Too High: Side Effects Hamper Many Blood Pressure Medications
Its a wonder anyone takes their blood pressure medications when you look at the required package inserts that list all of a medications possible adverse effects: headache, diarrhea, hair loss, rash, itching, cough, weakness, dizziness and more the lists are long and intimidating.
Side effects are common with these medications, although they dont happen with everyone and are usually not severe. But even minor side effects can reduce a patient’s motivation to take their medications consistently. The drugs are effective at preventing heart attacks and stroke, so its important that patients take them as prescribed.
Lets find out more about Margarets experience with side effects from her drugs :
Margarets a 53-year-old with high blood pressure and was first treated with lisinopril seven years ago. This medication worked well at first, but caused an annoying dry cough. When her lisinopril was no longer adequate to control her blood pressure, her doctors started a second drug, amlodipine. She noticed occasional swelling in her feet and ankles, especially after prolonged standing at work. Both drugs reduced her interest in sex.
Some side effects occur with many medications for hypertension, while others are specific to different classes of high blood pressure drugs. Some of the most frequent side effects include:
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What Is A Baroreceptor
A sensor is located in the enlarged portion of the internal carotid just after it divides with the external carotid artery. It senses the blood pressure and released the information to the brain through sympathetic nerves. It is a receptor that is excited by stretching of the artery and with its connection to the brain, it influences cardiac output and vascular tone so that the proper blood pressure can be maintained.
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How Blood Pressure Is Measured
Blood pressure is measured with an instrument called a sphygmomanometer, through which the user listens for the sound of the force of blood in the patients arteries when the heart beats . Measured in millimeters of mercury , systolic pressure is the top number in your blood pressure reading. The second, or bottom number, is the pressure in the arteries of the heart at rest the diastolic pressure. Generally, as an adult, you are considered to have high blood pressure if your systolic pressure reading is greater than or equal to 140 mm Hg or if your diastolic pressure is greater than or equal to 90 mm Hg. But for every 20 mm Hg your systolic pressure raises above 115, and for every 10 mm Hg your diastolic pressure rises over 75, your risk of cardiovascular disease doubles so lower pressures are generally better.
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What Are The Most Common Side Effects Of High Blood Pressure Medications
Side effects vary with the class of high blood pressure medication. In general, when you lower your blood pressure, side effects such as dizziness and lightheadedness are possible.
Some classes have very specific side effects. For example, diuretics can increase urination, while ACE inhibitors can cause a dry .
If you notice any new or unusual symptoms after starting a new medication, contact your doctor.
Treatment Of High Blood Pressure: What Is The Problem
Over 85 million adults in the United States have hypertension and about 20% are not aware of it. It is a major modifiable risk factor for cardiovascular disease and stroke. The direct and indirect costs of hypertension are very significant. Hypertension can be linked to 50% of cardiovascular disease and 75% of strokes. High blood pressure costs the nation 46 billion dollars each year in healthcare services, medication and missed days of work. It is labeled the silent killer. Most of the time there are no obvious symptoms. High blood pressure does not cause headache or nosebleeds except in cases of hypertension emergencies when blood pressures can reach 180/110mmhg.
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Fda Issues List Of ‘safe’ Blood Pressure Meds
April 5, 2019 — The FDA on Thursday issued a list of 40 blood pressure medicines it found free of contamination with the chemical nitrosamine, an ongoing issue that has triggered several medication recalls since last summer.
The list is meant to help doctors make treatment decisions, but a cardiologist not involved in its creation says it should also spur patients to take action and be sure their doctors and pharmacies are not still giving them tainted medicines.
The drugs involved are medicines that lower blood pressure in a family of drugs known as ARBs , which work by blocking the effect of angiotensin, a protein hormone that constricts blood vessels and raises pressure. The drugs are also used to treat heart failure and other problems.
Nitrosamines are environmental contaminants also found in water and foods they are classified as substances that could cause cancer. In its ongoing review of the issues, the FDA says that “the maximum possible exposure to nitrosamines ⦠in ARB medicines appears to be small,” but their presence in drug products is not acceptable.
The problem came to light last July, when the FDA announced a voluntary recall of several medicines containing valsartan when the impurities were found.
Make Lifestyle Changes First
Even if you don’t have high blood pressure, it’s important to take steps to keep it under control because it tends to get higher with age. That’s especially important if you’re 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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Here’s the dirty little secret about blood pressure drugs your family doctor will NEVER tell you: Dr. Marlene Merritt, LAc, DOM, MS Nutrition |
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What Are The Four Worst Blood Pressure Medicines: How Many Times A Week Should I Exercise To Lower Blood Pressure
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What Is The Treatment Of High Blood Pressure
The American Heart Association has made hypertension a primary focus to seek to improve cardiovascular death and stroke and reduce cardiovascular events by 20% by 2020. The AHA is promoting evidence based management algorithms to standardize treatment that includes lifestyle modifications in all hypertension patients. This includes weight reduction, adoption of DASH eating plans by consuming a diet rich in fruit, vegetables, low in saturated fat and low in salt intake . It also includes regular physical activity most days of the week and moderate alcohol consumption . It also promotes system level of tracking hypertension control with feedback to providers, frequent updating and the adoption of single pill combination.
According to the updated guidelines, medical treatment should be started for patients with stage 1 hypertension and clinical cardiovascular disease or a 10-year risk of atherosclerotic cardiovascular risk of 10% or greater, as well as for those with stage 2 hypertension. Pharmacological treatment should include a thiazide diuretic, calcium channel blocker, ACE inhibitor or angiotensin receptor blocker. If the target blood pressure is not reached with one medication, the dose should be increased or a second medication should be added.
How Do Doctors Know If The High Blood Pressure Medication Is Working
After starting treatment, your doctor will regularly monitor your blood pressure. It may be necessary for them to adjust the dosage, change drugs, or add a second drug to control your blood pressure.
Your doctor can choose a second drug from any of the first-line classes. In some cases, they may need to consider another antihypertensive class, such as a beta-blocker.
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Why Is My Blood Pressure Still High On Medication
There are a number of reasons why your blood pressure may still be high when youre taking blood pressure medication. Reasons why it seems your high blood pressure medication isnt working include:
- You may need two, three or four different antihypertensives.
- Youre not taking them every day.
- Youre taking multiple drugs, but they work the same way.
- Youre eating too much salt.
- A drug youre taking makes your body retain salt.
- Youre not taking a diuretic.
- You may have a condition called secondary hypertension, which means high blood pressure caused by a different problem with your body . If your blood pressure is very high after multiple medications are being used, this is something you should ask your doctor about.
- Other drugs or herbs may prevent your blood pressure medication from working.
- Recreational drugs can raise your blood pressure.
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Are Blood Pressure Medications Right For You
When youre first diagnosed with high blood pressure you might not need to take medications. Your doctor or nurse might suggest you make healthy changes to your lifestyle first, which could be enough to lower your blood pressure to a healthy level, but if thats not enough on its own, they may suggest you take medications as well.
The role of blood pressure medicines is to lower your risk of heart disease, stroke, and other health problems. So, whether you would benefit from them depends not only on your blood pressure, but on your overall health and risk of disease. Your doctor will consider a number of things, including:
- what your are
- your age, ethnicity, family history and lifestyle
- any which raise your risk of heart attack or stroke, such as high cholesterol, being overweight, diabetes, kidney problems and diseases of the blood vessels such as coronary heart disease
- if members of your family have high blood pressure, strokes or heart attacks, or have done in the past
- any other illnesses you may have and medications youre taking, and any side effects
How high does your blood pressure need to be before starting medications?Your doctor will consider your when deciding whether to prescribe medications.
Your doctor will want to bring your blood pressure down to a target level, for example around 140/90mmHg.