When taking antihypertensive drugs, you must pay attention to these 7 precautions, which can not only improve the antihypertensive effect, but also reduce the side effects of the drug:
First, pay attention to the time of taking medicine. It is ideal to choose a time when your blood pressure is highest before taking your medication. Most people's blood pressure has a circadian rhythm. Generally, it is the highest at 6-10 o'clock in the morning, and then the second small peak at 4-8 o'clock in the afternoon, most of the blood pressure will be relatively low after sleeping, so it is best to take medicine after getting up in the morning and washing up. Of course, some people's blood pressure is high in the afternoon, or even high at night and low during the day, so it is best to do a dynamic blood pressure monitor to grasp the law of blood pressure fluctuations before taking medicine.
Second, it should be noted that some medicines cannot be broken and eaten. For some controlled-release tablets and some sustained-release tablets can not be broken and taken, such as nifedipine controlled-release tablets, which uses membrane-controlled technology, through the small holes on the tablets, the drug is continuously released slowly, so that the dose of one drug continues to be released slowly within 24 hours, which can make blood pressure more stable. Therefore, it is necessary to read the drug instructions, and do not break it open and take it casually.
Third, it should be used in combination with small doses. It is not recommended to increase the dose of one drug, if taking a pill of medicine to lower blood pressure is not ideal, you can combine other drugs under the guidance of a doctor, 2 or even 3 small doses combined, the effect will be better, and the side effects will be smaller.
Fourth, we should pay attention to the monitoring of blood pressure. Many people take medicine and rarely measure their blood pressure, and they don't know how much blood pressure is controlled. Frequent monitoring can guide the dose and timing of medications and prevent blood pressure from getting too high or too low. Tell you the tips for measuring blood pressure, if the blood pressure is stable, measure it once a week, choose one day a month, measure blood pressure 4 times, get up in the morning, 10 in the morning, 4 in the afternoon, and before going to bed at night, see which time is the highest, and focus on measuring blood pressure at this time in the future. Some people measure multiple times a day, but it can cause nervousness and anxiety, and artificially cause blood pressure to rise.
Fifth, we must discover the side effects of drugs in time. Antihypertensive drugs also have side effects, the following are the common side effects, which should be noted in time:
Nifedipine may cause side effects such as palpitation, leg swelling, constipation, gingival hyperplasia, etc.; the most important side effect of pril antihypertensive drugs such as benazepril is dry cough, which can rarely cause angioedema, and poor kidney function may cause an increase in blood potassium; sartan side effects are similar to those of pull, but the side effects of dry cough rarely occur.
Metoprolol and other lol antihypertensive drugs can cause side effects of slow heartbeat and male dysfunction, people with asthma can not eat, and it is easy to induce asthma attacks; diuretics such as hydrochlorothiazide can cause electrolyte disorders, especially indapamide has the risk of causing severe hypokalemia; spironolactone may cause hyperkalemia, and people with poor kidney function should pay more attention.
Sixth, it is necessary to prevent orthostatic hypotension. For the elderly to take antihypertensive drugs, it should be noted that due to the poor elasticity of blood vessels in the elderly, the regulatory function declines, when lying flat and squatting for a long time, when standing up suddenly, it will cause a transient decrease in blood pressure, orthostatic hypotension, instantaneous insufficient blood supply to the brain, dizziness and even fainting. Antihypertensive drugs such as terazosin have a high incidence and need attention.
Seven should start with a small dose. If you start to take medicine, especially the elderly, you should start using it in a small dose under the guidance of a doctor, if the dose is suddenly too large, or even a combination of multiple drugs, it is easy to have a sudden low blood pressure, which induces cardiovascular and cerebrovascular emergencies. Any medication should be adjusted with caution, and blood pressure should be monitored during the adjustment period to avoid large fluctuations in blood pressure. #降压药副作用#