Hypertension - Guide Treatment

User treat hypertension

Diagram treatment of Hypertension - 

Treatment consists of two main components: non-drug treatment, drug treatment.

Drug treatment:

* In overweight people: 4.5 kg reduction would reduce or prevent increased HA HA.

* Rich in fruits, vegetables, dairy products low in fat, cholesterol and fat (especially saturated fat) rich in potassium and calcium.

* Exercise:

- Brisk walking for at least 30 minutes a day most days of the week.

- If no target organ damage and when BP was controlled, it can participate in the sport is played.

* Necessarily advise patients to stop smoking.

* Alcohol ethanol 30 ml / day. Beer 360 ml / day. Wines: 150 ml (not cornered weekend drink is always 1).
Drug Therapy

Currently there are many types of antihypertensive drugs: diuretics, beta blockers, ACE inhibitors, angiotensin II thuthe inhibitors, calcium channel blockers, beta-1 blocker, inhibits central sympathetic, Drugs direct vasodilation.

Drug treatment of hypertension:

If lifestyle changes are not effective, it is necessary to use more drugs. The blood pressure medications are proven to reduce the risk of stroke, heart disease and kidney disease. Do not stop the medication without consulting your doctor.

Diuretics:

- Diuretics are widely used to control the case of mild hypertension, and often used in combination with other medicines.

- It increases the salt waste and increase urine output and reduce blood volume.

- The drug is often used: Hypothiazid, Furosemide (Laix, lasilix), Natrilix SR 1.5 mg, 75 mg Aldactone.

It inhibits sympathetic receptor beta:

- Beta blockers help slow the heart rate and reduce the force of contraction of the heart muscle, thereby reducing the pressure generated by the heart.

- It is more appropriate to use in people with coronary artery disease, myocardial infarction, or a history of heart attack, so they can prevent recurrent infarction and sudden death.

- Drugs: Carvedilol 12.5 mg, metoprolol, atenolol, bisoprolol 5 mg

- Side effects: fatigue, depression, impotence, nightmares.

It inhibits the angiotensin II receptor:

- The drug has an effect on the receptor distribution in tissues throughout the body to help prevent angiotensin attached to them, thus preventing muscle contraction effects of angiotensin II.

- Drugs: Losartan 25mg, 40mg Telmisartan, Valsartan, Candesartan, Irbesartan

- Side effects of angiotensin receptor blockers less than the ACE inhibitor cough caused by less than.

Calcium channel blockers:

- There is a muscle relaxant effects in the walls of arteries.

- There is also the effect of reducing the heart's contractions.

- Drugs: Nifedipine, Diltiazem, Verapamil, Nicarddipine, amlodipine, Felodipine.

- Side effects consistent ankle, fatigue, headache, constipation, flushing.

Inhibitors of angiotensin converting enzyme form:

- ACE inhibitors work to stop the production of angiotensin II, a chemical that can be extremely potent vasoconstrictor, causing hypertension

- Drugs: Captopril, Enalapril, perindopril (Coversyl 4 mg), Lisinopril, Quinapril, Fosinopril.

- Side effects are rare but sometimes it will worsen kidney function and increase the amount of potassium in the blood, especially in patients who have kidney damage. ACE inhibitors sometimes cause a dry cough and rarely angioedema (heavy line the airways).

Direct vasodilator

- Helps make vasodilation of blood pressure lower.

- These drugs are given by intravenous route in an emergency (that is used in cases of malignant hypertension).

- Drugs: nitroprusside, diazoxide. Oral medication by mouth as Hydralazine and minoxidil.

The other treatments

These alternative treatments may be helpful for those who want to control blood pressure:

- Acupuncture or physiotherapy techniques are accepted good alternative might be useful.

- The method of relaxation and stress reduction are also recommended. Including meditation, yoga etc ..

- These methods alone are not able to maintain blood pressure within normal limits. Therefore it should not be used as alternative treatments or other medical methods without consulting your doctor first.

Food supplements and alternative medicines are sometimes recommended.

- Such as vitamins, garlic, fish oil, L-arginine, soy, coenzyme Q10, Omega-3 fatty acids.