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So What Do You Do Now Especially If You Are On Ace Inhibitors
First, you might want to talk to Dr. about getting off of the ACE inhibitor.
You can try one of the older and even better drugs.
Some of the older blood pressure medications work just as well or better than ACE inhibitors.
And they dont have the same erection destroying properties as ACE inhibitors do.
Plus, your blood pressure may be saving your life.
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Can You Take Niacin With High Blood Pressure Medicine
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Take The Right Medicines
If a healthy diet and lifestyle changes alone don’t lower your blood pressure enough, or if your levels are very high to begin with, you should consider medication. The drugs used to treat high blood pressure are effective and relatively safe, and most are available as low-cost generics. But they can cause side effects, as listed in the table below.
Many doctors will recommend initial treatment with a group of drugs called thiazide diuretics, sometimes known as “water pills.” Studies have consistently shown these drugs work for most people who take them, have been used for more than 50 years, are inexpensive, and have a very good safety record. In addition, they outperform all other types of high blood pressure drugs in reducing the risk of death from heart failure.
Still, many doctors routinely prescribe other blood pressure medicines, including newer, more expensive ones. In addition to thiazide diuretics, the guidelines this report is based on recommend three types of drugs for potential initial treatment, or if a second drug is needed to lower your blood pressure. They are: calcium channel blockers angiotensin-converting enzyme inhibitors and angiotensin receptor blockers .
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Make Lifestyle Changes First
Even if you dont have high blood pressure, its important to take steps to keep it under control because it tends to get higher with age. Thats especially important if youre a black American or have a family history of the condition, since both sharply increase the risk of developing it. And a healthy diet and lifestyle are essential if you already have high-normal readings. For people with high blood pressure, lifestyle measures can sometimes reduce or even eliminate the need for drugs. For example, research has found that the DASH diet can be as effective as medication for some people with mild hypertension. This relatively low-sodium diet relies on fruit, vegetables, and low-fat dairy products. The potassium in those foods, and possibly the calcium, too, appear to help control blood pressure. For people with normal blood pressure and no heart disease or stroke risk factors, the suggested 2,400 mg daily sodium limit, achievable by adopting the DASH diet alone, might help ward off the upward creep of blood pressure that can occur with age. Other steps include losing excess weight, exercising regularly, and drinking alcohol only in moderation, as shown in the table below.
|Aim for a body mass index under 25.
|2.5 to 10 mmHg for about every 11 pounds
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What Is The Best Antihypertensive Medication
The best antihypertensive medication is the one that works best for you and your specific situation. Everyone has different health problems. What works well for one person may not work well for another. You may need two or three different antihypertensive agents to bring your blood pressure into the normal range.
A note from Cleveland Clinic
High blood pressure is a very common medical problem. Half the adults in America have high blood pressure. Blood pressure medications are very helpful in controlling high blood pressure. That helps prevent heart failure, heart attack, stroke and kidney failure. Your healthcare provider will work with you to find the antihypertensive medication thats best for you. Be sure to keep taking it every day and go to all of your regular checkups.
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How Is Resistant Hypertension Treated
Treatment options for resistant hypertension or pseudo-resistant hypertension depend on your underlying conditions and how well you tolerate various medications. Treatments include:
- Addressing any conditions that may have caused the hypertension.
- Making lifestyle changes
- Adjusting medications to find your optimal type and dosage
Medicines All Horrible Side Effects Advice Sought
My first ever post about hypertension. I have always had high blood pressure since my 20’s. Now 37 the doctor has felt compelled to do something about it. Sadly, taken the meds has reduced me from happy asymptomatic well-being to each day plagued with nasty side effects. I am mindful of the importance of reduced BP but the treatment is literally killing me and Im about to quit. What should I be saying to my doc? What have other people experienced? Is it worth seeing a cardiologist or someone more specialised than my GP?
On the whole I am fit and healthy, Im active eat a balanced diet with fresh meat, fruit and veg. Do travel a lot with work which means managing Salt is difficult because Im not preparing food, but on the whole I am not eating junk.
So blood type A Rhesus Neg Ive heard Rhesus neg tends to naturally have higher BP?
BP before meds has been worst 234 / 168 and usually 185-195 over 110-130 it near to normal medicated.
So the 4 meds are:
Currently on Losartan, terrible numbness / pins needles, lost grip in hand, headache, super tired and kidney pain
Previously – Nifedipine, acute shooting pain in chest up left side of neck and down left arm
Amolodipine – massive oedema in feet and ankles to the point I couldnt get my trousers on!
Thanks in advance for your help
2 likes, 28 replies
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Death Risk Increased With Two Blood Pressure Drugs
High blood pressure, or hypertension, is a major risk factor for heart disease, the leading cause of death in the United States. But a new study has found that two classes of medication that are commonly used to lower blood pressure could present a death risk all on their own.
Scientists at the Intermountain Medical Center Heart Institute in Salt Lake City, UT, found that individuals with hypertension who used alpha blockers and alpha-2 agonists to control their blood pressure showed an increase in blood pressure variability, which could increase mortality risk.
Lead study author Dr. Brian Clements and team have recently presented their findings at the 2018 American College of Cardiology Scientific Sessions, held in Orlando, FL.
Blood pressure is the force of blood that pushes against the wall of the arteries. And, in November last year, the American Heart Association and the ACC set new guidelines.
Now, a person is considered to have hypertension if their systolic blood pressure is 130 millimeters of mercury or higher, and their diastolic blood pressure is 80 mmHg or higher.
Systolic blood pressure is the force of blood against the artery walls when the heart is beating, while diastolic blood pressure is the force of blood when the heart is at rest, or between heartbeats.
According to the new study from Dr. Clements and colleagues, certain types of medication that are used to lower blood pressure may be contributing to this mortality risk.
How Much Weight Do You Gain On Beta Blockers
Yes. Weight gain can occur as a side effect of some beta blockers. The average weight gain is about 2.6 pounds . Weight gain is more likely with older beta blockers, such as atenolol and metoprolol .
Can you drink coffee with beta blockers?
While on beta-blockers, you should also avoid eating or drinking products that have caffeine or taking over-the-counter cough and cold medicines, antihistamines, and antacids that contain aluminum. You should also avoid drinking alcohol, because it can decrease the effects of beta-blockers.
How long do beta blockers last?
These are usually taken once a day, and the effects last for 24 hours. There are also immediate-release pills that begin releasing the drug into the blood soon after being taken. These are taken in multiple doses throughout the day.
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Check With Your Doctor
Of course, people can use a pill splitter to divide most of these pills into halves or quarters. But don’t do this on your own, cautions Dr. Gibson. This is especially important for people who have heart disease, because blood pressure medications are the cornerstone therapy for treating many heart conditions, including heart rhythm disorders and heart failure.
But if you don’t have heart disease, it’s worth asking your doctor about the possibility of lowering your blood pressure medication dose. “Ideally, people should be prescribed the lowest effective dose of any medication they take,” says Dr. Gibson. During any routine office visit, be sure to review all your current medications with your physician and discuss any side effects you are experiencing.
But reaching that lower goal leaves people more prone to side effects especially fatigue, dizziness, and fainting, which can occur when blood pressure dips too low, says Dr. Gibson. Also, each class of blood pressure medication has its own side effects. For instance, some diuretics can cause excessive urination, although this usually improves after a few weeks. However, other side effects such as erectile dysfunction from beta blockers, leg swelling from certain calcium-channel blockers, and cough from ACE inhibitors tend to persist. When these occur, doctors often switch the person to a different class of blood pressure drug.
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