Blood pressure control is bad to can't just blame the drug 
 
  
Wu ShiminShanghai licensed pharmacists association 
 
 
China's traditional Chinese medicine to 

    5 years history of high blood pressure, zhang aunt found that in the process of antihypertensive drugs before taking curative effect good drug effect "variation", slowly began to become unstable blood pressure. So why is antihypertensive drug effect "variation"?
 
    Hypertension is a chronic disease, in general, patients with high blood pressure after the doctor make a diagnosis and give treatment, choose reasonable and insist on taking anti-hypertensive drugs, blood pressure can be controlled in the normal range. But, also some people with the progress of the course of the disease, even after maximum dose combination, blood pressure level is high, and there are high and low, blood pressure fluctuations. In fact, the curative effect on drug "variation" not entirely to blame, according to clinical observation, have the following several aspects can cause blood pressure in patients with difficult to get effective control.
 
    Disease changes Some patients at the beginning when some antihypertensive drugs effect is very good, so regardless of condition monitoring, and not on a regular basis related to medical. Hypertension disease is not static, with the passage of time, can accentuate sclerosis of arterial congee appearance, plus the lack of good living habits, or too tired, or high blood pressure affects target organs, disease changes affect the curative effect of the drug. Such as from pure hypertension in some patients with high blood pressure and diabetes mellitus, such combination should be considered to protect target organs, reduce the complications. And as the degree of atherosclerosis is aggravating, the original treatment not well control the changed condition, the need for medical staff and patients together to find a new and suitable for the illness treatment, control of blood pressure.
 
    Drug use is not reasonable Some patients failed to medication adherence, clothing and stopping, or frequent replacement of varieties of drugs. If can't prescribed medication correctly, will inevitably affect the antihypertensive drug curative effect. And frequent replacement of antihypertensive drugs, may also affect curative effect, because of some antihypertensive drug taking the longer, the better antihypertensive effect. Such as valsartan angiotensin Ⅱ receptor antagonist role is decompression by blocking the receptor binding site working, after taking strong effect from 6 months, 1 year 6 months than 3 months. When the medicine effectively, therefore, need not frequent replacement of varieties.
 
    Climate factors Many patients have such experience: also fixed a set of treatment, in hot weather when blood pressure returns to normal, even on the low side, and when the weather is cold, peripheral vascular contraction, blood pressure increases, continue to use the same package may effect is not ideal, need to increase the dose of the drug, medication frequency or varieties.
 
    In the face of antihypertensive drug "variation", some patients will be flying blind, because of the may increase will have sided with secret recipe, folk prescription, actually it is harmful. When blood pressure control is not ideal, don't be impatient, patients with situation in a timely manner to reflect to the doctor, so that the doctor according to specific situation to make corresponding processing, improve treatment effect. Patients not to replace the drug, or suddenly stop taking doctors recommend drugs, also do not increase the drug doses, because it not only affect curative effect, and may increase the adverse drug reactions.
 
    On blood pressure, of course, "stubborn", the patient should also own "self check", check whether there is related to genetic factors, lifestyle, career.
 
 
 
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