Many people suffer from high blood pressure, which is a very painful disease. When you wake up in the morning every day, your blood pressure will suddenly rise, causing you to feel dizzy, with blurred vision and ringing in your ears. Some people also suffer from insomnia at night and feel very depressed the next day. Therefore, high blood pressure has a great impact on your life. So if you suffer from high blood pressure, what long-acting medicine is better? Patients' conditions vary greatly, so the choice of medicine is different. For young people with hypertension and tachycardia, it is more appropriate to choose beta-blockers; while those with bradycardia should avoid using this type of drug. Patients with isolated systolic hypertension who develop arteriosclerosis and stroke should use calcium channel blockers, diuretics, and angiotensin-converting enzyme inhibitors. For those with persistently high blood pressure, it is more appropriate to use long-acting antihypertensive drugs. Principles for the selection of antihypertensive drugs: ① Antihypertensive drugs are required for long-term treatment of essential hypertension. Therefore, it is advisable to use oral antihypertensive drugs (such as hydrochlorothiazide, reserpine, compound antihypertensive tablets, etc.) that have mild, slow, and long-lasting antihypertensive effects, few side effects, are easy for patients to master and convenient to use as basic antihypertensive drugs, and then select other antihypertensive drugs according to different stages of the disease. ② Antihypertensive drugs are generally started with a small dose and gradually increased. After achieving the blood pressure lowering goal, you can switch to a maintenance dose to consolidate the therapeutic effect. Use the smallest maintenance dose possible to reduce side effects. ③ When using antihypertensive drugs that can cause significant upright hypotension, patients should be informed that they should move as slowly as possible when standing up from a sitting position or from a supine position, especially when getting up to urinate at night, to avoid fainting and accidents caused by a sudden drop in blood pressure. Antihypertensive drug therapy 1. Diuretic antihypertensive drugs: hydrochlorothiazide, cyclopenthiazide, furosemide, etc. 2. Central nervous system and sympathetic nervous system inhibitors: reserpine, antihypertensive, clonidine hydrochloride 3. Adrenergic receptor blockers: β-blockers such as propranolol, atenolol, and metoprolol; α-blockers such as benzylamine, α+β-blockers such as salbutamol 4. Enzyme inhibitors such as angiotensin converting enzyme inhibitors such as captopril, enalapril, etc. 5. Calcium channel blockers such as nifedipine, amlodipine, etc. 6. Vasodilators such as hydralazine, valproate, prazosin, guanidine, etc. 7. Ganglionic and postganglionic sympathetic nerve inhibitors such as guanethidine, pentamethazine tartrate, etc. 8. 5-HT receptor antagonists such as ketanserin 9. Compound preparations such as compound reserpine tablets and compound apocynum tablets In today's society, many families have members suffering from high blood pressure, so the incidence of hypertension is still relatively high. Therefore, people with high blood pressure need to make appropriate changes in their daily diet. They should try to eat foods that are low in salt, sugar and fat. Some fast foods should also be eaten as little as possible. If you want to eat fried foods, it is best to make them yourself and not overeat. And go to bed early and get up early. |
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