Principles of treatment of hypertension

Treatment of mild and moderate hypertension

This form affects the majority of hypertensive patients – up to 70%. Mild hypertension can have complications such as cerebrovascular disorders. In addition, deaths on the background of hypertensive disease can even occur at a pressure of 140/90. In the case of mild and moderate hypertension use of treatment plan in three stages.

The use of drugs should be started, if in three or four months after passing the first stage of treatment was not sustained pressure reduction or progressed to a more serious stage.

With regard to non-drug therapy should follow the same standard treatment, and that at the first stage. But besides this the doctor prescribes one drug to reduce the pressure in the minimum dosage. Very important the correct choice of medication and continuous reception. You must consider all contraindications and the ability to adjust risk factors associated with the disease.

At first the doctors usually prescribe drugs that meet certain requirements with long-term use:

• do not delay fluid in the body;
• not inhibit the work of the CNS;
• not lead to a sharp pressure drop after their cancellation;
• do not violate the metabolism of fats and carbohydrates;

The lifestyle changes and combination drugs

Better to stay in the previous stages of treatment, seek a doctor. To the third stage of transition, if an increase in dose does not reduce the pressure. Then prescribe drugs from a different group or two different groups. Apply the following combinations:

• calcium antagonist and beta blocker;
• diuretic and beta-blocker;
• ACE inhibitor and beta-blocker;
• calcium antagonist and ACE inhibitor;
• a diuretic and ACE inhibitor.

If you can't achieve a positive result with two drugs, add a third. Definitely need to adhere to the above recommendations on nutrition, physical activity, attitude towards bad habits. Only by adhering to this principle of treatment throughout life, it is possible to keep under control hypertension.

Treatment of severe hypertension

Malignant hypertension is characterized by not only significant increase in blood pressure and a serious defeat of target organs: the brain vessels and the fundus of the eye, kidneys, heart.