Many patients with hypertension are worried: I heard that once you take antihypertensive drugs, you can never stop. Is it true?
and many patients even have this concern, so they simply resist and refuse to take antihypertensive drugs. What is the truth?
will antihypertensive drugs become addicted?
Some patients with hypertension will worry that they will be dependent on taking medicine for a long time and will become addicted. They will eat and stop eating frequently. It is not difficult to understand the psychology of taking medicine, but antihypertensive treatment is something that requires persistence. Most hypertension is incurable and can only be controlled. For people with hypertension, once they are diagnosed with hypertension, measures need to be taken immediately. Keeping blood pressure within the normal range can greatly reduce the risk of cardiovascular and cerebrovascular diseases . But it doesn’t mean that you can’t stop taking the medicine as long as you have high blood pressure, but you also need to analyze the specific situation. Patients with
html Grade 12 hypertension (blood pressure ≥160/100 mmHg) should immediately start antihypertensive medication treatment at the first time; drug treatment should also be initiated immediately after high cardiovascular risk or combined with cardiovascular disease, chronic kidney disease, diabetes , or other target organ damage. These patients cannot stop taking antihypertensive drugs after taking antihypertensive drugs to meet the standards, and they need regular outpatient visits and evaluations to adjust antihypertensive drugs. Of course, if the blood pressure drops too low, antihypertensive drugs should consider reducing dosage or even stopping the medication.
, and low-risk patients with grade 1 hypertension can first choose lifestyle intervention, and after several interventions, blood pressure cannot be satisfactorily controlled before drug treatment is given. This lifestyle intervention includes salt limit, a reasonable diet, healthy drinks, quitting smoking, limiting alcohol, regular exercise, weight control, mental relaxation, etc. China's guidelines recommend that more active lifestyle changes need 1-3 months, and if blood pressure does not meet the standards at this time, drug treatment should be initiated. But in the new ISH guide, lifestyle changes are 3-6 months. Patients who still fail to meet the blood pressure reduction standards for 1-3 months of life intervention can be supplemented with small doses of blood pressure-resistant drugs. After the blood pressure of drug treatment meets the standards, patients with stable hypertension should monitor their blood pressure regularly at home, follow up at the hospital at least every 3 months, and go to the hospital to evaluate the cardiovascular risk and target organ damage every year, and adjust the treatment strategy based on the risk assessment and blood pressure, rather than simply stopping the drug or not.
How to prevent hypertension in the early stage?
1. Combining work and rest, you must have regular daily life and pay attention to the combination of work and rest. Participate in some entertainment activities appropriately to relax. Of course, exercise should be moderate, and the exercise time should not exceed 2 hours.
2. Emotional stability. A good condition will benefit greatly from physical and mental health. Learn to self-regulate your emotions and maintain a healthy and peaceful mindset.
3. Monitor blood pressure regularly. In the absence of obvious discomfort, just take one or two tests a week. A sudden increase in blood pressure will cause stroke , myocardial infarction and other diseases. Therefore, if you experience symptoms such as dizziness and headache, your blood pressure should be monitored in time.
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