Antihypertensive drugs will produce dependence . Can't the drugs stop ? Attention should be paid to several mistakes in hypertension .

Hypertension is one of the frequently-occurring and common diseases in clinic, which seriously threatens the health of the people. Clinical investigation shows that there are still many misunderstandings in the treatment of hypertension. Next, let's take a look at the common misunderstandings in hypertension treatment.

Misunderstanding-although the blood pressure is high, there is no symptom, so you don't need to take medicine.

Doctor of Medicine Zhan rucai, deputy chief physician of neurosurgery department of Qianfoshan Hospital in Shandong province: this is a very common misunderstanding. Some hypertension patients do not have symptoms such as headache and dizziness in the early stage, because everyone has different tolerance to elevated blood pressure, and the degree of organ damage sometimes does not necessarily completely match the level of blood pressure.

Therefore, even if these patients with moderate or high hypertension have no symptoms, they still need to take drugs to control their blood pressure and take drugs regularly to control their blood pressure at a normal level.

Misunderstanding 2 take medicine when blood pressure is high, and stop taking medicine when blood pressure is normal

Doctor Zhan: hypertension is a chronic disease. Most patients need to take medicine for a long time or even for life to control blood pressure. Clinically, it is found that the blood pressure of many patients drops to normal after a period of treatment with antihypertensive drugs, that is, the drug is stopped by itself. As a result, the blood pressure rises again after a short period of time, and medication is needed to reduce blood pressure. In this way, not only the therapeutic effect cannot be achieved, but also serious complications of heart, brain and kidney, such as cerebral hemorrhage, may be caused by large fluctuations of blood pressure.

Misunderstanding 3 once you take antihypertensive drugs, they will become dependent and have greater side effects.

Doctor Zhan: Many people think that antihypertensive drugs are dependent, which is incorrect. Antihypertensive drugs are non-addictive drugs, and patients will not rely on them after taking them. Compared with the harm of hypertension, antihypertensive drugs have little side effects on human body.

Misunderstanding 4: "good medicine" cannot be used at first, and no medicine can be used when the disease is serious

Doctor Zhan: in fact, antihypertensive drugs are not good or bad, only suitable or not. Appropriate antihypertensive drugs should be selected according to the individual situation of patients.

More questions about hypertension, let me tell you clearly once! Don't "misunderstand" again!

1. Will blood pressure fluctuate?

Blood pressure is always fluctuating and is different all the time.

The point with the highest blood pressure in each cardiac cycle is defined as systolic blood pressure, and the point with the lowest blood pressure is defined as diastolic blood pressure.

Fluctuation Curve of intra-arterial blood pressure with cardiac cycle

24-hour ambulatory blood pressure, daytime blood pressure is higher than night blood pressure, early morning and afternoon blood pressure is generally higher than other time periods during the day.

Ambulatory blood pressure monitoring

Blood pressure increases during the activity;

In the four seasons, the blood pressure is low in summer, and the blood pressure increases in cold seasons and climate changes;

The blood pressure of the elderly fluctuates greatly;

Blood pressure is different between outpatient service and home service;

Blood pressure measurement may be different each time;

Various stress factors can lead to blood pressure fluctuations, such as mood, sleep, pain, urine suffocation, diseases, etc;

Some drugs affect blood pressure, such as antipyretic and analgesic drugs, drugs for treating prostate hypertrophy, hormones or immunosuppressants, etc;

There are also some people suffering from certain diseases, whose blood pressure regulation is ineffective and the blood pressure fluctuates too much, just like roller coasters, and even postural hypotension, such as multiple system atrophy, Parkinson's disease and some diabetic patients.

2. How to measure blood pressure?

First, buy an electronic BP monitor with a cuff wrapped above your elbow.

Electronic sphygmomanometer

TIME: The initial treatment usually needs to be tested once in the morning and once in the evening. After taking the medicine, the blood pressure is stable. It can be tested once every 3 or 2 days or once you think of it.

Many friends think that the electronic BP monitor is not accurate. The basis is that it is different from that measured by the hospital. In fact, the blood pressure measured by the same BP monitor is different at different times and places. Don't let the doctor compare with your BP monitor!

Mercury column BP monitor

Mercury column BP monitor is a standard blood pressure measurement method, but it can be completed by using electronic BP monitor itself, which is not affected by personal technology and may be measured more accurately.

Mercury is a heavy metal, which may evaporate and leak to pollute the environment. It is rarely used in countries, and most hospitals in China no longer use it.

3. Can antihypertensive drugs be reduced or stopped?

It can definitely be reduced, and it can also be stopped. The key is to reduce and stop under what circumstances, how to reduce and how to stop.

In recent days, a patient always felt dizzy and weak. The highest systolic blood pressure was only 110mmHg. She was taking two kinds of antihypertensive drugs, but she dared not reduce, let alone stop.

The weather is getting warmer gradually. It's time to reduce the medicine if the blood pressure is low for several days in a row. If the blood pressure is low, it will be reduced again. Some friends with low blood pressure can really stop the medicine and observe it in summer.

Some are seriously ill and can't eat or drink, and some are pulling and vomiting. If the blood pressure drops, the antihypertensive drugs should also be reduced. If the situation gets better, just add them according to the blood pressure.

Traumatic hemorrhage or gastrointestinal hemorrhage, blood pressure is low or even Shock, then it must be necessary to stop antihypertensive drugs.

There is a disease called pulmonary embolism, one of which is hypotension and even Shock.

After Myocardial infarction, the blood pressure is not high and still low. How to deal with antihypertensive drugs at this time? Are all stopped? Not really. General antihypertensive drugs such as calcium antagonist (CCB) are stopped first. If they can be tolerated, angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor antagonist (ARB) will continue to be used, the purpose is no longer to reduce blood pressure, but to be used for secondary prevention of myocardial infarction. Also, not all of the Betta blockers (BB) are stopped, and they should be used for a long time without taboos after myocardial infarction.

Some patients with stress or transient elevated blood pressure will return to normal after the inducement is eliminated. They certainly do not need to take antihypertensive drugs for a long time, such as many patients with elevated blood pressure before surgery.

Some secondary hypertension, such as patients with primary aldosteronism, may return to normal blood pressure after surgery and do not need to take antihypertensive drugs.

In case of emergency, such as massive hemorrhage or low blood pressure, antihypertensive drugs can be suspended and the hospital can be seen in time.

4. The more expensive the medication is, the better?

In terms of antihypertensive effect alone, the long-acting antihypertensive substances taken orally once a day can be taken one tablet at a time, so there is no need to worry about which kind of medicine. If there is functional damage of target organs, complicated with cardiovascular diseases or kidney diseases, antihypertensive drugs often need to be adjusted. ACEI or ARB drugs are the first choice, please follow the doctor's advice. For patients with severe renal insufficiency, drugs must also be adjusted accordingly.

As for whether domestic drugs are equally effective, expensive drugs cannot be equated with good drugs. Each type of antihypertensive drugs has its own advantages, and good drugs are good when used well.

5. Does hypertension need rest?

Depending on the situation, if the blood pressure is very high, it is difficult to control or has complications, or has been out of mental and brain conditions, you must have a rest or even need to be hospitalized.

For general hypertension patients, if the blood pressure is well controlled, they can work and live normally, including daily exercise. Adherence to exercise is conducive to lowering blood pressure, but attention should be paid to relaxation, improving mental state and sleep.

6. Can I stop taking medicine the day before and on the same day?

You can't stop taking medicine. You can take it as you like at ordinary times, so that the doctor can know whether your medication is suitable or not. If you stop taking the medicine, your blood pressure will definitely rise, and the doctor has no way to figure out whether your blood pressure is not well controlled or because you have stopped taking the medicine.

7. Take medicine if your blood pressure is high, and don't take it if your blood pressure is not high?

Some friends take blood pressure first, take medicine when it is high, and don't take medicine when it is not high, which is definitely wrong. Patients with hypertension should take medicine regularly. If the blood pressure is not high or low, it means that you take medicine properly. If the blood pressure is normal and the drug stops, the blood pressure will definitely rise. If the blood pressure is high, it will take medicine or even increase the blood pressure. If you try this way, the blood pressure will never get better.

8, afraid of side effects, afraid of drug resistance, how to do?

Today's antihypertensive drugs have undergone a large number of clinical verification, and are the best drugs selected from the best. Not only the antihypertensive effect is certain, but also adverse reactions are rare, but any drug may have adverse reactions. It will definitely not work without lowering blood pressure. There will be problems in the heart, brain, kidney, blood vessels and Fundus. Observe carefully during taking the medicine and see a doctor in time if there are problems. It is risky to move forward, but it is more risky to stay where you are. Are you going or not?

The antihypertensive effect of antihypertensive drugs may have individual and ethnic differences, but there is no drug resistance problem after long-term administration.

9. Will the side effects of taking some antihypertensive drugs for a long time increase?

The imagination seems reasonable, but there is no scientific basis. Blood pressure is appropriate, don't change the medicine easily if no adverse reactions are found.

There are also friends who dare not take medicine because they are very young. When will they take it? In fact, the sooner you take the medicine to control your blood pressure, the less likely it is to have problems.

The benefits of antihypertensive therapy come from early detection, early treatment and continuous effective control.

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