Tuesday, 25 October 2016

High Blood Pressure Medicine And Drugs

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High Blood Pressure Medicine And Drugs:
Many people need to take a combination of medications to effectively treat their hypertension.

While some blood pressure medicines work by removing extra fluid and salt from your body to lower blood pressure, others slow down your heartbeat or relax and widen blood vessels.

For many people, taking more than one medication in low doses is more effective in treating hypertension than taking larger doses of one single drug.

Sometimes your doctor may need to try different combinations of drugs before determining which is best for you.

Depending on your body, medical history, and severity of hypertension, your doctor may recommend one or more of the following medications.

Thiazide Diuretics: Also called water pills, diuretics are usually the first medication a doctor will prescribe to treat high blood pressure.

Diuretics work by getting your kidneys to help your body eliminate sodium and water, reducing blood volume.

Beta Blockers: By acting on the electrical circuitry and muscle fibers in the heart, beta blockers cause your heart to beat slower and with less force.

Although they aren't always effective in lowering blood pressure when prescribed alone, they have been found helpful when combined with other blood pressure medications.

Angiotensin-Converting Enzyme Inhibitors (ACE Inhibitors): By blocking the formation of a natural chemical that narrows blood vessels, ACE inhibitors help relax blood vessels.

These medications may be effective for people with chronic kidney disease.

Angiotensin II Receptor Blockers (ARBs): By blocking the action of a natural chemical that narrows blood vessels, these medications help relax blood vessels.

ARBs may be effective for people with chronic kidney disease.

Calcium Channel Blockers: These work by helping to relax the muscles of your blood vessels, and some slow your heart rate.

Calcium channel blockers may work better for older people and African-Americans than ACE inhibitors alone.

Take note that grapefruit juice interacts with some calcium channel blockers, which increases blood levels of the medication and puts you at higher risk of side effects.


Renin Inhibitors: Tekturna (aliskiren) slows down the production of renin, which is an enzyme produced by your kidneys that initiates a chain of chemical steps that increases blood pressure.

Tekturna works by reducing the ability of renin to begin this process.

It's important to note that you shouldn't take aliskiren with ACE inhibitors or ARBs because this would put you at risk for serious complications, including a stroke.

Alpha Blockers: By reducing nerve impulses to blood vessels, alpha blockers reduce the effects of natural chemicals that narrow blood vessels.

Alpha-beta Blockers: Like alpha blockers, these medications reduce nerve impulses to blood vessels, but they also slow the heartbeat to reduce the amount of blood that's required to pump through the vessels.

Central-Acting Agents: These medications work by preventing your brain from signaling your nervous system to increase your heart rate and narrow your blood vessels.

Vasodilators: By working directly on the muscles in the walls of your arteries, vasodilators prevent the muscles from tightening and your arteries from narrowing.

Aldosterone Antagonists: These drugs block the effect of a natural chemical that can lead to salt and fluid retention, which can contribute to high blood pressure.

Aspirin: When you've got your blood pressure under control, your doctor may recommend that you take aspirin once a day to reduce your risk of cardiovascular disorders.

What if I Can't Control my Blood Pressure?

If you've taken at least three different types of high blood pressure medication, and one includes a diuretic, yet your blood pressure still remains high, your blood pressure may be resistant to treatment.

When this occurs, doctors label it as resistant hypertension.

People who need to take four different medications to keep their blood pressure under control are also considered to have resistant hypertension.


If you have resistant hypertension, however, that doesn't mean your blood pressure will never get lower.

You and your doctor may have to consider the following to try to lower your blood pressure:

Whether you've tried appropriate medications and doses
Ways to fine-tune your medications to come up with the most effective combination and doses
Whether medications you take for other conditions, foods you eat, or supplements you take are interacting with your high blood pressure
If you haven't taken your blood pressure medications exactly as directed

If you've skipped doses for reasons including you forgot, can't afford the medication, or get unpleasant side effects

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