Rumor: Once you start taking antihypertensive drugs, you can never stop? Doctor: Can stop in these 3 cases

Hypertension is a very stubborn disease, and there is no way to treat it fundamentally , but after our blood pressure has stabilized in the later stage, there is no need to take antihypertensive drugs all the time. In fact, the disease of high blood pressure exists objectively with the increase of age. No matter how well you maintain your body, you will have different degrees of hypertension and hyperlipidemia as you grow older. The current prevalence of hypertension in China is 32.5%, and 39.5% of residents have prehypertension.

This means that about 70% of adults in China suffer from high blood pressure. However, for a large number of hypertensive patients, only about 30% are diagnosed. In addition, the blood pressure control rate of the treated patients was less than 30%.

When is the best time to take blood pressure medication?

Can't stop taking antihypertensive drugs? This is one of the main reasons why many friends with high blood pressure are reluctant to start drugs. As a hypertensive patient, if you need to take medication for control but do not take medication, although you may not feel anything temporarily, the "silent" health hazards of hypertension to the body are often ignored because they do not feel it. Once myocardial infarction, cerebral infarction, etc. occur Big problem, regret may really be too late.

Therefore, for the question of whether to stop taking antihypertensive drugs, first of all, there is never the problem of not stopping after taking the drug. On the other hand, even if long-term medication is required, blood pressure can be controlled well. Dare to take medicine and maintain high blood pressure for a long time, and the risk to health is less.

The role of antihypertensive drugs, first of all to control blood pressure. Second, antihypertensive drugs can also dilate blood vessels, slow down heart rate, reduce the response of antihypertensive substances to blood vessels, and improve heart function.

Some hypertensive patients only take antihypertensive drugs when their blood pressure rises, resulting in poor blood pressure control. Some hypertensive patients, after taking antihypertensive drugs for a period of time, their blood pressure drops, and then they stop the drugs immediately. People with high blood pressure are indecisive about taking antihypertensive drugs in the morning, noon or night...

Theoretically speaking, the blood pressure in the human body is not fixed during the day, but shows a double peak-double trough pattern. That is to say, it starts to rise at 6-10 in the morning, starts to fall at 2-3 in the afternoon, then rises again at 4-6, and then slowly falls until it reaches its lowest point at 2-3.

Therefore, according to the law of blood pressure fluctuations and the different types of antihypertensive drugs:

Take antihypertensive drugs once a day, at about 7 a.m.;

Take antihypertensive drugs twice within two days, at around 7:00 am and 2:00 pm respectively;

Taking antihypertensive drugs at the peak of blood pressure fluctuations is ideal for blood pressure control, which can better reduce blood pressure at peak times and avoid excessive blood pressure fluctuations.

Antihypertensive drugs have to be taken all the time, can't be stopped for life?

Hypertension is a life-long disease, and there is currently no cure. Only by improving lifestyle and taking medicines can effectively reduce blood pressure, reduce complications, and reduce mortality. Some patients even need lifelong medication.

Whether hypertensive patients should start medication, insist on medication, or stop taking antihypertensive drugs, the indicators are based on the blood pressure control of hypertensive patients. If the ideal level is below 130/80, why should you insist on taking medicine? But if you don’t take medicine, your blood pressure will not drop, so you should stick to taking medicine and choose medicine reasonably, on the premise of ensuring the safety of medicine To ensure the stable control of blood pressure is the correct way to reduce the health damage caused by high blood pressure to the heart, brain and kidney.

In addition, some friends think that taking antihypertensive drugs can not stop because after taking the drugs, the body will become dependent on antihypertensive drugs, but in fact, almost all antihypertensive drugs are not dependent, except for beta receptor blockers When stopping antihypertensive drugs, you should pay attention to the problem of withdrawal and rebound. Apart from gradually reducing the dose and stopping the drug, other antihypertensive drugs will not cause the body to become dependent, and the blood pressure will become higher after the drug is stopped. Therefore, for The fear of taking antihypertensive drugs and the body becoming dependent is completely unnecessary.

For hypertensive patients, on the basis of a reasonable choice of antihypertensive drugs, blood pressure monitoring, with the intervention of a healthy lifestyle, it is the last word to stabilize blood pressure and reduce the health hazards caused by hypertension. Therefore, we still Hypertensive patients are recommended to take reasonable and safe medication according to their own conditions and according to the doctor's advice.

In addition, if after taking the medicine for a period of time, with the improvement of lifestyle, the blood pressure drops to a normal value and maintains it for a period of time, the pressure medication can be reduced slowly, or even stopped. pressure medicine".

For people with high blood pressure, it is still necessary to adhere to lifelong medication to better control blood pressure. If blood pressure fluctuates frequently, it is easy to increase the risk of myocardial infarction, stroke, renal failure and death.

But there are some exceptions, such as patients with mild hypertension, after life intervention, the blood pressure has reached a normal level, and the medication can be reduced or stopped. The following situations can be reduced or discontinued:

First of all , for patients with secondary hypertension, if the disease causing hypertension is cured, such as hyperthyroidism, kidney disease, etc., the blood pressure will also be normal, and you can try to reduce the dose of the drug until it is completely stopped.

Second , if you are a patient with mild primary hypertension, after a period of lifestyle intervention and drug treatment, the blood pressure has stabilized, and the dose can be reduced or discontinued.

Third, for some elderly hypertensive patients, with the increase of age, the myocardial contractility decreases, the blood pressure gradually drops to normal, or when the cerebral blood vessels are narrowed and the symptoms of dizziness are not obvious after the blood pressure drop, they can stop taking antihypertensive drugs.

Regarding the problem of drug control in patients with hypertension, it is still necessary to correct such a misunderstanding. The goal of taking antihypertensive drugs for high blood pressure is to control high blood pressure and reduce the damage to the heart, brain and kidney health caused by high blood pressure. Therefore, for hypertensive patients, control of blood pressure is the premise regardless of whether taking medication or not.