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Types Of Blood Pressure Medicines
There are four main types of medicine to lower blood pressure.
- . ACE inhibitors help to control hormones that play a role in blood pressure control. They help the blood vessels to relax and widen, lowering blood pressure. Most have names that end in pril, for example, enalapril, lisinopril, perindopril and Ramipril.
- . These work in a similar way to ACE inhibitors, controlling the hormones that affect blood pressure, so you probably wont take ACE inhibitors and ARBs at the same time. Theyre usually used if ACE inhibitors are causing side effects. Most have names that end in artan, for example, candesartan, irbesartan, losartan, valsartan and olmesartan.
- . These allow the artery walls to relax, making them wider. This allows more blood to pass through, lowering blood pressure. Most have names that end in pine , for example, amlodipine, felodipine and nifedipine.
- . These are sometimes known as water pills because they remove excess fluid from the body, including from the blood. This means there is less pressure on the blood vessel walls. Most have names that end in ide, for example, indapamide and bendroflumethiazide.
Sometimes these medications wont be suitable, for example if youre pregnant or breastfeeding, if you have certain other health problems, or youre taking other medications which could react with them.
Alternatively, you might need to take another type of medication as well to lower your blood pressure enough.
The other medications available include:
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What Is The Difference Between Otc And Prescription Medicines
Over-the-counter medicines are drugs you can buy without a prescription from your doctor. Most people have used OTC medicines to relieve a headache, soothe an upset stomach, or treat cold symptoms.
Prescription medicines are drugs that you can only buy with a prescription from your doctor. Many people use them to treat temporary health problems like taking an antibiotic for strep throat or to treat an ongoing health condition like high blood pressure.
If your doctor thinks your blood pressure is high enough to need medicine, youll get a prescription. There are no FDA-approved OTC medicines for high blood pressure.
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Be Careful With Supplements Or Natural Remedies
There are no special pills, vitamins or drinks that can substitute for prescription medications and lifestyle modifications. Talk to your health care professional before taking any over-the-counter drug or supplement that claims to lower your blood pressure. They may not work as advertised and/or interfere with other medications. In fact, some can even raise your blood pressure.
Eat Some Dark Chocolate
Yes, chocolate lovers: Dark chocolate has been shown to lower blood pressure.
But the dark chocolate should be 60 to 70 percent cacao. A review of studies on dark chocolate has found that eating one to two squares of dark chocolate per day may help lower the risk of heart disease by lowering blood pressure and inflammation.
The benefits are thought to come from the flavonoids present in chocolate with more cocoa solids. The flavonoids help dilate, or widen, your blood vessels .
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When Treatment Is Recommended
Everyone with high blood pressure is advised to make healthy lifestyle changes.
Whether medicine is also recommended depends on your blood pressure reading and your risk of developing problems such as heart attacks or strokes.
Your doctor will carry out some blood and urine tests, and ask questions about your health to determine your risk of other problems:
- if your blood pressure is consistently above 140/90mmHg , but your risk of other problems is low you’ll be advised to make some changes to your lifestyle
- if your blood pressure is consistently above 140/90mmHg and your risk of other problems is high you’ll be offered medicine to lower your blood pressure, in addition to lifestyle changes
- if your blood pressure is consistently above 160/100mmHg you’ll be offered medicine to lower your blood pressure, in addition to lifestyle changes
How Do Blood Pressure Medicines Work
Blood pressure medicines can work several different ways. Blood pressure medicines can keep blood pressure at a healthy level by1:
- Causing your body to get rid of water, which decreases the amount of water and salt in your body to a healthy level
- Relaxing your blood vessels
- Making your heart beat with less force
- Blocking nerve activity that can restrict your blood vessels
Talk with your health care team about the best type of treatment for you. You may need to take more than one type of medicine to control your blood pressure. You can also talk to your health care team about how long it should take your blood pressure medicine to work.
It is important to take your blood pressure medicine exactly as your doctor tells you to. Do not stop taking your current medicine without talking to your doctor or pharmacist first. Stopping your blood pressure medicine without first talking to your health care team could lead to serious health consequences.
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Try Blood Pressure Support Supplements
A small study in the International Journal of Hypertension found magnesium supplementation can reduce blood pressure in small amountsAladin A, Chevli P, Ahmad MI, Rasool S, Herrington D. Alcohol Consumption and Risk of Hypertension. J Am Coll Cardiol. 2019 73:12. . Talk to your doctor before taking magnesium supplements, especially if you have kidney disease. You can also safely incorporate high-magnesium foods into your diet. Dr. Desai recommends foods like leafy green vegetables and unsalted almonds.
Beyond magnesium, research in the British Journal of Clinical Pharmacology suggests potassium, L-arginine, vitamin C, cocoa flavonoids, beetroot juice, coenzyme Q10, controlled-release melatonin and aged garlic extract may also help reduce blood pressureBorghi C, Cicero AFG.. Nutraceuticals with a clinically detectable blood pressure-lowering effect: a review of available randomized clinical trials and their meta-analyses. British Journal of Clinical Pharmacology. 2017 83:163171. .
Tips For Choosing Suitable Medications
When at the pharmacy, a person should look for medications that do not contain decongestants or NSAIDs other than aspirin. A person should read the product label carefully and look at the active ingredients list. This is where drug manufacturers typically list the drugs and their effects.
A person should also avoid medications that are high in sodium. These ingredients can also increase a persons blood pressure.
Some medications, such as NSAIDs, have warning labels on the packaging. The warning is about how the medication may increase a persons blood pressure. People with hypertension or heart disease should avoid any medications that have this label.
Finally, if a person is not sure, they can ask the pharmacist or their doctor. They should mention any conditions they have, such as hypertension or heart disease, as well as any medications they are taking. The pharmacist or doctor will then outline which medications are safe for the person to take.
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Decrease Your Salt Intake
Salt is the enemy of high blood pressure, says Dr. Desai. When you eat too much salt, it increases the amount of fluid that enters the bloodstream and arteries from the surrounding tissue, which raises the pressure in the arteries.
While you may not have to remove salt from your diet completely, avoid foods very high in salt like chips, French fries, salted nuts, soups, store-bought salad dressings, processed foods and cheese.
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- How To Help Hypertension
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Look For Warnings Related To High Blood Pressure Or Hbp Medication
Always read the labels on all over-the-counter medications, especially if you have high blood pressure . Look for warnings to those with high blood pressure and to those who take blood pressure medications. If you have high blood pressure and certainly if you are on prescription medication, consult your health care professional before taking any OTC medications or supplements.
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High Blood Pressure In Older People
The target blood pressure reading for the over-80s is below 150/90 mmHg when its measured in the clinic or surgery, and below 145/85 mmHg for home readings.
While there are definite benefits from taking medicines to reduce blood pressure if youre under the age of 80, its less clear its useful if youre over 80.
Its now thought that if you reach 80 while youre taking medicine for high blood pressure, its fine to continue treatment provided its still helping you and is not causing side effects.
If youre diagnosed with high blood pressure and youre aged over 80, your doctor will also consider your other health risk factors when deciding whether to give you treatment for the high blood pressure.
Page last reviewed: 23 October 2019 Next review due: 23 October 2022
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Some Other Good Moves
Some studies suggest that calcium and potassium supplements lower blood pressure. Because the scientific data are mixed, we cant recommend a dosage or confidently say that calcium and potassium will reduce blood pressure.
For some people, 500 mg of vitamin C and 400 to 800 mg of magnesium oxide are helpful.
Chocolate lovers can celebrate this finding: About an ounce a day of seriously dark chocolate thats chocolate with a cocoa content of at least 70 percent tends to improve blood pressure.
Breathing techniques, such as yoga and meditation, can relax the blood vessel walls and reduce blood pressure. A device called Resperate uses timed breathing three times weekly to effectively help many people reduce blood pressure, as well.
After youve worked on these lifestyle modifications for three or four weeks, ask your health care provider to recheck your blood pressure. Most people can expect to see clear, sustainable improvement.
An aside: We dont much like taking medications, either. But if you end up needing blood pressure medicine to achieve a healthy blood pressure, dont be discouraged. The medicines are effective and safe, and they present only mild side effects, if any. Studies comparing older and newer blood pressure medicines found that one of the oldest and cheapest classes of drugs was as good as, or better than, the newer, more expensive ones.
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