1。 Taking medicine to maintain hypertension, western medicine, has great side effects, but these side effects affect adjuvant therapy, and it is the best.

It can't be completely applied to the traditional drug treatment in China. Traditional Chinese medicine may be the benefit of some symptoms on the surface, but the actual blood pressure is still very high and it is easy to cerebral hemorrhage.

Whether the health care products are "food" or "health brand", whether they are medicines or not, it is a kind of self-deception not to eat any luck health care products to treat hypertension. Don't listen to their propaganda. It's a lie.

It is very clear that the education in China Medical University Hospital summarized the types, metabolic pathways and side effects of antihypertensive drugs. We can decide to use the following drugs according to the individual situation of patients: BR/& gt；; 1 calcium antagonist (personal suggestion: recommendation)

Non-dihydropyridine calcium antagonists: benzodiazepine: diltiazem. Phenylalkylamine: verapamil.

Dihydropyridines: The common types are nifedipine, felodipine, second-generation nifedipine, third-generation lacidipine and amlodipine.

(1) Commonly used calcium channel blockers:

Nifedipine (Xintongding): Money comes quickly and the effect is short.

Nimodipine: Nifedipine can dilate the cerebral vessels of subarachnoid hemorrhage, cerebral vasospasm and ischemic stroke.

Nitrendipine: diuretic effect, and continuous mild hypotensive effect.

Nicardipine (Perdipine): Selective cardiovascular effect, which can be used to increase the cardiac index of patients with hypertension and cardioencephalopathy.

Amlodipine (chlorine oxygen, Shi Huida): the drug takes effect slowly, and the antihypertensive effect is 7-8 days after taking it.

Calcium blocker

Diltiazem (Lv Zhuo), a common diltiazem sustained-release agent: Li Huan, Yi Xinping, thank you.

nifedipine

Felodipine and lacidipine sustained-release tablets 2 1% ankle edema.

/& gt； Lacidipine sustained-release tablets Nicardipine sustained-release tablets (Perdipine sustained-release tablets)

Diltiazem is fast

Nepal film horizon sustained-release tablets

(2) Sustained-release tablets, verapamil controlled-release calcium antagonists: nifedipine gastrointestinal worship and heart.

Nifedipine controlled release tablets (nitroxide benzene field of vision

Controlled-release tablets can effectively prevent stroke, vascular dementia, anti-atherosclerosis, glycolipid and electrolyte metabolism disorder.

Advantages: 1 individual differences in antihypertensive efficacy are strong, with only relative contraindications and no absolute contraindications. Elderly patients have a good effect of lowering blood pressure and decreasing systolic blood pressure. Figure 3? It shows that almost every kind of antihypertensive drugs can be used in combination, and the antihypertensive effect is enhanced. Increase uric acid excretion. About 80% is excreted by the kidneys, 20%? night soil

Adverse reaction: 1. Postural hypotension. Tachycardia. Myocardial contractility inhibition: it is more common in non-dihydropyridine calcium antagonists. Constipation 5. Edema in the front of tibia and ankle. Bradycardia or conduction block: more common in non-dihydropyridine calcium antagonists 7. Headache, facial flushing and polyuria. Rash and allergic reaction. Taboo: bones become brittle and easy to fracture.

Thiazine diuretics: (personal advice: follow the doctor's advice)

It is often combined with other antihypertensive drugs to treat severe hypertension, especially for patients with high blood volume. Adverse reactions of thiazide diuretics: hyperuricemia, gout, disabled people and renal insufficiency are not suitable for use. Long-term large-scale use, blood sugar increases, glucose tolerance decreases, insulin resistance increases, and blood lipids increase. Other types of diuretics can also lead to electrolyte imbalance. Diuretics such as hydrochlorothiazide and its compound preparations (compound hypotensive tablets, compound hypotensive tablets). It is suitable for secondary hypertension, especially heart failure in elderly patients with hypertension.

Taboo: Hyperuricemia (serum uric acid of thiazide diuretics) is forbidden, and patients with diabetes, hypercholesterolemia and gout should use it with caution.

3 beta blockers: (Personal advice: follow the doctor's advice)

Represents the drug metoprolol, propranolol. Suitable for patients with hypertension, angina pectoris, myocardial infarction, heart failure, tachyarrhythmia, glaucoma and pregnancy. Prevention and treatment of hypertension, angina pectoris, myocardial infarction, and re-infarction. Young people with high blood pressure, fast heart rate and high cardiac output can obviously slow down their heart rate and lower their blood pressure after treatment, and their diastolic blood pressure is lower and their systolic blood pressure is more obvious. Therefore, it is suitable for simply treating hypertensive patients with high diastolic blood pressure, or treating hypertensive patients with high systolic blood pressure and diastolic blood pressure with other antihypertensive drugs. Uric acid metabolism has little effect. It is excreted by the kidneys.

Adverse reactions: bradycardia, atrioventricular block, heart failure caused by overdose, asthma, all of which may affect blood lipids. Because these drugs can slow down the heart rate, they should be closely monitored during use to ensure that the heart rate is greater than 60 beats/minute after use. Taboo: Beta blockers in patients with heart block, asthma, chronic obstructive pulmonary disease, peripheral vascular disease and type 2 diabetes may cover up hypoglycemia during insulin treatment and should not be used.

Angiotensin Converting Enzyme Inhibitor (ACEI) (My suggestion is: if there is no adverse reaction, it is recommended)

The representative drugs are captopril, enalapril, sinapril, Li Qunkui, enalapril, ramipril, Benazepril, perindopril and fosinopril in Luopuli town.

It can significantly reduce mild to moderate hypertension, and can be used in combination with other drugs to reduce the blood pressure of more severe hypertension, especially vascular stenosis. It is more suitable for patients with insulin resistance, diabetes, left ventricular dysfunction, heart failure and myocardial infarction, and increases uric acid excretion.

Common adverse reactions: irritating dry cough, with an incidence rate of 5%? 20%, may increase pulmonary vascular substances and stimulate cough reflex.

5 angiotensin Ⅱ receptor antagonist (ARB) (personal suggestion: recommendation)

The representative drugs losartan (Kosova), valsartan (German), telmisartan, losartan and irbesartan (Ambovi) are suitable for all types of mild to moderate hypertension, especially patients who can't tolerate ACEI.

Adverse reactions: Patients taking this medicine occasionally have liver function.

(I copied it from the original space and found it to be fake, but as the name implies, I don't know who forwarded it or copied it. Of course there will be no hint. Please pay attention to prevent being cheated. )