Among other benefits, treatment of hypertension (high blood pressure) can reduce the death rate for coronary heart disease. This rate begins to increase for systolic blood pressures above 110 mm Hg and diastolic pressures above 70 mm Hg. However, the greatest benefit seems to occur for cerebrovascular diseases. Treatment of high blood pressure received most of the credit for the 50% reduction in death from stroke that has occurred. Experts estimate that the rate of coronary heart disease would be 14% lower and the rate of strokes would be 42% lower if all hypertensive people had an average reduction in diastolic blood pressure of 5-6 mm Hg.
High Blood Pressure Treatment
2 AnswersRealAge answered
3 AnswersStacy Wiegman, PharmD, Pharmacy, answeredThere are about 200 medications for high blood pressure, but approximately 20 of them are used with great regularity; they may belong to any of the following categories:
- Thiazide Diuretics
- Beta Blockers
- Angiotensin-Converting Enzyme (ACE) Inhibitors
- Angiotensin II Receptor Blockers
- Calcium Channel Blockers
- Renin Inhibitors
1 AnswerNatalia Rost, MD, Neurology, answeredHigh blood pressure is often called "the silent killer" because it rarely causes symptoms. The only sure way for you to know if you have hypertension is to have your blood pressure checked regularly. Hypertension can sometimes be lowered by lifestyle changes alone, such as eating a diet rich in fruits, vegetables, fish, and low-fat dairy products; reducing salt intake; exercising regularly; and losing weight. Diets high in potassium may help reduce stroke risk through an association with lower blood pressure.Helpful? 1 person found this helpful.
1 AnswerAnthony Komaroff, MD, Internal Medicine, answeredThiazide diuretics such as hydrochlorothiazide and chlorthalidone are the first choice if you need to take a drug to bring high blood pressure under control. National guidelines recommend them as initial therapy for most people with hypertension -- that's another term for high blood pressure -- although often more than one medication will be needed to bring blood pressure under control. Numerous studies have shown that thiazide diuretics are effective for preventing heart attacks, strokes, and other cardiovascular consequences of hypertension, and it's reducing the risk of those complications that makes control of hypertension so important. In this country, hydrochlorothiazide is the most commonly prescribed thiazide diuretic.
1 AnswerAnthony Komaroff, MD, Internal Medicine, answeredBeta blockers like metoprolol (Lopressor, Toprol-XL) are not great medications for lowering blood pressure when used all by themselves. So, as the day goes on, and you eat and exert yourself physically, the metoprolol is just not strong enough to control your blood pressure. One option is to switch to another medication, such as a diuretic or an ACE inhibitor. If your doctor thinks you need the beta blocker for some other cardiac condition, adding a diuretic or ACE inhibitor to the beta blocker makes sense. In fact, combining low doses of medications that fight high blood pressure in different ways is probably a more effective way to do it than with a high dose of a single medication.
3 AnswersDenise Chranowski, DC, Integrative Medicine, answered
How about I answer your question with a question... What can you do to lower your blood pressure? Elevated blood pressure is most likely due to your lifestyle. Are you under stress? Are you overweight? Do you eat poor quality foods? Do you move your body? There are lots of ways to bring your blood pressure down but you've got to take the first step in deciding whether you are committed to a healthier lifestyle. If the answer is yes, then start eating better quality foods, eat more frequently and smaller quantities, move 30 minute every day, and learn to slow down your thinking by sitting quietly 10 minutes each day thinking about NOTHING. Wait to you see how quickly your body responds.
With time, treatment and lifestyle changes, your blood pressure (BP) may decrease to a healthier level and improve your chronic hypertension. You may need to have regular follow-up appointments with your healthcare provider to check your blood pressure and your condition. People with stage I hypertension are usually checked every two months. Those with stage II hypertension may need to be checked every month. If your BP gets very high, you will need help and treatment right away.
If you have chronic hypertension, you may see other healthcare providers. You may need to see a hypertension specialist if you have resistant hypertension (when your blood pressure cannot be decreased even with treatments). If you are under 20 years old, or your blood pressure has suddenly increased, you will need to see this healthcare provider. You will need appointments with other healthcare providers if another condition is causing your hypertension. If you develop organ damage, you will need to see other healthcare providers.
Your chronic hypertension may be treated in the following ways:
You may be given medicines to lower your blood pressure. Keeping your blood pressure under control protects your heart, lungs, brain, kidneys and other organs. Your healthcare provider may give you more than one type of blood pressure medicine to take. If another illness is causing your high blood pressure, that illness will also be treated. Healthcare providers will work with you to manage other problems that add to your risk of cardiovascular disease, such as diabetes.
1 AnswerMehmet Oz, MD, Cardiology, answeredApproximately 16 million people in the US take diuretics such as HCTZ (hydrochlorothiazide) to reduce high blood pressure (hypertension). However, warnings about taking these drugs with other medications are frequently not reviewed with the patient by the prescriber.
RX Interaction: Heart Rhythm Medication
When HCTZ meds are mixed with heart rhythm medication, low potassium levels can result, which can lead to fatal cardiac arrhythmia (irregular heartbeat).
OTC (Over-the-Counter) Interaction: OTC Decongestants
These drugs decrease the effectiveness of blood pressure (BP) meds, which means your blood pressure levels can then start to climb.
Food Interaction: Licorice
Glycyrrhizin found in black licorice root, and also used in some sweeteners and herbal teas, can also lower potassium levels, which puts your heart at risk.