At present, there is no antihypertensive drug that can effectively control blood pressure within 48 hours.
For the choice of drugs for patients with hypertension, we often suggest that you choose long-acting drugs, but long-acting drugs, that is, they can control blood pressure smoothly for 24 hours and control blood pressure for 48 hours, and there is no such drug at present.
Our common long-acting antihypertensive drugs are enalapril, benazepril, ramipril, lisinopril and fosinopril, as well as valsartan, irbesartan, telmisartan, losartan and candesartan. Amlodipine, Bisoprolol, Betalol, etc. , are used once a day.
At present, there are some sustained and controlled release preparations, such as nifedipine sustained release tablets, controlled release tablets, felodipine sustained release tablets, metoprolol sustained release tablets (betaloc) and so on. These drugs can also be taken once a day.
Taking these long-acting preparations once a day can control blood pressure in many cases, but if you take them once every other day, your blood pressure may rise day by day, and it will be stable day by day. The risk of cardiovascular system can be imagined.
If you take too much medicine to lower your blood pressure, you can adjust the dosage.
If patients with hypertension often have the problem of blood pressure dropping too fast when taking medicine, taking medicine every other day is not the solution to the problem. If frequent medication leads to excessive blood pressure reduction, it means that the selected drugs are unreasonable or the dose is too high, so you can consider reducing the dose. How to reduce the dose should be decided according to the drop of blood pressure and evaluated by clinicians.
Antihypertensive drugs are different from lipid-lowering drugs. The long-term goal of lipid-lowering drugs is to control blood lipid levels. If you become intolerant when taking lipid-lowering drugs such as statins, you can take them every other day to reduce the side effects of the drugs. However, the goal of taking antihypertensive drugs is to control blood pressure smoothly. Only if you don't insist on taking it can you control your blood pressure effectively and steadily. You can't take them the next day.
Of course not!
At present, antihypertensive drugs can control blood pressure for 48 hours, and normal long-acting antihypertensive drugs can also maintain the antihypertensive effect of patients for 24 hours. Therefore, once the patient stops taking the medicine one day, we can regard it as stopping the medicine without authorization, and there is a blank period of lowering blood pressure in the middle. During this period, patients are likely to have blood pressure fluctuations and elevated blood pressure, resulting in complications such as coronary heart disease, diabetes and kidney disease that should not have occurred.
The reason why patients need to take medicine to control hypertension must be because the life intervention of patients can not achieve the effect of controlling blood pressure, so they need to take antihypertensive drugs regularly and quantitatively. The most important principle of taking antihypertensive drugs is to follow the doctor's advice, and it is absolutely forbidden to stop taking them without authorization. Every time blood pressure rises, it will have more or less influence on body organs, especially for patients with high blood pressure or patients with hypertension complications. It is very dangerous to stop taking drugs!
The fluctuation of blood pressure is two highs and one low every day. Generally, it is taken every morning, around 9 am and 5 pm. At this time, the blood pressure is the highest, and the human body is the lowest after entering deep sleep. In other words, if the patient is accompanied by complications and does not take medicine the next morning, the patient may get sick in the morning, especially hemorrhagic cardiovascular and cerebrovascular complications, which is a very dangerous behavior for the patient himself. If the antihypertensive drugs taken by patients are short-acting drugs, the results will be more dangerous.
The effect of lowering blood pressure is too good. Isn't it dangerous to have too low blood pressure? Can't we stop for something to eat?
Indeed, hypertension is not a good thing, and hypotension is also dangerous!
But this is not the basis for stopping taking drugs. Why can't I stop taking the medicine? I have made it very clear above, so I won't say much.
This paper mainly talks about the problem of hypotension. Under normal circumstances, the antihypertensive drugs taken by patients are not fixed, but are tailored by professional doctors according to patients' conditions, that is to say, the types and doses are different, but our conditions are not always the same. Clinically, patients are often required to check regularly for fear of changes in their condition and incomplete drug control. Once the condition changes, there will be some problems if you continue to take the original medicine.
This is the case. If the patient's blood pressure is too low because of antihypertensive drugs, it must be that the drug dose does not match the condition. If it appears suddenly, you should go to the hospital for reexamination and change the treatment plan in time, instead of stopping taking the medicine without authorization, so that the blood pressure fluctuates too much, which is more dangerous than persistent hypertension or hypotension.
When can I stop taking the medicine?
Whether we can get clean or not is not for others to decide. This decision depends on our bodies!
We need to look at the data, not at the patient's own feelings. When the patient fails to pass the drug control for one week and the blood pressure is stable within the standard range, the patient can consider stopping taking the drug. This process needs to be carried out under the guidance of a professional doctor, gradually reducing the dose and slowly stopping the drug.
The answer is clear:No. In fact, there are three key words in this question, namely "need", "reduction" and "withdrawal", which represent the three problems that many patients with hypertension are most concerned about and the three misunderstandings that are the easiest to walk into:
need
The biggest harm of hypertension is the damage to blood vessels, which leads to atherosclerosis and plaque occurrence, and finally causes damage to important organs such as heart, brain, eyes and kidney.
There are two major measures to lower blood pressure: one is lifestyle intervention such as limiting salt and oil, and insisting on exercise; Second, taking antihypertensive drugs, both need to be done at the same time. Usually diagnosed as primary hypertension (140-159/90-99 mmhg). First, lifestyle intervention treatment for 3 months, not reaching the normal level, need to take antihypertensive drugs; If the patient is diagnosed with secondary and above hypertension (greater than 160/90mmHg), antihypertensive drug therapy should be started.
If hypertension is diagnosed for the first time, hypertension complications have occurred after examination, or there is a great risk of complications after evaluation, antihypertensive drugs must be taken.
decrease
The lowest goal of hypertension control is 140/90mmHg. If the patient has no discomfort, it should be reduced to 130/80 mmHg. The ideal target is 120/80mmHg.
withdrawal
The treatment of hypertension is not to lower blood pressure as much as possible. If it is lower than 1 10/70mmHg, the treatment plan should be adjusted, and antihypertensive drugs should be taken by half or temporarily stopped.
Knowing these basics, we know that people who need and take antihypertensive drugs can lower their blood pressure as a result of treatment, and antihypertensive drugs play an important role. However, antihypertensive drugs will be metabolized in the body after 24 hours, and once they are stopped, blood pressure will rise rapidly. Even if the blood pressure is lower than 1 10/70mmHg, they should gradually reduce the dosage of antihypertensive drugs without stopping taking drugs. Intermittent medication every other day will cause blood pressure fluctuation, which is more harmful than simple hypertension and must be avoided.
I hope this answer can help you. Welcome to click on the attention and leave a message to learn and exchange more health knowledge together.
I get angry when I see such a problem.
I thought everyone knew such a common-sense problem, but I kept seeing such a problem.
The answer is no, no,no. Say the important things three times.
At present, the prevalence of hypertension in China is on the rise. At present, about 300 million people suffer from hypertension. Many people see that this disease is so common that they can't care less. They don't even think it's a disease, so they just treat it casually. Whether to take medicine or not depends on your mood. Then I will tell a story.
My grandfather is also hypertensive, and it is grade III hypertension (systolic blood pressure 180mmHg and/or diastolic blood pressure 90mmHg). At that time, when he was diagnosed, he took medicine on time every day, and I would take his blood pressure as soon as I got home. An old man in his seventies can still work in the fields. He is in good health. Once I went home to take his blood pressure, I found that his systolic blood pressure 180 was more than that of diastolic blood pressure 100.
"I didn't take any medicine. Usually, the blood pressure is very good, below 140/90, so I stopped taking the medicine. If my blood pressure is higher, I will give him a hard education. He was so scared that he immediately took antihypertensive drugs. During that time at home, I often gave him tests, and his blood pressure was well controlled.
Until one day, I suddenly received a phone call saying that my grandfather had a headache at home and could not walk steadily. At that time, he was rushed to our hospital. When the doctor took his blood pressure, he directly asked my father to transfer him to a big hospital. At that time, the blood pressure was over 200, and small hospitals dared not accept it. Fortunately, the rescue was timely, leaving no sequelae. The doctor said it was difficult to estimate whether he would be late.
After grandpa came back, he really took his medicine on time and never dared to stop taking it without authorization. After all, he walked around the edge of death before he really realized that hypertension was no joke.
I have answered this question before, and few people have heard many sermons, so I will tell you something I have experienced personally, and I believe everyone understands the stakes.
Therefore, antihypertensive drugs must not be stopped without authorization.
Hypertensive patients, taking antihypertensive drugs for a long time, if one day their blood pressure drops too low, can they stop taking drugs for one day?
Patients with hypertension need to reach the target blood pressure 140/90 and tolerance 130/80 after taking medicine for a long time, but they should not be too low.
Because too low blood pressure will lead to organ perfusion insufficiency, dizziness, fatigue or oliguria, and even lead to organ ischemic injury.
Therefore, if the blood pressure is 1 10/70, Dr. Xu suggested reducing the type or dosage of drugs and observing the blood pressure. If the blood pressure is 100/60, you can temporarily stop taking drugs to observe the blood pressure, and then start taking antihypertensive drugs when the blood pressure is greater than or close to 140/90. If blood pressure does not rise, it is recommended to go to the hospital for treatment in time.
Pay attention to health and "Xu Cardiovascular Doctor"
The answer is yes. It is definitely impossible! I believe that many patients with hypertension are also like this in real life. At work, some hypertensive patients often stop taking medicine without authorization, fearing that continuing to take medicine after blood pressure is normal will further lower blood pressure.
Some barefoot doctors and pharmacy staff irresponsibly told some patients to stop taking medicine or lower their blood pressure when their blood pressure was stable. What is even more outrageous is that some patients have better blood pressure control. For example, when the systolic blood pressure is between110-120mmhg, they say that their blood pressure is low and ask you to replenish blood.
Taking medicine is just like eating. A meal only lasts a few hours. After that, you will be hungry. You must eat several meals a day to maintain your daily physical needs. It's the same as antihypertensive drugs. At present, antihypertensive drugs can maintain the antihypertensive effect of the body for up to 24 hours. If you take it every other day or reduce it, it will cause poor blood pressure control.
I met a diabetic a few days ago (both diabetes and hypertension are chronic diseases, which need long-term medication control and many complications). All along, I have been taking hypoglycemic drugs by myself, stopping taking them for half a year and taking them repeatedly for many years. Now I feel sick and have been diagnosed with diabetic nephropathy, which is a serious complication.
Therefore, it is best to increase or decrease the interval of antihypertensive drugs under the guidance of regular doctors. Don't make your own decisions and hurt yourself.
Happy little doctor answers for you and is willing to pay attention.
Of course not.
Generally speaking, what we usually say about hypertension mainly refers to primary hypertension, that is, hypertension with unknown etiology. It accounts for more than 90% of people with hypertension.
In fact, there is another kind of hypertension called secondary hypertension, such as pheochromocytoma. After removing the inducement, the general blood pressure can return to normal.
Therefore, after excluding hypertension as secondary hypertension, regular treatment should be carried out.
We often say that essential hypertension is a chronic disease. If it doesn't take root, it will usually accompany the next life.
At present, antihypertensive drugs are taken 1 time or 2-3 times a day, and the drug effectively lowers blood pressure in the body for about 24 hours a day. If you take it every other day, your blood pressure will rise on the day when you don't take it.
As a serious doctor, many patients with cerebral hemorrhage are mostly patients who don't take medicine, or take medicine irregularly, and patients who take medicine and have poor blood pressure control.
Don't take chances. Blood pressure fluctuation is as dangerous as hypertension, which can easily lead to serious complications.
This chronic disease must be clearly understood. Taking medicine regularly is like eating regularly. Don't think about stopping taking medicine. If your blood pressure is normal, it means that you are taking just the right medicine. Keep eating like this.
Under what circumstances can I reduce or stop taking drugs? Only if the blood pressure is lower than normal for several days. However, if you go to the hospital, you can consider changing the medicine or reducing the amount, not considering stopping the medicine.
For patients with hypertension, antihypertensive drugs should be taken every day, and it is not advisable to stop eating, so as not to cause blood pressure fluctuations and increase the occurrence of cardiovascular and cerebrovascular accidents.
Hypertension is a syndrome characterized by continuous increase of arterial blood pressure, which may be accompanied by complications of target organs such as heart, brain and kidney. Patients with hypertension should be treated under the guidance of professional doctors, and actively improve their lifestyle, take drugs regularly, stabilize their condition and reduce complications.
Because the blood pressure of hypertensive patients is rising continuously, and the efficacy of our existing antihypertensive drugs can only last for a few hours to a day, in order to control blood pressure to reach the standard for a long time, we must take antihypertensive drugs every day to achieve the goal of stable blood pressure control.
The medication of hypertension patients should be carried out under the guidance of professional doctors, and the medication should be individualized, and long-term preparations should be optimized to control blood pressure stably for a long time. While taking medicine regularly, we should also pay attention to low-salt diet, quitting smoking and limiting alcohol, proper exercise, weight control, regular work and rest and maintaining a good attitude, and pay attention to monitoring the changes of blood pressure level and regular review.
Can't!
At present, most antihypertensive drugs need to be taken once a day, which depends on the metabolic half-life of the drug. Even if there is a drug that can lower blood pressure for 48 hours in the future, it is more likely that patients will miss taking it after taking it for one day. It is estimated that there will be no such medicine.
Many people don't want to take medicine. They hope that taking antihypertensive drugs for one day, fishing for three days and drying nets for two days can also lower their blood pressure, but this is actually wrong. Blood pressure can be lower when taking medicine, and it will rebound very high when not taking medicine, which is very easy to cause vascular accidents.
In addition, to add a word, essential hypertension requires lifelong medication, and it is not easy to stop taking the medicine, otherwise the blood pressure will still rise, resulting in long-term complications such as fundus lesions and kidney damage, and even cardiovascular and cerebrovascular accidents in severe cases.
The way of taking antihypertensive drugs is related to the law that drugs play a role in human metabolism.
At present, most antihypertensive drugs are taken every day, and drugs need to reach a certain blood concentration to play a role. Some antihypertensive drugs need to be taken twice or three times a day, but depending on the dosage form of the drug, the same drug can only be taken once a day. Slow-release drugs are released slowly in the body, which makes the blood concentration more stable and the antihypertensive effect more stable.
At present, the metabolic cycle of most drugs in the body is not that long. If you take it once every other day, the blood concentration that can't effectively lower blood pressure will make blood pressure fluctuate greatly, but it is more likely to induce cardiovascular diseases. As the questioner said, it is even worse to feel dizzy and then take medicine, which proves that blood pressure will increase the risk of hypertension complications if it rises to a certain extent. Even if you take medicine at this time, there will be a period of time from taking medicine to taking effect, during which risks still exist. The control of blood pressure is mainly stable control, which can not cause large fluctuations in blood pressure. The large fluctuation of blood pressure increases the load of blood pressure regulation, and both gains and losses are worthwhile.
The fear of hypertension does not lie in hypertension itself.
We should understand that hypertension itself does not cause serious discomfort. Hypertension needs treatment mainly to prevent serious complications, such as paralysis caused by moderate wind. Long-term hypertension can cause renal failure, fundus hemorrhage and blindness. If hypertension does not cause serious complications, then most hypertension does not need treatment.
At present, there are five kinds of antihypertensive drugs, but the use of these five drugs varies according to the types of drugs, such as tablets, sustained-release agents and specifications. In addition, hypertension is individualized, and everyone's antihypertensive plan is not exactly the same.
So be sure to take the medicine according to the doctor's advice and don't change the medicine without authorization. For the antihypertensive effect after taking medicine, it is necessary to return to the clinic in time and be adjusted by a professional doctor.