Patients with hypertension should not change their dressing blindly to avoid blood pressure 'rebound'. At present, there are many kinds of antihypertensive drugs. Patients with hypertension don't know which antihypertensive drugs to take. Some patients worry that taking one drug for a long time will produce drug resistance. Therefore, they change their dressing every two days. But in fact, it is not necessary for hypertensive patients to change their dressing frequently. Some medicines are determined according to their different constitutions. Some take effect quickly, while others are slow. Rash dressing change will cause blood pressure 'rebound', but can not control blood pressure better.
Is taking a drug resistant?
Drug resistance generally refers to the process of medication, or take similar drugs again, can not achieve satisfactory therapeutic effect, this phenomenon occurs in patients with long-term use of antibiotics. However, the nature of hypertension and infectious diseases is quite different. When some antihypertensive drugs can effectively control blood pressure, they should be taken persistently. Even if the blood pressure can be controlled at a normal level after treatment, it should be reduced under the guidance of doctors.
Only when the condition changes can the dressing be changed
Only when the condition changes, the original drug is no longer effective, or due to side effects can not be tolerated, according to the doctor's advice to change the variety of antihypertensive drugs. At present, the commonly used antihypertensive drugs can better improve the quality of life, and all kinds of antihypertensive drugs used alone for the majority of mild hypertension is similar. According to the general recommended dose, single drug therapy can reduce systolic blood pressure by 7-13 mmHg and diastolic blood pressure by 4-8 mmHg. The amplitude of blood pressure reduction is directly proportional to the blood pressure level before medication.
Personalized drug selection
The choice of antihypertensive drugs needs to be specific to each patient. The drugs that can effectively control blood pressure and are suitable for long-term treatment are the most reasonable. They should be determined according to the duration of the disease, severity of the disease, cardiovascular status, target organ damage, diabetes, blood lipid, uric acid and other metabolic abnormalities.
It's dangerous to change the dressing without permission
Taking long-acting antihypertensive drugs once a day can reduce blood pressure steadily for 24 hours. However, if long-acting antihypertensive drugs want to achieve stable antihypertensive effect, it often takes 4-6 weeks or more. If they don't wait for the drug to take effect, they will change the dressing, but they will not. If the blood pressure control is still unsatisfactory after 4-6 weeks or more, it is not necessary to change the dressing. The best way is to add a second drug under the guidance of the doctor, and achieve satisfactory antihypertensive effect through the complementary effect of drugs. If you take a drug with good antihypertensive effect, there is no need to change the dressing frequently, otherwise stopping or changing the dressing will easily cause blood pressure 'rebound'.
There are three ways to prevent rebound
Diminishing method: when the long-term use of drugs is stopped or replaced, the gradual reduction method should be adopted.
Replacement method: when the drug needs to be replaced, the gradual transition method should be adopted. First, new drugs should be added to the original drug, and the original drug should be gradually reduced or even stopped.
Preparation and usage: the original drug should still be available during the withdrawal period. Once the drug 'rebound' occurs, it can be used again. Generally, the 'rebound' symptoms will disappear by themselves.
Diet is taboo
During the period of taking antihypertensive drugs, it is not suitable to eat lentils, broad beans, sausage, chicken liver, pickled black carp and cream, yoghurt, sufu, banana, pineapple, fig, beer, wine, coffee, chocolate, etc., because these are rich in tyramine. Under normal conditions, tyramine is destroyed by monoamine oxidase in the body. However, when this enzyme is inhibited by drugs such as eugenin and Lixue, tyramine will accumulate in large quantities, causing a sudden rise in blood pressure, and in severe cases, it can lead to cerebral hemorrhage and death.