What is the most potent drug for illustrious blood pressure?
I have 152/110. They say it's bad, so I requirement to ask for the strongest bpm available. Advice solicited!
NO, I won't change diet!
Answers:
I had 167/100 immediately I am using cordilox and have got it down to 157/89 still not good but much better.
Your doctor will prescribe the best combination for you. This combination is dependent upon several factors including, other robustness issues, weight, race, etc. I would say you will probably seize a diuretic (water pill) and a ARB (angiotensin receptor blocker). There's not a most effective drug per say, only one that works for you to attain you at goal blood pressure. Source(s): pharmacist
It's not easy to say lacking knowing if you have any other diseases or health problems, since certain drugs are proven best within certain patient populations. However, with your reading you will likely need at least 2 medicine to reach goal. One of these drugs will almost definitely be HCTZ, the other could be a calcium-channel blocker/beta-blocker/ACE-inhibitor/ARB.
However, you really MUST revise your diet and lifestyle. Changing these could not only lower your blood pressure but also protect you from other disease you are likely at risk for (diabetes, high cholesterol, etc). Even a small progress such as lowering the amount of salt in your diet could have great benefits. Medicines cannot fix everything, and if you really exactness about your health you should make some dietary modifications.
Edit: ultimate I checked, JNC guidelines recommend a thiazide diuretic as first line in the absence of a compelling indication for another drug (diabetes, nephropathy, etc). An ACEi or ARB is not necessarily 1st string if the compelling indication points to something else (heart failure and beta blockers anyone?). Source(s): PharmD candidate
How about exercise? that lowers BP too.
Apparently CK is the only other one up to date with the JNC-7. In lieu of any contraindications or comorbid conditions, your first medication is a thiazide diuretic, and if a second medication is needed it would be an ACE inhibitor. an ARB may be substituted but due to its cost and lack of any additional efficacy over an ACE the ACE is preferred.
By the path, lisinopril/HCTZ is on the $4 list.
Beta blockers and CCBs are generally considered third line.
Anyway, none of this really matter, your doctor will look at your overall picture and prescribe what is needed, and you can't cure bad choices with pill. Source(s): med student
wow, some touchy people answering this question. Here's my two cents, here is one and only one correct answer to this question: Talk to your doctor. He knows your medical history, and is really the one and only one qualified to make a recommendation for treatment. I don't care if anyone on here really is a doctor, it is poor practice to bring in recommendations for treatment without ever seeing a patient.
Besides, you can come within and ask for say Vasotec and Tenormin, doesn't mean a damn thing. he doesn't own to prescribe upon request.
Finally, you are screwed by your own lifestyle. I have plenty of patients who eat tons of sugar in spite of diabetes, a poor diet surrounded by spite of their cholesterol, smoke even after diagnosis with COPD, refuse to exercise one bit, and like you, merely want a pill to take away their problems. It doesn't work that way. Your doctor isn't a miracle worker, he can only do his charge if you do yours. If you want to eat like crap and be lazy, fine, but you are the one who have to live with the consequences.
You call for a vasodilator, such as ACE inhibitor or ARB.
I agree with the earlier responder that with blood pressure that big, you MUST change your diet!! If not, you stand a fair chance of DYING from a stroke or heart attack. Do you UNDERSTAND?
CHANGE your diet!
I studied the JNC recommendation when you were still in diapers, apparently. By the way, thiazide "diuretics" do not lower blood pressure by "diuresing". Thiazides are vasodilators. Thiazides are NOT other the first recommended choice for antihypertensive. If you ever make out of medical school some day, you'll see that the bulk of hypertensives out nearby are high renin secretors and will responded exquisitely to an ACEi.
Besides, anyone can read the JNC guidelines verbatim and profess that they have the clincial expertise to back it up.
EDIT: Do you pharm and med students know the substance of the word GUIDELINE? It means EXACTLY THAT! They're guidelines-- nothing more, nothing smaller number, and like any guidelines, are no substitute for clincial expertise. I like HCTZ. It' a good antihypertensive. I also close to ACEi, too. The differenece between the guidelines and real treating physicians is the guidlines don't treat and care for human flesh and blood. Only docotrs do. And like other responders rightfully pointed out, one and only a doctor can determine whether a given antihypertenive choice is appropriate--NOT a guideline. Do you guys understand that?
I'm curious how many of the students above have ever treated forgiving with high blood pressure? Do you how many merciful actually FAIL treatment with a HCTZ?? Hmmmm? Well, let me explain to you, JNC (or guidleines for other diseases) don't and won't divulge that. FYI.
EDIT (again):
If you want to continue eating salty/greasy food, then no pills will help you. You're toast. You may as well start writing your will. Source(s): My remote medical training.
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NO, I won't change diet!
Answers:
I had 167/100 immediately I am using cordilox and have got it down to 157/89 still not good but much better.
Your doctor will prescribe the best combination for you. This combination is dependent upon several factors including, other robustness issues, weight, race, etc. I would say you will probably seize a diuretic (water pill) and a ARB (angiotensin receptor blocker). There's not a most effective drug per say, only one that works for you to attain you at goal blood pressure. Source(s): pharmacist
It's not easy to say lacking knowing if you have any other diseases or health problems, since certain drugs are proven best within certain patient populations. However, with your reading you will likely need at least 2 medicine to reach goal. One of these drugs will almost definitely be HCTZ, the other could be a calcium-channel blocker/beta-blocker/ACE-inhibitor/ARB.
However, you really MUST revise your diet and lifestyle. Changing these could not only lower your blood pressure but also protect you from other disease you are likely at risk for (diabetes, high cholesterol, etc). Even a small progress such as lowering the amount of salt in your diet could have great benefits. Medicines cannot fix everything, and if you really exactness about your health you should make some dietary modifications.
Edit: ultimate I checked, JNC guidelines recommend a thiazide diuretic as first line in the absence of a compelling indication for another drug (diabetes, nephropathy, etc). An ACEi or ARB is not necessarily 1st string if the compelling indication points to something else (heart failure and beta blockers anyone?). Source(s): PharmD candidate
How about exercise? that lowers BP too.
Apparently CK is the only other one up to date with the JNC-7. In lieu of any contraindications or comorbid conditions, your first medication is a thiazide diuretic, and if a second medication is needed it would be an ACE inhibitor. an ARB may be substituted but due to its cost and lack of any additional efficacy over an ACE the ACE is preferred.
By the path, lisinopril/HCTZ is on the $4 list.
Beta blockers and CCBs are generally considered third line.
Anyway, none of this really matter, your doctor will look at your overall picture and prescribe what is needed, and you can't cure bad choices with pill. Source(s): med student
wow, some touchy people answering this question. Here's my two cents, here is one and only one correct answer to this question: Talk to your doctor. He knows your medical history, and is really the one and only one qualified to make a recommendation for treatment. I don't care if anyone on here really is a doctor, it is poor practice to bring in recommendations for treatment without ever seeing a patient.
Besides, you can come within and ask for say Vasotec and Tenormin, doesn't mean a damn thing. he doesn't own to prescribe upon request.
Finally, you are screwed by your own lifestyle. I have plenty of patients who eat tons of sugar in spite of diabetes, a poor diet surrounded by spite of their cholesterol, smoke even after diagnosis with COPD, refuse to exercise one bit, and like you, merely want a pill to take away their problems. It doesn't work that way. Your doctor isn't a miracle worker, he can only do his charge if you do yours. If you want to eat like crap and be lazy, fine, but you are the one who have to live with the consequences.
You call for a vasodilator, such as ACE inhibitor or ARB.
I agree with the earlier responder that with blood pressure that big, you MUST change your diet!! If not, you stand a fair chance of DYING from a stroke or heart attack. Do you UNDERSTAND?
CHANGE your diet!
I studied the JNC recommendation when you were still in diapers, apparently. By the way, thiazide "diuretics" do not lower blood pressure by "diuresing". Thiazides are vasodilators. Thiazides are NOT other the first recommended choice for antihypertensive. If you ever make out of medical school some day, you'll see that the bulk of hypertensives out nearby are high renin secretors and will responded exquisitely to an ACEi.
Besides, anyone can read the JNC guidelines verbatim and profess that they have the clincial expertise to back it up.
EDIT: Do you pharm and med students know the substance of the word GUIDELINE? It means EXACTLY THAT! They're guidelines-- nothing more, nothing smaller number, and like any guidelines, are no substitute for clincial expertise. I like HCTZ. It' a good antihypertensive. I also close to ACEi, too. The differenece between the guidelines and real treating physicians is the guidlines don't treat and care for human flesh and blood. Only docotrs do. And like other responders rightfully pointed out, one and only a doctor can determine whether a given antihypertenive choice is appropriate--NOT a guideline. Do you guys understand that?
I'm curious how many of the students above have ever treated forgiving with high blood pressure? Do you how many merciful actually FAIL treatment with a HCTZ?? Hmmmm? Well, let me explain to you, JNC (or guidleines for other diseases) don't and won't divulge that. FYI.
EDIT (again):
If you want to continue eating salty/greasy food, then no pills will help you. You're toast. You may as well start writing your will. Source(s): My remote medical training.
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