind of disease, hypertension will lead to aggravation of disease symptoms, and may affect the treatment effect.
Hypertension is a chronic disease, but the harm is far more serious than some acute diseases, so it is necessary to continue to strengthen the control of hypertension, the stability of hypertension value is very critical, if the blood pressure value fluctuates too much, it is easy to form complications.