Principles of selection of drugs for hypertension
Antihypertensive drugs today very much. What are the characteristics of this class of medicines? First, their impact individually so that the therapeutic effect of one drug is often unpredictable. Secondly, they all have many side effects. Thirdly, it is very important the exact dosage.
So choose the medication, reducing blood pressure, we have only empirically, by trial and error. In addition, we need to make adjustments in treatment regimens, because with age the body gets used to the drugs and they do not help.
All of this only by a professional physician. The patient, especially the elderly, are not able to understand the intricacies of classifying all of these angiotensin-converting enzyme inhibitors, beta-blockers, calcium antagonists and angiotensin receptor...
And it is not necessary. Hypertension, as this or any other disease, it is necessary that the patient actively cooperate with the doctor. This cooperation should occur? First, in exact fulfillment of all medical prescriptions. Second, the regular independent control of pressure at home. Every hypertensive should have a blood pressure cuff and know how to use it.
You should also know the General principles of selection, acceptance and verification of the effectiveness of antihypertensive drugs. Taking medications, you should always start with smaller amounts, even with 1/2 the recommended dose, especially for elderly people. And gradually increase the dosage until the expected therapeutic effect. It is possible to judge not a few days after the start of the reception, and a week or two.
If a moderate amount of medication isn't working, do not increase the dose yourself, do not take it more often, and tell your doctor. It will replace this medication or prescribe an additional drug other spectrum.
If the medication well reduces pressure, but causes severe side effects, it is also necessary to tell the doctor and ask him to make the change.
Characteristics of antihypertensive drugs
They are divided into 7 main classes, although its ability to lower blood pressure do not differ from each other dramatically. But, since patients respond differently, the plurality of medicinal options allows effectively enough to stabilize the pressure of the majority of hypertensive patients.
The most common drugs – "pily": "Captopril", "enalapril", lisinopril", etc. Is an effective medication, they are well reduce the pressure, not ucasa at the same rate. "Captopril" and is particularly effective as an ambulance when you want to quickly lower very high blood pressure. But "by-catch" has a serious drawback: in many, they cause bad cough and require replacement.
Often "prilly" replace "certname". "Valsartan", "Eprosartan", "Losartan", "Lozap", Lunesta is a whole family of similar drugs that are no stronger "by-catch", but are more expensive and rarely cause a cough.
Another class of drugs – "prolly": "Birol", "Nebiler", "Konkor", "Coronal", "egilok". Reducing pressure, they prevent the tachycardia, so they are often prescribed when hypertension is associated with angina pectoris, arrhythmia.
Another group of drugs – amlodipine options: "norvasc", "Sakur", "Lekamen". It is a good medication, but they often cause swelling of the limbs and also require cancellation. This disadvantage suffers less "es Cordy Core."
But the preparations of nifedipine considered obsolete, and many doctors have not prescribed its derivatives: "Cordipin", "Corinfar", "Kordofan", "Cordaflex". As "Clonidine" – it acts on the brain and causes drug dependence.
For maximum therapeutic effect high blood pressure is usually prescribed one or two different drug classes in combination with diuretics.