Treating hypertension and choosing the best medicine for you may depend on the following factors:
- How high your blood pressure is and what your blood pressure goal is.
- Whether you have signs that high blood pressure has caused organ damage, such as an enlarged heart or early damage to your arteries, kidneys, or eyes.
- Whether you have other medical conditions, such as coronary artery disease, diabetes, kidney or lung disease; or risk factors for heart disease, such as diabetes or high cholesterol.
- Whether you think you can succeed at making lifestyle changes.
Doctors usually prescribe a single, low-dose medicine first. If blood pressure is not controlled, your doctor may change the dosage or use another to get the best result.
It is common to try several medicines or combinations thereof before blood pressure is successfully controlled.
Work with your doctor to find the right one with the fewest side effects, making sure that you take the medicines regularly as prescribed.
Medicine choices include diuretics, ACE inhibitors, angiotensin II receptor blockers (ARBs), beta-blockers, calcium channel blockers, direct renin inhibitors, alpha-blockers and vasodilators. These are all effective in lowering the risk of heart attack and stroke.[pq]When taking hypertension medications, do not take over-the-counter drugs, vitamins, or supplements unless you talk to your doctor first.[/pq]
Medicines can interact with each other and keep blood pressure medications from working right or cause a bad reaction.
– Medical Observer