Heart Attack And Heart Disease
High blood pressure can damage your arteries by making them less elastic, which decreases the flow of blood and oxygen to your heart and leads to heart disease. In addition, decreased blood flow to the heart can cause:
- Chest pain, also called angina.
- Heart attack, which happens when the blood supply to your heart is blocked and heart muscle begins to die without enough oxygen. The longer the blood flow is blocked, the greater the damage to the heart.
- Heart failure, a condition that means your heart cant pump enough blood and oxygen to your other organs.
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.
Does High Blood Pressure Lead To Weight Gain
Some high blood pressure medications can, in fact, lead to weight gain. Common offenders include older beta-blockers such as propranolol and atenolol . There could be several reasons for this — including the fact that the medications can make patients feel tired and thus less likely to exercise.
- Minoxidil tablets — used only when other antihypertensive medications have failed — can also cause weight gain.
- Weight gain is also listed as a common side effect of doxazosin . Diuretics are more likely to cause weight loss.
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Overviews Of The Classes Of Blood Pressure Medications
Summaries of some of the major types of commonly prescribed cardiovascular medications are provided here.
- For your information and reference, we have included generic names as well as major trade names to help you identify what you may be taking. However, this information does not signify a recommendation or endorsement from the American Heart Association.
- If your prescription medication isnt on this list, remember that your healthcare provider and pharmacist are your best sources of information.
- It’s important to discuss all of the drugs you take with your doctor and understand their desired effects and possible side effects.
- Never stop taking a medication and never change your dose or frequency without first consulting your doctor.
British Columbia Specific Information
High blood pressure, also called hypertension, can damage your blood vessels, heart and kidneys. This damage can cause a heart attack, stroke or other health problems. Your blood pressure reading is based on two measurements called systolic and diastolic. The systolic and diastolic are written as a ratio, for example . A reading of more than 140/90 mmHg taken at your healthcare providers office may indicate high blood pressure. This figure is different for people with diabetes whose blood pressure should be below 130/80 mmHg. People suffering from other illnesses will have different target normal values. For more information on hypertension, visit the Heart & Stroke Foundation and Hypertension Canada.
Healthy lifestyle choices can help lower your blood pressure and improve your health. For information on healthy eating for lowering your blood pressure, see:
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How To Treat Sinus Headache If You Have Both High Blood Pressure And Are Taking Thyroid Medicine
- 17 Jan 2015 by Dan2525
Mucinex Cold & Sinus, can cause or raise blood pressure, I take thyroid medicine you could take it with that, I would consult with your Doctor before taking it, there are some over the counter medâs that you can take with high blood pressure, clorcentin is one, I know I didnât spell that right, you could also call the drugstore and ask them Iâm sure they would know what would be best for you to take.
Ask your doc or pharmacist about taking Claritin â itâs okay for HBP, but Iâm not sure about the thyroid.
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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 .
A 2010 study of 14,310 people found that individuals without hypertension who ate more dark chocolate had lower blood pressure overall than those who ate less dark chocolate (
For some people, getting a good nights sleep isnt easy. There are many ways to help you get restful sleep. Try setting a regular sleep schedule, spend time relaxing at night, exercise during the day, avoid daytime naps, and make your bedroom comfortable .
The national Sleep Heart Health Study found that regularly sleeping less than 7 hours a night and more than 9 hours a night was associated with an increased prevalence of hypertension. Regularly sleeping less than 5 hours a night was linked to a significant risk of hypertension long term .
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Don’t Rely On Supplements
While a diet rich in potassium and possibly calcium can help control blood pressure, it’s unclear if supplements have the same effect. And some recent research suggests that too much calcium from supplements might increase the risk of heart disease and other health problems.
As for potassium, the form in supplements might not have the same effect as the kind in foods. And too much of it, even from food, can cause problems for people with heart failure or kidney disease, and for those who take certain blood pressure drugs, including ACE inhibitors, angiotensin receptor blockers, and potassium-sparing diuretics such as spironolactone . So talk with a doctor before increasing your intake.
If you take diuretics, your doctor may prescribe a potassium supplement, because those medicines can lower potassium levels.
High Blood Pressure Chart
The chart below shows measures for normal and high blood pressure, according to the American Heart Association .
Doctors measure blood pressure in millimeters of mercury .
Systolic pressure measures the pressure in the arteries as the heart contracts and is the top number on a blood pressure reading. Diastolic, which is the lower number, represents the blood pressure when the heart is resting between beats.
- congenital conditions, such as Cushings syndrome, acromegaly, or pheochromocytoma
Sometimes, there is no apparent cause. In this case, a doctor will diagnose primary hypertension.
Consuming a high fat diet, carrying excess weight, drinking a lot of alcohol, smoking tobacco, and the use of some medications also increase the risk.
Treatment will depend on several factors, including:
- how high the blood pressure is
- the risk of cardiovascular disease or a stroke
The doctor will recommend different treatments as blood pressure increases. For slightly high blood pressure, they may suggest making lifestyle changes and monitoring the blood pressure.
If blood pressure is high, they will recommend medication. The options may change over time, according to how severe the hypertension is and whether complications arise, such as kidney disease. Some people may need a combination of several different medications.
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Nonprescription Products To Avoid With Hypertension
W. Steven Pray, PhD, DPhBernhardt Professor, Nonprescription Products and DevicesCollege of Pharmacy, Southwestern Oklahoma State UniversityWeatherford, Oklahoma
Researchers have charted an alarming rise in the number of persons with hypertension. For example, the number rose by 30% from 1994 to 2000.1 The CDC estimated the percentage of noninstitutionalized adults aged 20 years and above with hypertension to be 32%.2 The number of ambulatory visits that have hypertension as the primary diagnosis is estimated to be 40.5 million.2 In 2006, there were 23,855 deaths due to hypertension, or 8 per 100,000 population.2
The National Institutes of Health has provided this hypertension advice for the lay public: Most of the time, high blood pressure can be controlled with medicine and lifestyle changes.3 Of course, this optimistic statement assumes that patients do not unknowingly take any action that would raise their blood pressure. For instance, some nonprescription medications may cause dangerous rises in blood pressure, and the labels reflect that danger by recommending that patients speak to a physician before using them. However, some patients ignore the labels completely. Others may choose to ask the pharmacist about the warning. For this reason, it is important for pharmacists to be aware of which products carry the warning and which alternative products may be recommended.
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Classes Of Blood Pressure Medications
Drugs that treat high blood pressure are known as antihypertensives. There are many so-called classes of antihypertensives and many drugs within each class. This results in a large number of drugs doctors can use to treat high blood pressure. To assist doctors in choosing treatment, they follow guidelines and recommendations from experts in the field.
Commonly prescribed classes of medications include:
Thiazide diuretics. These drugs work by increasing the amount of fluid the body eliminates through urination. A lot of people call diuretics water pills. By also reducing your bodys volume of blood, pressure on the artery walls decreases. Common side effects of diuretics are increased urination, , dizziness, and sensitivity to sunlight.
Calcium channel blockers. This class relaxes blood vessels and decreases heart rate. Possible side effects include heart , , , , and dizziness.
ACE inhibitors. These drugs block an enzyme to reduce the bodys amount of angiotensin. Less angiotensin helps relax blood vessels. Common side effects of ACE inhibitors are skin and a dry .
Angiotensin II receptor blockers. This class directly blocks angiotensin to relax blood vessels. Common side effects are and lightheadedness, especially when standing up from a seated position.
Beta blockers. These drugs block adrenalin, lower blood pressure by decreasing your heart rate and the force of each beat.
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How Does Lowering Candida Lower Blood Pressure
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High Blood Pressure Medicines
Treating high blood pressure will help prevent problems such as heart disease, stroke, loss of eyesight, chronic kidney disease, and other blood vessel diseases.
You may need to take medicines to lower your blood pressure if lifestyle changes are not enough to bring your blood pressure to the target level.
WHEN ARE MEDICINES FOR HIGH BLOOD PRESSURE USED
Most of the time, your health care provider will try lifestyle changes first and check your BP two or more times.
If your blood pressure is 120/80 to 129/80 mm Hg, you have elevated blood pressure.
- Your provider will recommend lifestyle changes to bring your blood pressure down to a normal range.
- Medicines are rarely used at this stage.
If your blood pressure is equal to or higher than 130/80 but lower than 140/90 mm Hg, you have Stage 1 high blood pressure. When thinking about the best treatment, you and your provider must consider:
- If you have no other diseases or risk factors, your provider may recommend lifestyle changes and repeat the measurements after a few months.
- If your blood pressure remains equal to or higher than 130/80 but lower than 140/90 mm Hg, your provider may recommend medicines to treat high blood pressure.
- If you have other diseases or risk factors, your provider may be more likely to recommend medicines at the same time as lifestyle changes.
MEDICINES FOR HIGH BLOOD PRESSURE
Most of the time, only a single drug will be used at first. Two drugs may be started if you have stage 2 high blood pressure.
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How Do I Know If I Have High Blood Pressure
Theres only one way to know if you have high blood pressure: Have a doctor or other health professional measure it. Measuring your blood pressure is quick and painless.
Talk with your health care team about regularly measuring your blood pressure at home, also called self-measured blood pressure monitoring.
High blood pressure is called the silent killer because it usually has no warning signs or symptoms, and many people do not know they have it.
Other Treatment To Reduce Risk Of Heart Disease
There are some natural health products that you may hear about to lower the risk of heart disease, heart attack, and stroke. It is not clear if some vitamins, minerals, and multivitamins can lower risk. But it is clear that some natural health products, such as vitamin E and beta-carotene, do not lower risk.footnote 3
Talk with your doctor about the best ways to lower your risk of heart disease, heart attack, and stroke. Tell your doctor if you plan to use natural health products. Your doctor can make sure they are safe for you.
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What Allergy Medicines Can I Take If I Have High Blood Pressure
Although some allergy medicines affect your blood pressure or interact with your blood pressure medication, safe options for treating your allergy symptoms exist if you have high blood pressure.
Second-generation antihistamines that are not combined with decongestants are generally safe to use if you are not taking the blood pressure medicines listed in the drug interaction section above. Second-generation antihistamines include the following:
If your symptoms include nasal congestion, the following options are generally safe to use as decongestants:
- steroid nasal sprays, such as Flonase , Nasacort , and Rhinocort
- antihistamine nasal sprays, such as Astelin and Patanase
- saline nasal sprays or rinses, such as Ayr, Ocean, Simply Saline, or Neti Pot
Antihistamine eye drops, such as Pataday and Zaditor , are safe options for itchy watery eyes.
Which Medications Can Lower Blood Pressure
There are several classes of drugs designed to reduce blood pressure . The following are the most commonly used antihypertensives:
- ACE inhibitors
- Calcium channel blockers
All of these medications can prevent long-term effects of high blood pressure. The suitability of a medication will depend on various factors. It is best to talk to your doctor about which of the medications is suitable for you. The most important issue is whether you have any other medical conditions.
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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 .
Recommended first-choice blood pressure drugs
What else you need to know about the latest blood pressure guidelines
What Else Do I Need To Know
- Do not take a BP reading in an arm that is injured or has an IV or shunt.
- Take your BP medicines as directed. Do not stop taking your medicines if your BP is at your goal. A BP at your goal means your medicine is working correctly.
- Bring the BP machine to your follow-up visit. Your healthcare provider can check that you are using it correctly.
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