When To Not Take Blood Pressure Medication
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Make A List Of All Of Your High Blood Pressure Medications
Your doctor has many high blood pressure medications to choose from. They work in different ways to lower your blood pressure. Each type of drug has its own possible side effects, so it’s a good idea to know exactly which high blood pressure medicines you take. Ask your doctor or pharmacist these questions:
- What are the names of my high blood pressure drugs? Ask for both the brand name and the generic name.
- How does this medication help lower my blood pressure?
- What is the dose?
- How often do I take the medication?
Make a list of your high blood pressure drugs, and make a few copies of the list. Take the list with you whenever you visit a health care professional. Give copies to any family members or friends who help with your health care.
Why You Might Have High Blood Pressure But Not Even Know It
Middle-aged people may be suffering from high blood pressure without realising it, because their hypertension only happens at night, scientists have found.
A new study by Oxford University found that one in eight people aged 40 to 75 had night-time high blood pressure that would never be picked up during normal daytime screening.
Healthy people usually see a nocturnal dip in blood pressure. But researchers found that 15 per cent of people experience the opposite – suffering a dangerous rise at night that could lead to heart disease, stroke and even death.
Current guidelines from the National Institute for Health and Care Excellence recommend that GPs diagnose hypertension based on daytime blood pressure measurements only.
But the team has called for more widespread use of ambulatory blood pressure monitoring, in which a cuff is worn over a 24-hour period to take measurements when people are both awake and asleep.
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Keep Your Doctor Informed
Your doctor doesn’t know everything about your life and your activities. But the more your doctor knows about you, the better they can help. Make sure your doctor knows about these things:
- Other drugs you take, either prescription or over the counter
- Vitamins or other supplements you take
- Herbs you might use
- Alcohol and any recreational drugs you use, or have used
- Other health problems, especially conditions such as diabetes
Other factors in your life that could contribute to high blood pressure, such as difficult family issues, a high-stress job, or a sedentary lifestyle
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How Blood Pressure Medication Works
There are 11 categories of blood pressure medication. Each works in different ways, with the overall goal of lowering the pressure in the blood vessels and sometimes also reducing the work that the heart has to do.
- Diureticsflush excess fluid and sodium out of the body to reduce blood volume and pressure in the blood vessels.
- Beta-blockersmake the heart beat more slowly. They reduce how hard it has to work.
- ACE inhibitorshelp to reduce the amount of a hormone called angiotensin. This hormone causes arteries to narrow.
- Angiotensin II receptor blockers block the receptors for angiotensin to prevent it from narrowing arteries.
- Calcium channel blockersrelax and dilate blood vessels, decreasing pressure in the vessels. They also lower the heart rate.
- Alpha-blockershelp to relax the walls of blood vessels.
- Alpha-2 receptor agonists lower the activity of the sympathetic nervous system. This is a part of the nervous system that controls heart rate and other involuntary body functions.
- Combined alpha- and beta-blockers are used for the treatment of heart failure they are sometimes prescribed for treating a hypertensive crisis.
- Central agonists make it harder for blood vessels to contract .
- Peripheral adrenergic inhibitors block chemicals in the brain that play a role in causing blood vessels to become narrow.
- Vasodilatorsrelax the walls of blood vessels. This helps them to widen and lowers blood pressure.
Hypertension: What You Need To Know As You Age
You cant see high blood pressure, also called hypertension. And most ofthe time, you cant feel it. But if youre among the 78 million Americanswith hypertension or are one of the 70 million with prehypertension, its important to understandits effects on your healthand to take action today to bring your numbersdown to healthier levels.
Blood pressure is the force of blood against the inner walls of yourarteries. It has normal fluctuations throughout the dayfalling when yourerelaxed or asleep, rising naturally in the morning, and increasingtemporarily when youre under stress, excited or exercising. But when yourresting blood pressure level rises too high, it can scar, stiffen and/orweaken blood vessels. This effect can double your risk for aheart attack quadruple your odds for astroke raise your risk forheart failure, vision loss, kidney problems,dementiaand circulation problems such asperipheral artery disease weaken your bones and contribute toerectile dysfunctionin men.
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In fact, she really didn t expect that he would suddenly change his attitude towards her. It was still so cold.
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What Are The Side Effects Of Blood Pressure Medicines
Most of the time, blood pressure medicines do not cause side effects. Some people have mild side effects, including dizziness, headaches, swelling in the legs or feet, or stomach problems.2
Some over-the-counter medicines, such as nasal decongestants, can also raise blood pressure and interact with blood pressure medicines.3 Tell your doctor about any medicines or supplements you are already taking.
All medicines have risks. Talk with your doctor about the best blood pressure medicines for you, their benefits, risks, and side effects, and any other health problems you may have.
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Advantages Of Medicating At Night
Quite a few studies suggest that blood pressure medications may work best when taken at night.
The biggest and most significant of these was the Hygia Chronotherapy Trial. It was a six-year study of more than 19,000 people with high blood pressure.
The researchers divided the participants into two groups. One group took their blood pressure medication in the morning. The other took them at night. At least once a year, all of the participants used ABPM to record their blood pressures.
The researchers found that when compared to the morning group, those who took their blood pressure treatment at night had a lower risk of getting a number of conditions.
For the nighttime medication group:
- The risk of stroke was lower by 49%.
- The risk of heart attack was lower by 34%.
- The risk of heart failure was lower by 42%.
A 2015 study in the journal Diabetologia found that taking these medications at night reduced the risk of type 2 diabetes for people with high blood pressure. Other studies report possible advantages of taking blood pressure medication at night. One is that many people are more likely to take their medication before bed rather than in the morning. Another is that the effects of these treatments may wear off more slowly when they are taken at night than when people take them in the morning.
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Why Is The Timing Of Your Medication Important
According to AARP, blood pressure follows a daily rhythm. It rises higher during the day and falls at night when we sleep.
Since morning blood pressure is usually highest, people often opt to take their medications then. Many also feel that it is easier to remember morning medications.
Also, since many medications cause urination, people may prefer to take them early in the day.
As we age, however, we may develop a blood pressure pattern called non-dipping. Non-dipping blood pressure tends to remain high overnight.
People ages 55 and older with high blood pressure are more prone to non-dipping.
Non-dipping blood pressure is a problem because it is a major risk factor for several conditions, including heart attack, stroke, and kidney disease.
Overnight blood pressure control is important in order to lower your risk.
If your medication wears off before your next dose is due, your blood pressure may be elevated for several hours while you sleep. You may also wake with high blood pressure.
Taking your medication at bedtime may help prevent this issue.
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A Trend Toward Lower Targets
Finding safe, effective ways to manage blood pressure has been a matter of growing interest. “Nowadays, there’s a trend to control blood pressure more aggressively than in the past,” says Dr. C. Michael Gibson, professor of medicine at Harvard Medical School and an interventional cardiologist at Beth Israel Deaconess Medical Center. Although the prior standard was a blood pressure target of less than 140/90 for most people, a goal of 120/80 appears to be even more effective for preventing heart attacks, strokes, and death from heart disease.
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Your blood pressure is higher than you want, but it’s not full-on high blood pressure. Unless you also have another health condition — like kidney disease or heart problems — your doctor will likely say you don’t need drugs for now.