Management Of Hypertension

Management Of Hypertension

Discuss The Management Of Hypertension.
Answer:

• Nonpharmacological methods which control hypertension are weight reduction, a decrease in sodium intake, restriction of alcohol, and physical
  exercise, mental relaxation, smoking cessation, and taking a potassium-rich diet.
• In pharmacological treatment, various factors, i.e., age, sex, cost of the drug, complications, etc., are helpful in the selection of an appropriate antihypertensive drug.
• Drugs used in the treatment of initial hypertension are ACE inhibitors, angiotensin receptor blockers, calcium channel blockers, and thiazides.
• Treatment should be started with a single agent. Combination therapy should be applied to patients who do not respond to single-drug therapy.
• Below is the regimen for the treatment of hypertension.

It is administered to two types of people, i.e.

A (ACE inhibitor)        C (Calcium channel Blocker)
Or                               Or
B (β blocker)               D (Diuretics)

• If BP is not controlled, then use a single drug from another group, i.e., A is replaced by C or B is replaced by D, or vice versa.
• If BP is still not controlled, then a drug regimen is started, i.e., one drug from the first group and another drug from the second group, i.e., A + C or A + D
  • Finally, A + B or C + D can be tried, but it has less additive effect on BP.
  • B + C is contraindicated: Produces cardiac depressant action.
• If BP is still not controlled, then use a triple-drug regimen.
  • A + C + D is an ideal regimen.

Management of Hypertension: Treatment Guidelines and Strategies

Various Dosages Along With The Indications Of Antihypertensive Drugs