Treatment of High Blood Pressure
People have learned through trial and error that a healthy lifestyle maintains blood pressure at decent levels. By adding the necessary drugs, medicines and monitoring, the patients are set for the path to full health. The treatment used to cure hypertension is a long and arduous process with specific targets and strict schedules.
As any other medical treatment, the high blood pressure treatment is designed keeping in mind the present medical conditions of the patient. The drugs prescribed usually help the patient reach decent levels of blood pressure in a specified amount of time. Reaching 140/90 mmHg is already a great result. Depending on the patient, the doctor can prescribe drugs that are to be used either individually or in conjunction with other drugs, all depending on the patient. Close monitoring is also a must, so as to keep a close eye on the patients health status.
After a period of time in which the doctors monitor their patients, they prescribe their first and second line of medication according to the evolution of the patient's health. Drugs used as first line medication are usually softer, milder drugs, used mostly when the patient has no other health problems. A medicine used to decrease high blood pressure is the thiazide diuretic. It has a direct effect on the patient's kidneys, aiming to lessen the volume of blood by eliminating the excess of salt and water in the body. It can be used with other drugs and has little or no side effects, being highly appreciated by patients and as well as doctors.
Also part of the first set of hypertension drugs are beta-blockers, ACE (or angiotensin-converting enzyme), inhibitors and ARBs (or angiotensin II receptor blockers). The target of these drugs is to reduce the rate of the cardiac output. Basically they do this by slightly slowing down your heart, decreasing the number of heartbeats. Beta-blockers can be used with other medications should they would not be effective individually. For better results diuretics are added. All of these drugs are working together to prevent certain affections of the blood vessels, the heart and kidneys. ACEs target the arterial structure and tissue to prevent unwanted contractions, while the ARBs work to clean up the processes of these chemicals.
Alpha-blockers, central-acting agents, vasodilators and alpha-beta blockers comprise the second line of drugs. They are used similarly to the first line of drugs, especially the ARBs, correcting and controlling the constrictions of the blood vessels. Also, alpha-beta blockers, just like the ARBs, maintain blood flow levels and blood circulation by decreasing the heartbeat rate. By forcefully limiting the blood flow, the sympathetic nervous system comes into play, boosting the cardiac output. The central agents counter this, maintaining blood pressure at normal levels. Smooth blood flow is insured by the vasodilators, which augment the arterial muscle walls and their flexibility.
Prescriptions remain unique, being modeled to fit the health profile of patient exactly. Even with the perfect prescription, without an iron ambition, close monitoring and a strict and overall disciplined lifestyle, there is no guarantee that the drugs will work their magic. It is a team game, between the patient and the doctor.
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