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How Is High Blood Pressure Diagnosed
It is not uncommon for your blood pressure to go high occasionally however, it is persistently high blood pressure that is a concern. For this reason, if a doctor or nurse takes your blood pressure and it is high but you dont have any risk factors or symptoms, then at least two other separate measurements should be taken before you are diagnosed with high blood pressure.
Before getting your blood pressure taken you should avoid the following for at least an hour before the measurement:
- Strenuous exercise
- Stressful situations.
Sit down for at least five minutes before the reading is taken and dont talk while it is being measured.
Other tests may be ordered if your doctor concludes you have high blood pressure. These may include blood tests, an electrocardiogram, and sometimes a chest x-ray.
Other Medicines For High Blood Pressure
Apart from the five main classes of medicines listed above, sometimes other medicines are used to lower blood pressure. For example:
Methyldopa or alpha-blockers are sometimes used if there are problems with the more commonly used medicines. Doxazosin is an alpha-blocker commonly added when blood pressure is high despite the treated person being on other medicines.
Spironolactone is another stronger water tablet sometimes used as an add-on option for blood pressure which is difficult to control. Spironolactone is not usually given alongside ACE inhibitors or ARBs because the combination can cause potassium levels in the body to become dangerously high. Regular blood tests to check for this are needed if you are on this medication or medicine combination.
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Alto makes it as simple as possible to follow the treatment your doctor recommends. We offer same-day delivery and medication management tools like reminders and auto refills in our app. Our team of patient care pharmacists is also available to walk you through dosage instructions and answer your questions. Reach out via phone at 1-800-874-5881 or in-app messaging to get started.
This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.
All third party trademarks referenced by Alto Pharmacy remain the property of their respective owners. Unless specifically identified as such, Altos use of third party trademarks does not indicate any relationship, sponsorship or endorsement between Alto and the owners of these trademarks.
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What Is The Best High Blood Pressure Medication With The Least Side Effects
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Angiotensin Converting Enzyme Inhibitors
Angiotensin converting enzyme inhibitors are blood pressure medications that inhibit the activity of the enzyme angiotensin converting enzyme , which is important for controlling blood pressure.
Angiotensin II is a very potent chemical formed in the blood by ACE from, angiotensin I. When formed, angiotensin II causes the muscles surrounding blood vessels to contract, thus narrowing the vessels and increasing blood pressure. ACE inhibitors are medications that inhibit the activity of ACE which decreases the production of angiotensin II. As a result, these medications cause the blood vessels to enlarge or dilate, and this reduces blood pressure. This lower blood pressure makes it easier for the heart to pump blood and can improve the function of a failing heart. In addition, the progression of kidney disease due to high blood pressure or diabetes is slowed.
Common side effects of this ACE inhibitors
The other two types of CCBs are referred to as the non-dihydropyridine agents. One type is verapamil and the other is diltiazem .
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Blood Pressure Medication Side Effects
As we get older, many people find that they are taking an increasing number of medications with blood pressure medications being some of the most common. Unfortunately, all medications come with some risks. While blood pressure medication side effects may be mild, there are some more serious concerns to be aware of.
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Beta Blockers And Diuretics
Beta blockers cause retention of sodium and water. Diuretics can cause mild volume reduction that leads to an increase in renin secretion by the kidney. The rationale for combining beta blockers with diuretics is twofold: beta blockers blunt the increase in the plasma renin level that is induced by diuretics, and diuretics decrease the sodium and water retention that is caused by beta blockers.6,20
The combination of a beta blocker and a diuretic produces additive effects compared with monotherapy using either agent alone. A recent study21 assessed the safety and efficacy of antihypertensive therapy using the cardioselective beta blocker bisoprolol alone and in combination with low dosages of hydrochlorothiazide. The dosages of bisoprolol were 2.5, 5 and 10 mg per day. The hydrochlorothiazide dosages were 6.25 and 25 mg per day. The study showed that monotherapy with either agent was more effective than placebo, but that when combination therapy was used, the beneficial effects were greater than when either agent was used alone .21
What Blood Pressure Medicine Has The Lowest Side Effects
by Contributing Writer / in Health
Common in nearly every medication, side effects are no stranger to blood pressure medications as every blood pressure medication has some kind of side effects.
Which blood pressure medication that has the lowest side effects depends on how you react to specific medications and what side effects you find most bothersome.
Most commonly prescribed blood pressure medications have an array of similar side effects. Depending on your health status, you may be able to take a diuretic, which does not have many of the side effects associated with beta blockers, ACE inhibitors, alpha blockers and calcium channel blockers.
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Dietary Approaches To Stop Hypertension
Several studies funded by the National Institutes of Health have found that the DASH diet lowers blood pressure as well as or better than medications. DASH, similar to the Pritikin Program, promotes menus that are high in fruits, vegetables, whole grains, and beans low in fats, salt, cholesterol, red meats, and sweets and moderate in fish, poultry, nuts, and low-fat or nonfat dairy foods.
The NIH researchers found that eight weeks of DASH eating resulted in reductions in blood pressure in all groups of men and women studied. Even those with normal blood pressure had a small drop.
The biggest reductions in blood pressure were observed in the individuals who were hypertensive, emphasizing the fact that diet is a major factor in determining blood pressure in most hypertensive patients, notes Dr. James Barnard, UCLA scientist and author of 200+ studies on the link between lifestyle and cardiovascular diseases like hypertension.
In another part of the DASH studies, three groups of people followed the DASH diet but with varying levels of sodium intake . The researchers found that the biggest drops in blood pressure occurred in the group on the 1,500 mg-of-sodium-a-day diet.2
High Blood Pressure: Which Drug Works Best For You
TUESDAY, July 27, 2021 — Two long used types of blood pressure drugs are equally effective, but the less popular one seems to have fewer side effects, according to a large “real-world” study.
The two classes of medication are both recommended as “first-line” treatments for high blood pressure: angiotensin-converting enzyme inhibitors and angiotensin receptor blockers .
ACE inhibitors have been around longer and studied more extensively, so doctors prescribe them more often.
But the new findings suggest that ARBs might be a better choice for people just starting on medication, the researchers said.
“There was no difference in the effectiveness of the drugs,” senior researcher Dr. George Hripcsak said. “If you’re not having side effects , there’s no need to switch.”
Where they differed was side effects: ACE inhibitors were more likely to cause chronic cough and angioedema â severe swelling under the skin, often in the face.
People on ACE inhibitors were also slightly more likely to have gastrointestinal bleeding or inflammation of the pancreas. But those differences may have been due to chance, cautioned Hripcsak, a professor at Columbia University Vagelos College of Physicians and Surgeons, in New York City.
The study was published online July 26 in the journal Hypertension.