Which blood pressure medicine is good to take: Analysis and recommendations of popular antihypertensive medicines on the Internet
Hypertension is one of the important chronic diseases that threatens the health of modern people. Choosing appropriate antihypertensive drugs is crucial to controlling the disease. This article combines the topic of antihypertensive drugs that has been hotly discussed on the Internet in the past 10 days to sort out structured data and professional suggestions for you.
1. Top 5 types of popular antihypertensive drugs in 2023
| drug type | Representative medicine | Applicable people | Hot discussion index |
|---|---|---|---|
| calcium channel blockers | Amlodipine, nifedipine | Middle-aged and elderly patients | ★★★★★ |
| angiotensin-converting enzyme inhibitor | Enalapril, Benazepril | People with diabetes | ★★★★☆ |
| angiotensin II receptor antagonist | Valsartan, Losartan | People with renal insufficiency | ★★★★☆ |
| diuretics | Hydrochlorothiazide, indapamide | isolated systolic hypertension | ★★★☆☆ |
| beta blockers | Metoprolol, Bisoprolol | People with coronary heart disease | ★★★☆☆ |
2. Comparison of properties of antihypertensive drugs that have recently been hotly discussed
| Drug name | Onset of effect | Duration of drug effect | Common side effects | price range |
|---|---|---|---|---|
| amlodipine | 6-12 hours | 24-48 hours | Lower limb edema and headache | 15-50 yuan/box |
| Valsartan | 2-4 hours | 24 hours | Dizziness, hyperkalemia | 30-80 yuan/box |
| Metoprolol | 1-2 hours | 12-24 hours | Slowed heart rate, fatigue | 10-35 yuan/box |
| Hydrochlorothiazide | 1-2 hours | 6-12 hours | Hypokalemia, elevated uric acid | 5-20 yuan/box |
3. Three golden principles for choosing antihypertensive drugs
1.principle of individualization:Select based on age, complications, drug tolerance, etc. For example, ACEI/ARB drugs are the first choice for patients with diabetes.
2.Long-term priority principle: Give priority to long-acting preparations taken once a day, such as amlodipine, valsartan, etc., to ensure stable blood pressure reduction for 24 hours.
3.Principles of combined medication: When single drug control is not good, low-dose combination therapy can be considered. For example, "calcium antagonist + diuretic" is a popular combination plan recently.
4. Medication Guide for Special Populations
| Crowd type | Recommended medicine | Things to note |
|---|---|---|
| elderly patients | Amlodipine, indapamide | Electrolytes need to be monitored to avoid orthostatic hypotension |
| gestational hypertension | Methyldopa, labetalol | ACEI/ARB drugs are prohibited |
| combined with diabetes | Valsartan, Irbesartan | Kidney function needs to be checked regularly |
5. Warning on common misunderstandings in medication use
1.Adjust dosage yourself: Recently, many experts have emphasized that antihypertensive drugs cannot be increased or decreased at will and must be prescribed by a doctor.
2.Symptom medication: Hypertension requires long-term regular medication, and medication cannot be decided based solely on symptoms such as dizziness.
3.New drug superstition: It’s not that new drugs with higher prices are more effective. Classic drugs are more reliable after long-term verification.
Kind tips:The data in this article are for reference only, and specific medication regimens need to be evaluated by professional physicians. It is recommended that patients with hypertension review their blood pressure control every 3 months and adjust their treatment plan in a timely manner. Maintaining good living habits is as important as rational use of medications.
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