High Blood Pressure Treatment
1 AnswerRealAge answeredPrestalia is a combination of two drugs, perindopril and amlodipine, meant to control high blood pressure in patients who are unable or unlikely to be helped by a single drug. One dose per day may be sufficient; your doctor will likely check your blood pressure after a week or two to determine if you should take a higher dose. Because perindopril is very dangerous to fetal health, women who are or who may become pregnant should not use Prestalia; neither should nursing mothers. Patients who have a history of angioedema, heart failure, or liver or kidney problems, or are 65 or older, or have shown a sensitivity to ACE-inhibitors may also have to avoid this drug. You may need to avoid nonsteroidal anti-inflammatory painkillers, diuretics, lithium, potassium, and some other drugs; make sure your doctor knows about all medications and supplements you take. Side effects include water retention, coughing, and headache or dizziness.
2 AnswersIf your high blood pressure is newly diagnosed and mild, and you have no other conditions such as heart or kidney disease, you can try treating your blood pressure with changes to your diet. In general, most patients treated for high blood pressures are advised to modify their lifestyle in terms of diet and exercise. This helps lower your blood pressure and stress levels. If your blood pressure is considered too high, or you have other conditions and your healthcare provider would like you to be treated with blood pressure medication, diet and exercise will help the medication work much more efficiently.
1 AnswerIf you are a dialysis patient, you can control high blood pressure by following your treatment plan carefully. When it comes to medication, people with kidney disease are often prescribed medications called angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs). They help to protect your heart. Be sure to follow your fluid and sodium (salt) limits to keep fluid from building up in your body and increasing your blood pressure. Ask your healthcare team about other steps to help prevent fluid buildup.
The target blood pressure for dialysis patients before a dialysis treatment is less than 140/90 millimeters of mercury (mm Hg). The target blood pressure after a dialysis treatment is less than 130/80. Ask your doctor or nurse if your blood pressure readings are on target. If you check your own blood pressure at home, keep a record of your daily blood pressures and show this to your doctor at each visit. If your blood pressure readings are not on target, ask your doctor what can be done to improve them.
1 AnswerIf you have high blood pressure (hypertension), you can help yourself by doing the following:
- Have regular medical checkups.
- Take all your medicines as instructed, even if you are feeling fine.
- Follow your healthcare provider's recommendations about diet and exercise.
- Stop smoking, if you are a smoker.
- Avoid drinking more than one ounce of alcohol a day.
- Get your whole family involved in your care plan.
1 AnswerIf you have high blood pressure (hypertension) and are overweight, your healthcare provider may want you to lose weight. Also, most healthcare providers recommend a diet that is low in fat and salt as part of the treatment for patients with high blood pressure. Spices and herbs can be used in place of salt to add flavor to food.
Your healthcare provider can also refer you to a registered dietitian who will help you learn more about eating the right foods in the right amounts to help control your blood pressure. If you have kidney disease or diabetes, you should not make changes to your diet without speaking to your healthcare provider.
2 AnswersIt is important to have a balance of a healthy diet and exercise for improved control of your blood pressure. Strength training and aerobic activity, whether low or high impact, can be beneficial if approved by your healthcare provider. It's also important to stay hydrated while exercising. Finally, you should check your blood pressure periodically, if directed by your healthcare provider.
1 AnswerUCLA Health answeredIf you have high blood pressure, you may need to take more than one medication. Different medications work in different ways to control blood pressure. One medication may help a little, but you may need another medication to make it work more effectively. It is not uncommon to need several medications that work together to lower your blood pressure.
Renal denervation is a minimally invasive, catheter procedure to regulate nerve activity.
Medical centers across the United States are enrolling patients for a clinical trial to determine if the procedure controls high blood pressure by regulating nerves on arterial walls near the kidneys. These nerves are part of the sympathetic nervous system, which helps the body control blood pressure by narrowing blood vessels or directing the heart to pump harder.
This therapy is not approved by the U.S. Food and Drug Administration.
Renal denervation, the intentional damaging of nerves in renal arteries, has been used since 2007 to treat more than 2,000 people with treatment-resistant hypertension. The therapy has been available in Europe and Australia since 2010 but is not approved by the U.S. Food and Drug Administration.
Denervation does not require a permanent implant, and it is unclear if the nerve changes are permanent. Researchers believe the treatment may reduce the amount of medication people require but will not replace the drugs altogether.
The Symplicity HTN-3 study is a clinical trial for the Symplicity Renal Denervation System, which uses high frequency radio waves to damage nerves in renal arteries to treat hypertension. The study will evaluate the safety and effectiveness of renal denervation for people with treatment-resistant hypertension and systolic blood pressure higher than 160 mmHg.
Researchers will study whether renal denervation, along with ongoing treatment with anti-hypertensive medications, helps people achieve their desired blood pressure.
The study will measure changes in blood pressure over six months, as well as any significant side effects or complications. If they choose, control group participants may receive renal denervation treatment six months after the study has ended.