Hypertension five " should not "

A: medication should be relatively stable, not to frequent change. When undiagnosed hypertension, will be in comprehensive analysis, comprehensive judgement basis, combined with the life, work characteristics, it differs from man to man. The choice of drugs. Treatment of initial, generally with a single kind of antihypertensive drugs, from the lowest dose used. If the low dose monotherapy responded well, but the blood pressure control is not ideal, may be appropriate to increase the dose, keep blood pressure below 130/80mmHg. Of course, elderly patients due to in vivo arterial wall stiffness and other special pathology group elements, want to ideal blood pressure values, not too easy, so it may be appropriate to relax, but still with no more than 140 / 90mmHg is appropriate. Because drop a little a bit good. The worried antihypertensive agents with antibiotics, long-term use to produce resistance and often change the dressing eating practices is not based on science. There are frequent dressing is noncompliant listen to others ( friends and patients ), as the drugs such as food, take the medicine today, tomorrow for the drug, arbitrary, more is not desirable.

Two : medication should reach the designated position, do not easily nullified. The so-called " in place " refers to the regulation of drug use, although some patients with hypertension in medication, but the blood pressure with a business is not good, investigate its reason, although drug selection and correct, but is not normative administration. One is taking meal number problem. To understand the long-acting formulations with short-acting preparations of the dosing interval, if the daily must take 3 times of short-acting drugs plus compound hypotensive tablet, Zhenjujiangya tablets such as long-acting formulations, only to take 1 to 2 times a day, and how to take effect? Two dose. According to blood pressure control, some small doses can increase dosage, some will work. It depends on the level of blood pressure, and the drug sensitivity differences related to individual. Medication in place should take into account in hypertension patients complicated with hyperlipidemia and / or diabetes should be at the same time, lipid-lowering and / or sugar, to be effective in the control of blood pressure. And so on, when under the guidance of a doctor, the analysis reason, seeks the countermeasure is invalid, don't rush to conclusions.

Three: combined use of drugs, do not repeat medication. The modern treatment of hypertension drugs can be divided into six categories: A, diuretics, such as K, indapamide, B. β- receptor blockers, such as ammonia phthalein amine, heart of Betaloc; C, a calcium antagonist, such as diltiazem, nifedipine, nimodipine; D, angiotensin transfer enzyme inhibitors such as captopril and enalapril,,; E, adrenergic blocking agents, such as prazosin, terazosin; F. angiotensin-converting enzyme receptor antagonist losartan, irbesartan, Jie, such as. Combination refers to the above two categories of medicine collaborative use rather than the same kind of medicine repeatedly take. Drug combination is designed to increase the curative effect, reduce side effects. It is often in standardizing the use of single drug efficacy under poor methods, using terminology of TCM which can be called " on medicine ". Such as calcium antagonist and βreceptor blocker combined with nifedipine and metoprolol, Kezhi on drugs, angiotensin-converting enzyme inhibitors and diuretics combined with compound antihypertensive agents, patients -- Open Foote in captopril and two on the medicine and so on. And the same kind of medicine administration, is a poor effect, two side reaction increased, to avoid decompression. If the same clothes belong to the C class of antihypertensive drug nifedipine and nimodipine, some with clothes containing both clonidine antihypertensive component often hypotensor and Zhenjujiangya tablets, should be corrected.

Four: to measure blood pressure, medication adherence, don't eat and stop, play fast and loose " ". Some patients achieve the ideal drug effect, is careless, neither regular measurement of blood pressure, often missed dose, lack of persistence. Notice everything is changing, so is the intelligent part of the universe man, he ( she ) has both biological properties, is the social sense of the people. Their daily life, work environment, interpersonal factors can affect the physiological, psychological and produce corresponding change, also make blood pressure fluctuation. As busy work, the emotion will increase the blood pressure; some eat more animal fat also appear this kind of circumstance; is a seemingly and hypertension irrelevant meteorological factors, essence and blood pressure fluctuation is very close (to which the author has made a study of the first hospital of factories and mines, well in academic exchanges, this does not make them ). Every this a variety of, ask patients must measure blood pressure frequently, if necessary, adjust the dosage. To pay attention to this situation, patients in the sustained drug norms, accidental withdrawal in a few days, found that blood pressure is normal, that the "root cause has in addition to stop medicine ", however, this is only drug " follow-up effect " the temporary role, it can not be arbitrarily stop medicine.

Five: before going to the "dilution ", not excessive pressure. The so-called " dilution " metaphor refers to the use of drugs to reduce the blood viscosity and platelet aggregation. Authoritative information, the majority of 24 hour blood pressure variation in the Shuangfeng Valley type. That morning for the first peak at 8-9, 5-6 p.m. for a small peak, midnight is at a low ebb, nocturnal blood pressure than daytime blood pressure drops about 10%. " All night with human dynamic static " biological clock properties. Clinically, a large number of cardiovascular events often occur in the blood pressure in the first peak period, should be used to cover the period of antihypertensive drugs, the use of long-acting antihypertensive drugs have their unique advantages, and take the short effect of antihypertensive drugs, should pay attention to the medication time intervals not too long. As for the evening medication should be heavy " dilution ", namely to attach importance to reduce the blood viscosity and platelet aggregation, such as strengthening the enteric-coated aspirin and Chinese medicinal herbs for promoting blood use. Dinner should be light, can also be drinking an appropriate amount of white boiling water, aimed at " dilution " blood, this essential hypertension complicated with hyperlipidemia or in patients with hyperviscosity is particularly important to play, because the high viscosity of blood flow is slow, if excessive pressure will increase blood circulation power is low, easy occurrence of ischemic stroke.

To make a long story short, in the treatment of hypertension should pay attention to the rational use of drugs. Of course, with complementary therapies are not to be taken lightly, its core is the WHO/ISH emphasized ramming four healthy cornerstone namely reasonable nutrition, smoking cessation Jijiu, proper exercise and psychological balance. Should patients caused enough take seriously! As Chinese Hypertension League president Liu Lisheng to teach chief editor " hypertension " in one book incisive point out: prevalence of hypertension than the laws of nature, but of human life against the laws of nature have been a punishment, as long as the understanding of this point and face it, humans are completely to take the initiative to prevention and treatment of hypertension.