Which medications are the best first-line therapy for chronic hypertension?

Which medications are the best first-line therapy for chronic hypertension?

The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.

What is the best medication for severe hypertension?

Patients with hypertensive emergencies are best treated in an intensive care unit with titratable, intravenous, hypotensive agents. Rapid-acting intravenous antihypertensive agents are available, including labetalol, esmolol, fenoldopam, nicardipine and sodium nitroprusside.

Which are the drugs for 2nd line treatment of hypertension?

Possible options include: angiotensin-converting-enzyme inhibitors, angiotensin II antagonists, calcium channel blockers or betablockers. In patients over the age of 60, betablockers seem less effective that the other drugs in preventing strokes.

What is the first drug of choice for hypotension?

Fludrocortisone is recommended as first-line drug therapy. This is a drug that prevents dehydration by causing the kidneys to retain water. This drug boosts the blood volume, which raises the blood pressure.

What is the safest BP Med to take?

Other possible safe options include labetalol, beta-blockers, and diuretics. Two classes of drugs that should never be used during pregnancy include ACE inhibitors and angiotensin II receptor blockers.

What is the safest antihypertensive drug?

The new research suggests thiazides are the safest hypertension medication available, but are currently underprescribed.

When to take anti-hypertensive medication for high blood pressure?

Given this, they may also be used in combination with one or more high blood pressure medications. The initiation of a single anti-hypertensive medication is reasonable in adults with stage 1 hypertension and a BP goal <130/80 mm Hg.

When to take aldosterone antagonist for high blood pressure?

These medications are often used with other drugs, such as a diuretic. Aldosterone antagonists block the hormone aldosterone, which sometimes causes salt and fluid retention, contributing to high blood pressure. They are usually prescribed for those whose high blood pressure is difficult to control or who have diabetes or heart failure.

When to take an ACE inhibitor for hypertension?

ACE inhibitors • The ACE inhibitors, are recommended as first-line treatment of hypertension in patients with a variety of compelling indications, including high coronary disease risk or history of diabetes, stroke, heart failure, myocardial infarction, or chronic kidney disease. 15.

Which is better for high blood pressure one drug or two?

Combining two drugs usually works better than a single drug to get your blood pressure under control. Sometimes additional medication is needed to achieve your blood pressure goal. High blood pressure often goes hand in hand with other health problems. High blood pressure increases your risk of having one of these conditions:

What kind of medications are used for high blood pressure?

If treatment is considered necessary, sometimes more than one medication is prescribed. Medications for high blood pressure include: Alpha-blockers. The following list of medications are in some way related to, or used in the treatment of this condition.

Is it safe to take high blood pressure Meds?

Although data did show that patients with consistent blood pressure higher than 140/90 were at some risk for heart attack and stroke, there was not much evidence that using more meds to drive the blood pressure further down–to that magic 120/80–really prevented much of anything.

When to take antihypertensives to lower blood pressure?

“Morning ingestion has been the most common recommendation by physicians based on the misleading goal of reducing morning blood pressure levels.”

What should I do if my blood pressure is too high?

If you’re already taking blood pressure meds, work with your doctor when it comes to medication adjustment. Quitting or reducing blood pressure drugs is not a DIY project. If your physician doesn’t recommend going off your medication, ask him or her if you can be switched to a diuretic.