There is dependence on antihypertensive drugs, once you take it, you can't stop it? Doctor: The drug can be discontinued in these 3 cases
Diagnosed with high blood pressure, what is the most indispensable thing?
Presumably many people will blurt out three words: antihypertensive drugs!
That's right, so far, there is still no clinical cure for essential hypertension, so after finding elevated blood pressure, patients can only rely on drugs for long-term control and treatment.
The purpose behind the treatment is not only to stabilize blood pressure, but also to prevent complications caused by high blood pressure , including cardiovascular and cerebrovascular disease, kidney disease, heart disease, etc.
Because of this, many people have different interpretations of antihypertensive drugs, thinking that no matter what kind of situation is taking antihypertensive drugs, as long as you start the drug, you can't stop it.
It is even believed that there is dependence on antihypertensive drugs, and after stopping the drug, the body will have multiple side effects. But in reality, both statements are incorrect.
The first thing to be clear is that antihypertensive drugs are not dependent or addictive . Because its main function in the body is to lower blood pressure .
After stopping the drug, the patient does not experience any withdrawal symptoms, except that the blood pressure will rise. Therefore, the body does not rely on antihypertensive drugs, but relies on antihypertensive drugs for hypertension , which needs antihypertensive drugs to control.
However, this does not mean that the patient cannot get rid of the antihypertensive drugs completely. In fact, the patient needs to stop the drug in the following three situations:
1. Mild hypertension
The so-called mild hypertension means that the blood pressure index of the patient has exceeded the high pressure of 140 and the low pressure of more than 90, but has not reached the diagnostic criteria of moderate to severe hypertension, and the patient has no obvious cardiovascular risk factors , especially under the age of 40. of mildly hypertensive patients .
In this case, doctors often recommend that patients improve their diet, exercise, smoking cessation and alcohol cessation first . If blood pressure can be well controlled, antihypertensive drugs may not be needed for the time being;
2. Secondary hypertension
There are two main types of hypertension, primary and secondary. The so-called secondary hypertension refers to the fact that based on current medical technology, the cause of hypertension in patients can be identified.
For example, the patient has high blood pressure caused by taking a certain drug, unhealthy sleeping habits, or bad habits . After behavior correction, the blood pressure will return to normal . In this case, there is no need to take antihypertensive drugs.
If the patient has high blood pressure caused by the disease, even if the drug treatment has been started now, when the primary disease is controlled and the blood pressure returns to normal, the patient does not need to take antihypertensive drugs;
3. Critical illness
As mentioned above, the most terrifying thing about high blood pressure is the complication. If blood pressure is not effectively treated for a long time, the patient will gradually develop atherosclerosis, which will lay hidden dangers for various cardiovascular and cerebrovascular diseases .
The higher the blood pressure and the longer the illness, the greater the likelihood of future complications . If a hypertensive patient suffers from acute myocardial infarction, pulmonary embolism and other critical illnesses, it may cause a state of hypotension . In this case, antihypertensive drugs should be discontinued in time.
In addition to the above three situations, the vast majority of patients with essential hypertension are basically difficult to stop medication. Even if blood pressure has returned to normal levels, it should be treated with long-term medication.
Of course, what needs to be emphasized here is that it is impossible to generalize whether hypertensive patients need medication, which medication to use, and the dosage. Because each hypertensive patient has different specific conditions and different medication methods, patients should obey Doctor's advice and arrangements.