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HIGH BLOOD PRESSURE SYMPTOMS CAUSES DIET & TREATMENT

Dr.Armughan Riaz
M.B.B.S, Dip Card
Consultant Cardiologist

 

High Blood Pressure Medication

Do you know what are main medicines used for high blood pressure. Table of all high blood pressure medication

High Blood Pressure Medication

Here are some drugs used to treat high blood pressure. Your doctor may prescribe others. This list isn't all-inclusive. (The generic name is followed by the brand name. These brand names are registered to various companies.)


High Blood Pressure Medication

Diuretics
chlorthalidone Hygroton
furosemide Lasix
hydrochlorothiazide Esidrix, Hydrodiuril, Microzide, Diuza
indapamide Lozol
metolazone Mykrox, Zaroxolyn
 
Potassium-sparing diuretics
amiloride hydrochloride Midamar
spironolactone Aldactone
triamterene Dyrenium
  
Combination diuretics
amiloride hydrochloride + hydrochlorothiazide Moduretic
spironolactone + hydrochlorothiazide Aldactazide
triamterene + hydrochlorothiazide Dyazide, Maxzide
   
Beta-blockers
acebutolol Sectral
atenolol Tenormin Zafnol
betaxolol Kerlone
bisoprolol fumarate Zebeta probase
carteolol hydrochloride Cartrol
metoprolol tartrate Lopressor Mepressor Merol
metoprolol succinate Toprol-XL
nadolol Corgard
penbutolol sulfate Levatol
pindolol Visken
propranolol hydrochloride Inderal
timolol maleate Blocadren
  
ACE inhibitors
benazepril hydrochloride Lotensin
captopril Capoten
enalapril maleate Vasotec Renetec
fosinopril sodium Monopril
lisinopril Prinivel, Zestril Lispril
moexipril Univasc
quinapril hydrochloride Accupril
ramipril Altace
trandolapril Mavik
  
Angiotensin II receptor blockers
candesartan Atacand Advent Treatan Cansar
irbesarten Avapro Aproval Irecon
losartin potassium Cozaar
valsartan Diovan
  
Calcium channel blockers
amlodipine besylate Norvasc Sofvasc
diltiazem hydrochloride Cardizem CD, Cardizem SR, Dilacor XR, Tiazac
felodipine Plendil
isradipine DynaCirc, DynaCirc CR
nicardipine Cardene SR
nifedipine Adalat CC, Procardia XL Anifed Retard
nisoldipine Sular
verapamil hydrochloride Calan SR, Covera HS, Isoptin SR, Verelan
  
Alpha blockers
doxazosin mesylate Cardura
prazosin hydrochloride Minipress
terazosin hydrochloride Hytrin
 
Combined alpha and beta-blockers
carvedilol Coreg Carveda
labetolol hydrochloride Normodyne, Trandate
 
Central agonists
alpha methyldopa Aldomet
clonidine hydrochloride Catapres
guanabenz acetate Wytensin
guanfacine hydrochloride Tenex
 
Peripheral adrenergic inhibitors
guanadrel Hylorel
guanethidine monosulfate Ismelin
reserpine Serpasil
   
Blood vessel dilators
hydralazine hydrocholoride Apresoline
minoxidil Loniten**

**Used in severe cases or when kidney failure is present.

So, which is the best Medicine or combination of medicines?

Research trials seem to show that the five classes of drugs discussed above, on average, are just as good as each other at lowering blood pressure. Therefore, the one or ones chosen depends on such things as: if you have other medical problems; your ethnic origin; if you take other medication; possible side-effects; your age; etc.

For example: beta-blockers and calcium channel blockers can also treat angina; ACE inhibitors also treat heart failure; some drugs are not suitable if you are pregnant; some are thought to be better if you have diabetes; some tend to work better than others in people of Afro-Caribbean origin; etc.

If you do not have any other medical problems that warrants a particular drug, then current UK guidelines give the following recommendations as to usual drugs that should be used. These recommendations are based on treatments and combinations of treatments that are likely to give the best control of the blood pressure with the least risk of side effects or problems. Treatment is guided by the A/CD approach as follows:

  • If you are less than 55 years old and are not black then initial treatment should be with 'A' (an ACE inhibitor, or an angiotensin receptor blocker if an ACE inhibitor causes problems or side effects).
  • If you are 55 years or older, or are black then initial treatment should be with 'C' or 'D' (a calcium-channel blocker or a diuretic).
  • Then, if the target blood pressure is not reached, combine 'A' with 'C' or 'D' (an ACE inhibitor or an angiotensin receptor blocker plus a calcium-channel blocker or diuretic).
  • Then, if target blood pressure is still not reached, combine 'A' with 'C' and 'D' (an ACE inhibitor or an angiotensin receptor blocker, and a calcium-channel blocker, and a diuretic).
  • If a 4th drug is needed to achieve the target blood pressure, consider adding of one of the following:
    • A beta-blocker
    • Another diuretic
    • An alpha-blocker

However, individuals can vary. Sometimes, if one drug does not work so well or causes side-effects, a switch to a different class of drug may work fine. High Blood Pressure Medication

 



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