As we all know, hypertension is a very common chronic disease clinically. Generally, after the emergence of this chronic disease, it is necessary to start treatment in time, and improve it through reasonable medication, so as to avoid the continuous increase of high blood pressure and physical damage. So, does high blood pressure take medicine for a lifetime?
Active treatment to control complications
The cause of more than 90% of essential hypertension is unknown and cannot be cured so far, but active treatment can control the progression of the disease. The purpose of treating hypertension is actually to reduce blood pressure to prevent or delay the occurrence of complications such as stroke, myocardial infarction, heart failure, and renal insufficiency; to prevent the occurrence of severe hypertension such as hypertensive emergency and sub-emergency. Since it is blood pressure control, it is doomed to be a long-term task, requiring continuous drug treatment, efficacy evaluation, and drug adjustment. Intermittent and irregular drug treatment will not only cause large fluctuations in blood pressure, but also increase arteriosclerosis and damage to the heart, brain, kidney and other organs. Therefore, it is difficult for most hypertensive patients to get rid of the shackles of “taking medicine for a lifetime”.
The five commonly used first-line antihypertensive drugs are: calcium antagonists (CCB, such as amlodipine besylate tablets), angiotensin converting enzyme inhibitors (ACEI), angiotensin II receptor antagonists (ARB), thiazides Diuretics, β-receptor blockers, and fixed ratio compound preparations composed of the above drugs. Patients should be guided by their doctors to take targeted medications according to their own conditions, including conditions, medication effects, age, economic ability, etc., rather than every hypertensive patient has the same treatment plan.
Medication can be discontinued only if 5 conditions are met
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In the past, it was generally believed that patients with hypertension should pay attention to lifelong medication, but after continuous research, it is now believed that those who meet the following conditions can appropriately reduce the medication dose until the drug is completely stopped:
1. In a state of no complications, including renal function Injury, retinopathy and left atrial hypertrophy, etc.;
2. Does not have the main factors that cause cardiovascular disease, such as diabetes, peripheral vascular disease and myocardial infarction, or has familial dyslipidemia, etc.;
3. It only needs to be taken in the course of daily medication A single type of blood pressure lowering drugs;
4. It can keep blood pressure within the normal range for a long time;
5. Before stopping the drug, an ultrasound heart scan is required. After confirming that the heart is not damaged, the dose can be gradually slowed down under the guidance of a doctor , Until the drug is stopped.
In addition, after removing the cause of secondary hypertension, the drug can also be discontinued. Secondary hypertension accounts for 5% of hypertension, which is a kind of hypertension with a clear cause. For example, renal artery stenosis and Cushing’s syndrome may be the cause of secondary hypertension. For patients with secondary hypertension, as long as the cause and disease are identified and removed, the symptoms of hypertension can be significantly alleviated and even cured, so patients do not need to take antihypertensive drugs for a long time.
Healthy living is conducive to drug reduction
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Some patients feel that as long as they adhere to a healthy lifestyle, they don’t need to take medicine. Lifestyle intervention is indeed positive in preventing hypertension, but its antihypertensive effect is far inferior to antihypertensive drugs. Perhaps long-term and thorough adherence to a healthy life can restore early and mild hypertension to normal. For some hypertensive patients, its antihypertensive effect is still insufficient. Adhering to a healthy lifestyle and taking antihypertensive drugs are indispensable.
In the process of treating hypertension, whether the patient’s own disease is serious or not, it is necessary to carry out adequate and effective self-management and improve the unhealthy lifestyle. This can reduce the use of antihypertensive drugs to a certain extent. Specific measures include: The daily intake of sodium should be controlled within 6 grams; regular consumption of fruits and vegetables to reduce the intake of greasy and fried foods; reasonable dietary improvements to maintain balanced nutrition; quit smoking and alcohol; pay attention to strengthening physical exercise to make Keep body fat within a reasonable range; maintain a good attitude. In clinical practice, many patients strictly abide by the doctor’s advice, improve their lifestyles, and match the appropriate amount of antihypertensive drugs. The type and dosage of drugs can be controlled to a certain extent. Long-term adherence can achieve the goal of drug withdrawal.
