When to discontinue antihypertensive drugs

In China, primary hypertension, the etiology is not clear in the patients with hypertension hypertension accounted for more than 95% of the total. Because of its cause is unknown, so the lack of treatment in the light of the pathogeny of radical treatment method, the current antihypertensive drug treatment is only symptomatic treatment, the medication can control blood pressure, after stopping blood pressure often returned to baseline levels. Therefore, in order to ensure the normal blood pressure, hypertension patients generally require prolonged antihypertensive drug maintenance treatment.

Taking drugs to make blood pressure control at normal levels, does not mean that hypertension disease has been cured. In other words, there is no cure for hypertension disease, can only rely on the rational treatment of the patients with sick sickness.

Treatment of hypertension : the most basic principle is to use the minimum necessary amount of antihypertensive drugs, namely the control of blood pressure at a suitable level, with available programme long-term maintenance treatment. If can be simultaneously adjusted life behavior such as restriction of salt intake, reasonable exercise and weight reduction, antihypertensive drugs can be a gradual reduction.

In general, antihypertensive drug reduction should follow the basic principle is: to maintain blood pressure at a suitable level for at least a year 's time, and can keep the salt restriction, exercise and weight control measures. On this principle, it may be prudent to exercise discretion to reduce the species and dosage of antihypertensive drugs. More types of larger doses of medication or, should be gradually reduced, to

To prevent blood pressure rebound and increase further therapeutic difficulties.

Elderly patients due to drugs in liver metabolism slows down or discharged is reduced, to guard against the drug accumulation may enhance the antihypertensive effect, while the heart, brain, kidney and other important organs for ischemia of decreased tolerance, so the use of antihypertensive agents to starting from a small dose, a slow but steady decrease blood pressure, beware of hypotension.

Antihypertensive drugs reduce the extreme case is stopped. The report thinks, about 10% ~ 20% of the light, moderate hypertensive patients could discontinue antihypertensive drugs, general application of small dose single antihypertensive drug maintenance treatment, is very likely to discontinue antihypertensive drugs. However, withdrawal should be under the guidance of doctors cautiously. After stopping should continue to monitor the blood pressure regularly, at the same time correcting bad habits, do not smoking, less drinking, diet nutrition should be balanced, regular exercise, weight control, or blood pressure to increase again.

In short, the control of blood pressure in the ideal range should be regular monitoring of blood pressure, the timely adjustment of antihypertensive drug types and dosage, insist on taking the minimum necessary amount of antihypertensive drug maintenance treatment. Inappropriate discontinue antihypertensive drugs have anti blood pressure rise risk, will bring difficulties to the treatment.