Principles of selection of medicines for hypertension
antihypertensive drugs today very much.What are the features of this class of drugs?Firstly, the impact is so individual that the therapeutic effect of the drug is often unpredictable.Secondly, they have many side effects.Thirdly, it is important to accurately their dosage.Therefore
select medications which reduce the pressure necessary only empirically by trial and error.In addition, the need to periodically make adjustments to treatment regimens, since over the years the body gets used to the drugs, and
All of this only by medical professionals.The patient, especially the elderly, are unable to understand the classification of all these wisdoms angiotensin converting enzyme inhibitors, beta-blockers, calcium antagonists and angiotensin receptor ...
And it is not necessary.Hypertension is nothing to do with any other illness, it is necessary for the patient to actively cooperate with the doctor.What is this cooperation should occur?Firstly, in the exact fulfillment of all medical prescriptions.Second, regular self-monitoring pressure at home.Every hypertensive patient should have a blood pressure monitor and be able to use it.
should also know the general principles of selection, acceptance and test the effectiveness of antihypertensive drugs.Supplementation is always necessary to start with smaller doses, even with half the recommended dose, especially the elderly.And gradually increase the dosage until it is the expected therapeutic effect.On it you can not judge a few days after the start of, and after a week or two.
If moderate amounts of drugs do not work, do not increase the dose on their own, do not take it more often, and tell your doctor.It will replace the medicine or prescribe an additional medication other spectrum.
If the medication reduces the pressure well, but causes severe side effects, it is also necessary to tell your doctor and ask him to make the change.
Features antihypertensive drugs
They are divided into seven major classes, although their ability to reduce the pressure does not differ radically.However, because patients react to them in different ways, multidrug options allows to effectively stabilize the pressure in the vast majority of hypertensive patients.
most common drugs - "tide": "Captopril", "Enalapril", "Lisinopril" etc.This effective medicines, they reduce the pressure well, while not teaching the pulse."Captopril" is particularly effective as an ambulance when you want to quickly reduce very high pressure.But the "catch" is a serious flaw in many they cause severe coughing and require replacement.
often "tide" is replaced by "sartans.""Valsartan", "Eprosartan" "Losartan", "Losap", "Lorista" - a whole family of similar drugs that are no more "by-catch", but are more expensive and rarely cause cough.
Another class of drugs - "prololy" "Biprol", "Nebilet" "Concor", "Coronal", "Egilok."By lowering the pressure, they prevent the appearance of tachycardia, so they are often prescribed when hypertension is associated with angina, arrhythmia.
Another group of drugs - amlodipine options "Norvasc", "Sakura", "Lerkamen."This is good medicine, but they often cause swelling of the extremities, and also require the cancellation.This drawback is less suffering "Es Cordy Cor."
But drugs nifedipine considered obsolete, and many physicians have not designate its derivative "cordipin", "Corinfar", "Kordafen", "Kordafleks."As "Clonidine" - it acts on the brain and cause drug dependence.
To maximize the therapeutic effect of high blood pressure are usually given one or two different classes of the drug in combination with a diuretic.
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