Tuesday, May 18, 2010

Types of hypertension medication? -

From some information, i know that there are few types of high blood pressure medication: * calcium channel blocker, e.g Amlodipine * ACE inhibitors, e.g Zestril * HCTZ * beta blockers My mother is suffering high blood pressure, and currently taking Amlodipine 10mg daily, but it seems not reducing it. Before she also took Zestril, but she often got cough of it. How each of the medication above function and suitable for a patient? What is the difference of one to another?

Since your mom was having a side effect from Zestril, her anti-hypertensive was changed to Amlodipine. If your mom s bp is not responding to amlodipine, visit her doctor so that the doctor can change her medication. I am also wondering when do you check your mom s bp? if she takes the tablet in the AM, the blood pressure should be lower by the PM. I am also wondering if your mom s ankles or legs are puffy. Angiotensin II is a very potent chemical that causes the muscles surrounding blood vessels to contract and thereby narrows the blood vessels. The narrowing of the vessels increases the pressure within the vessels and can cause high blood pressure (hypertension). Angiotensin II is formed from angiotensin I in the blood by the enzyme, angiotensin converting enzyme (ACE). ACE inhibitors are medications that slow (inhibit) the activity of the enzyme, which decreases the production of angiotensin II. As a result, the blood vessels enlarge or dilate, and the blood pressure is reduced. This lower blood pressure makes it easier for the heart to pump blood and can improve the function of a failing heart. In addition, the progression of kidney disease due to high blood pressure or diabetes is slowed. ACE inhibitors are used for controlling blood pressure, treating heart failure and preventing kidney damage in people with hypertension or diabetes. They also benefit patients who have had heart attacks. In studies, individuals with hypertension, heart failure, or prior heart attacks who were treated with an ACE inhibitor lived longer than patients who did not take an ACE inhibitor. Because they prevent early death resulting from hypertension, heart failure or heart attacks, ACE inhibitors are one of the most important group of drugs. Some individuals with hypertension do not respond sufficiently to ACE inhibitors alone. In these cases, other drugs are used in combination with ACE inhibitors. Calcium channel blockers (CCBs) are a class of drugs that block the entry of calcium into the muscle cells of the heart and the arteries. It is the entry of calcium into these cells that causes the heart to contract and arteries to narrow. By blocking the entry of calcium, CCBs decrease contraction of the heart and dilate (widen) the arteries. e.g. captopril (Capoten), benazepril (Lotensin), enalapril (Vasotec), lisinopril (Prinivil, Zestril) fosinopril (Monopril), ramipril (Altace), perindopril (Aceon), quinapril (Accupril), moexipril (Univasc), and trandolapril (Mavik). In order to pump blood, the heart needs oxygen. The harder the heart works, the more oxygen it requires. Angina (heart pain) occurs when the supply of oxygen to the heart is inadequate for the amount of work the heart must do. By dilating the arteries, CCBs reduce the pressure in the arteries. This makes it easier for the heart to pump blood, and, as a result, the heart needs less oxygen. By reducing the heart s need for oxygen, CCBs relieve or prevent angina. CCBs also are used for treating high blood pressure because of their blood pressure-lowering effects. CCBs also slow the rate at which the heart beats and are therefore used for treating certain types of abnormally rapid heart rhythms. CCBs are used for treating high blood pressure, angina, and abnormal heart rhythms (e.g., atrial fibrillation). They also may be used after a heart attack, particularly among patients who cannot tolerate beta-blocking drugs, have atrial fibrillation, or require treatment for their angina. (Unlike beta blockers, CCBs have not been shown to reduce mortality or additional heart attacks after a heart attack.) CCBs are as effective as ACE inhibitors in reducing blood pressure, but they may not be as effective as ACE inhibitors in preventing the kidney failure of high blood pressure or diabetes. e.g. Amlodipine, verapamil, diltiazem Beta-blockers are used to lower high blood pressure, relieve angina (chest pain), correct arrhythmias (irregular heartbeats), reduce the risk of dying after a heart attack and treat heart failure. Some beta-blockers are used to prevent migraine, some can reduce physical symptoms associated with anxiety, such as palpitations and shaking, and some are used for relief of symptoms associated with hyperthyroidism (an overactive thyroid gland). There are also eye drops containing certain beta-blockers that are used to treat glaucoma, an eye condition caused by a build-up of pressure due to reduced drainage of fluid from the eye, which can result in blindness. up to the top. e.g.Acebutolol (Sectral) Atenolol (Tenormin) Betaxolol hydrochloride (Kerlone, Betoptic) Bisoprolol fumarate (black triangle Cardicor, Monocor) Carteolol hydrochloride (Teoptic) black triangle Carvedilol (Eucardic) Celiprolol hydrochloride (Celectol) Esmolol hydrochloride (Brevibloc) Labetalol hydrochloride (Trandate) Levobunolol Metoprolol tartrate (Betaloc, Lopresor) Metipranolol Nadolol (Corgard) black triangle Nebivolol (Nebilet) Oxprenolol hydrochloride (Trasicor) Pindolol (Visken) Propranolol hydrochloride (Inderal) Sotalol hydrochloride (Beta-cardone) Timolol maleate (Betim, Timoptol)

I had high blood pressure for 30 years. All the pills do is relax you. What I do now is take 2 tbls. of heinz apple cider vinegar in a glass of water before a meal. I still eat salt and salty foods. I drink 2 or 3 gallons of water to wash the salt out. I know what the doctor will say: wrong! But I prayed and meditated to be helped and I have been cured. Read the heinz apple cider vinegar website for more info. Tell mom to take heart healthy. Vinegar will relax you. I have no more wild mood swings either. No more depression and my hair and nails are long and strong. Vinegar has been used as treatment for thousands of years. Vinegar has 93 vitamins and minerals so it will beat osteoporosis and tooth loss.

tell her to take 100mg of aspirin daily..it thins the blood fast..tell her also to avoid SALT and saturated fat in her diet..fruits and veggies overload will reduce her hypertension in no time..

you are not asking the right person. make an appointment for your mother with the doctor who prescribes. if she allows it, go with her and have your questions answered by a professional who has your mother s full medical history available.

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