Drug treatment of hypertension

Drug treatment of hypertension

(A) individual patients based on different physical characteristics of the pathology, disease progression and complications, and use different drugs in different doses, unless an emergency situation, in general do not have sharp relief, especially the elderly, to gradually buck suitable. No complications, will enable blood pressure dropped to 18.7/12 Kpa (140/90mmHg) from top to bottom, want, brain, kidney insufficiency, may add to excessive pressure-relief ischemia, antihypertensive drugs, not the cause of treatment, should be long-term medication, Even lifelong treatment, to take the smallest effective dose, uphold for a long time.

(B) combined combination can produce synergies, offset by side effects. Such as the expansion of blood vessels often secondary to sympathetic excitement, speed up the heart rate, cardiac output increased, and with β blockers can speed up the heart rate cancellation. Expansion of blood vessels may be secondary aldosteronism, Shuinazhuliu. And use of diuretics, the cancellation.

(C) the general classification of hypertension, to use fewer side-effects of drugs, failing to achieve a satisfactory effect can be gradually added to the mechanism of one or more different drugs. Could be considered for classification.

A diuretic, β-blockers, calcium antagonists, angiotensin-converting enzyme inhibitors, the choice of a drug, a void can switch to another.

Two combined, the two drugs and use of a child, the effective date, if the invalid into three.

3 combined, the three drugs used.

4 3 poor treatment, can be used for guanidine B啶or Clonidine.