The May 17 of the year is the world’s hypertension Day, in the 40th world Hypertension Day approaching, Fu Wai Hospital to remind you to pay attention to the prevention of hypertension in the process do not go into the wrong medicine.
Misunderstanding one: is the drug three cent poison, the medicine “to injure the liver” “The injury kidney”, can not eat not to eat, can eat less to eat
All medicines must be validated by a series of clinical trials before they are officially marketed, and their safety and efficacy should be fully observed in healthy people and patients. Do not be “intimidated” by the adverse drug reactions listed in the drug description, the drug is allowed to go public, indicating that adverse effects on the human body is small, or the incidence rate is very low, is safe. For example, 10,000 people who appear any adverse reaction will be recorded in the manual, but the probability of a very low. Drugs are metabolized through the liver or kidneys, but not in the kidneys, not in the liver, or in the liver or kidneys of the disease, and the doctor will choose the drugs according to the characteristics of the drug and the liver and kidneys of the patient. Instead of fear of causing damage to the liver and kidney and refusing to take medicine. For example, for some patients with chronic renal insufficiency, taking some antihypertensive drugs has a protective effect on kidney function. On the other hand, the drug to eat high blood pressure adverse reactions, far less than not to eat hypertension drugs caused by heart infarction, cerebral infarction and other hazards. Therefore, it is recommended that patients follow the law to take antihypertensive drugs, the occurrence of possible adverse drug reactions, timely inform the doctor, adjust the medication, to avoid their own withdrawal.
Misunderstanding two: have symptoms to take medicine, or eat medicine without symptoms do not monitor blood pressure
Some patients only in the presence of headache, dizziness and other symptoms before taking antihypertensive drugs, once the symptoms disappear stop the drug; some people can insist on long-term medication, but after eating a drug almost never monitoring, that as long as the medicine, the head does not faint pain is OK.That’s also wrong.
1, high blood pressure is called “silent Killer”, because most patients do not have any symptoms, but elevated blood pressure, the cardiovascular and cerebrovascular harm is sustained, or need active treatment, can not be based on the symptoms of whether or not to take medicine. One of the principles of hypertension treatment is long-term smooth buck, if the medicine for a while do not eat, resulting in a large fluctuation of blood pressure, the patient is extremely adverse. Therefore, it is recommended that the first choice of long-acting drugs to ensure a certain concentration of drugs within 24 hours a day, so that blood pressure smooth control. But long-acting drugs are usually more expensive, if the economic conditions are not allowed, some very inexpensive medium-lasting drugs can also play a role, such as: Nitrendipine, Atenolol, daily each morning and evening, the same can be smooth buck, effectively covering the morning (6-10 points) blood pressure peak area, reduce the risk of complications.
2, as long as the medicine, no symptoms do not monitor, may not be standard blood pressure. should be based on antihypertensive standards, only under the control of 140/90MMHG (over 80 years old in 150/90mmhg below), can really reduce the risk of complications.Therefore, regular monitoring of blood pressure, timely adjustment of medication.
Myth Three: Fear of high blood pressure medication once used on a lifetime medication
Hypertension medication is indeed long-term, unless there is a clear cause of hypertension (such as renal stenosis), essential hypertension can not be cured, lifelong medication, blood pressure control in the ideal level, the greatest degree to reduce the likelihood of complications, is the best treatment. This is not “drug dependence”, but high blood pressure should stick to long-term treatment. But not a day can not stop, such as summer weather heat, vasodilation, coupled with a large number of sweating, blood volume decline, blood pressure may be appropriate reduction, antihypertensive drugs can be based on blood pressure levels or stop using a period of time, cold weather, blood vessel contraction, blood pressure rise, to timely increase the drug. Therefore, attention should be paid to monitoring blood pressure, regular doctor to adjust medication.
Misunderstanding four: The sudden rise in blood pressure, sublingual, such as pain-free short-term antihypertensive drugs Rapid buck
Some patients in the occasional sudden rise in blood pressure, such as systolic pressure of more than 200mmHg, will be very nervous, often want to take a quick buck drugs as soon as possible to reduce blood pressure down, such as sublingual nifedipine tablets (heartache). And it could actually be dangerous for the patient, should be taboo, the reason is under the sublingual pain time, the drug through the sublingual vein directly absorbed into the blood, blood drug concentration rapidly increased, may lead to a sharp drop in blood pressure within a short period of time, some patients may appear cerebral blood shortage and other symptoms, such as sudden fainting, is very dangerous. In addition, to remind the broad masses of patients, a sudden sharp increase in blood pressure, especially accompanied by obvious symptoms, should be treated as soon as possible, because if the combination of different diseases, antihypertensive treatment strategy is not the same, their own home medication is not safe.