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Blood pressure and therapy – which to choose?

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High blood pressure therapy does not only mean medication, but also radical changes in life habits. Many patients managed to keep these drugs to a minimum with a strict diet and lifestyle changes, and soon after that, they were eliminated. In the text that follows, we will resolve the doubts regarding blood pressure and therapy, as well as which to choose.

Medications and types

Pressure drugs are one of the most developed branches of pharmacy and medicine. The reason for this is the increasing occurrence of hypertension in an ever-younger population.

How is high blood pressure medication distributed?

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These types of drugs are divided into several groups. ACE inhibitors are the most commonly used. These are angiotensin-converting enzyme inhibitors whose blockade actually prevents the action of one substance, angiotensin II, which narrows blood vessels and increases blood pressure. In general, this type of drug is the first to be introduced into therapy.

Side effects of these drugs can be dry, persistent cough, headache, fatigue, as well as allergic reactions.

The second group of drugs is calcium antagonists, which reduce the level of calcium in the cell and thus relax smooth muscles.
When it comes to side effects with this type of medication, the most common are fatigue, headache, redness on the face and torso, swelling of the joints, and itching.

Diuretics require caution

The third group of drugs for pressure is diuretics which help expel fluid from the body. Renal function and sodium and potassium electrolytes must always be monitored when using diuretics.

Beta-blockers are also one of a group of drugs, fifth in a row, used to regulate blood pressure.
They do this by reducing pumping power and heart rate. Like all medicines, they can cause side effects such as fatigue, weakness, dizziness, or erectile dysfunction.

older woman taking blood pressure therapy and measure and monitor blood pressure levels close up

In fifth place are sartans or angiotensin receptor blockers, which block the binding of angiotensin to receptors and thus lower blood pressure.
These are drugs that are given when, say, the use of ACE inhibitors is contraindicated. This usually happens when ACE inhibitors do not suit patients due to dry cough and in that case, among other reasons, sartans are introduced.

They also have side effects that do not differ much from the effects of other groups of drugs.

The introduction of pressure medications, as well as the correction of the existing therapy, is generally a slow process, which takes place in the period from two weeks to a month.

These drugs are introduced gradually with a slight increase in doses over a period of one to two weeks. It is very important to measure the pressure more often during that period, in order to see if the existing therapy has an effect.

Sometimes it takes several months to reach the desired values ​​of blood pressure and appropriate therapy, so the key thing in everything is patience.

Therapy does not have to be taken for life

Once introduced, therapy for high blood pressure is usually lifelong, but of course, there are exceptions.

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There are patients who, with a strict diet and lifestyle changes, managed to reduce these drugs to a minimum, and very soon after that to completely eliminate them.

It is important to note that there are patients whose pressure values ​​jump during the winter, and these values ​​decrease during the summer.

The reason for that is the expansion of blood vessels in the heat on the one hand, and their narrowing when it is cold and cold, on the other hand.

Therefore, for such patients, depending on the season, this type of therapy is corrected.


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