Both have high blood pressure. One takes antihypertensive drugs on time, and the other takes Panax notoginseng powder. What is the difference?

With lifestyle changes, more and more people are being targeted by high blood pressure. According to statistics, there are currently more than 300 million hypertensive patients in China, that is to say, one in every four adults is hypertensive.

Not only that, but high blood pressure is not only the "exclusive" of middle-aged and elderly people, and more and more young people also have problems with blood pressure . Among young men aged 25-34 , the incidence of hypertension has reached more than 20% .

Hypertension also has three highs, namely high prevalence rate, high disability rate and high mortality rate . In China, 3 million people die of cardiovascular disease every year , and high blood pressure is one of the causes that cannot be ignored .

However, according to a report in the 2018 Revised Edition of the Guidelines for the Prevention and Treatment of Hypertension in China, less than half of hypertensive patients adhere to medication.

Many people who suffer from high blood pressure do not pay enough attention to it. They feel that it is very troublesome to take medicine every day. There are also many patients who are keen to take Panax notoginseng powder instead of drugs for antihypertensive treatment.

Can Panax notoginseng powder really lower blood pressure? Two patients, one took antihypertensive drugs on time, the other took Panax notoginseng powder, and their results were very different.

1. What is the difference between taking Panax notoginseng powder and taking antihypertensive drugs for high blood pressure?

01. After taking antihypertensive drugs for 26 years, the condition has improved

Lao Xie, who is in his 70s , is an "old hypertensive person" and has been plagued by high blood pressure for 26 years.

Recently, Lao Xie went to the hospital for a physical examination and met a young hypertensive patient. Knowing that Lao Xie has been suffering from high blood pressure for more than 20 years, he has been in peace, so he asked him for his experience in controlling blood pressure.

Lao Xie said that he has no special experience, the only thing he is proud of is that he insists on taking medicine and insisting on physical examination. How long have you been suffering from high blood pressure, how long have you been taking antihypertensive drugs? At the beginning, he was not used to it, but after persevering for a long time, he found that it was not difficult to take medicine on time.

In addition to insisting on taking antihypertensive drugs, Lao Xie also has regular physical examinations . At first, it was once a year, then it was changed to once every six months, and now it is once every 3 months.

Although I have to run to the hospital frequently, I can always know my physical health. Lao Xie feels that it is worth it no matter how tired he is. Thanks to his efforts, his blood pressure has been well controlled for more than two decades . Now, Lao Xie's body is even tougher than his peers.

02 , eat Panax notoginseng powder, sudden myocardial infarction

On the contrary, Ms. Hu's blood pressure was not as well controlled as Lao Xie's. The 59 -year-old Ms. Hu has been taking three antihypertensive drugs for a long time because of high blood pressure. Later, she heard Seven powder .

However, half a year later, an accident happened. Ms. Hu, who was at home, suddenly lost consciousness and collapsed to the ground . After the family found her, they rushed her to the hospital. After examination, Ms. Hu's blood pressure was 180/100 when she was admitted to the hospital, and there was a large area of ​​cerebral infarction .

The doctor said that Ms. Hu stopped antihypertensive drugs and switched to Panax notoginseng powder, which kept her blood pressure high and eventually caused a cerebral infarction.

Not only Ms. Hu, but many hypertensive patients have heard that Panax notoginseng powder can lower blood pressure and regard it as a "magic medicine". In fact, Panax notoginseng powder has no antihypertensive effect, and mainly plays a role in health care.

Clinically , the use of injections containing Panax notoginseng saponins has no obvious antihypertensive effect , so oral administration is even less likely to lower blood pressure.

Moreover, Panax notoginseng powder is only a health product, not a drug , and cannot replace antihypertensive drugs to lower blood pressure.

In addition, for people who may have cerebral infarction and myocardial infarction, it is necessary to take antiplatelet drugs such as aspirin to prevent the formation of blood clots, but Panax notoginseng powder may interfere with blood coagulation function , affect the effect of drugs, and increase the risk of bleeding.

Also note that Panax notoginseng powder may cause allergic reactions , and should not be used blindly without the guidance of a professional doctor to avoid accidents.

2. Do you have to take antihypertensive drugs for a lifetime?

The reason why many hypertensive patients are reluctant to take antihypertensive drugs for a long time is that they are worried that antihypertensive drugs will damage the liver and kidneys, affect their health and shorten their life expectancy. However, if you do not take antihypertensive drugs, the harm to the body is obvious , such as cerebral hemorrhage, cerebral infarction, myocardial infarction, heart failure and renal failure, arrhythmia, etc. may occur.

On the contrary, long-term use of blood pressure lowering drugs will bring clear benefits , control blood pressure at an ideal level, and reduce the risk of heart, brain, kidney and other diseases.

In fact, antihypertensive drugs do not have to be taken for a lifetime. One is to control the blood pressure ideally by adjusting the lifestyle, so naturally there is no need to take antihypertensive drugs. The other is that blood pressure is low due to myocardial infarction, pulmonary embolism or older age, and no antihypertensive drugs are required.

For the elderly, special attention should be paid. If you take antihypertensive drugs for a long time, be sure to monitor your blood pressure. If the low pressure is not less than 50mmHg , you can take antihypertensive drugs. However, if the blood pressure is particularly low, it is necessary to check with a doctor in time to see if the treatment plan needs to be adjusted, the drug should be reduced or the drug should be stopped.

Third, when to take antihypertensive drugs, the best effect?

Other people's antihypertensive drugs have good antihypertensive effect, can I take it too?

This question must be viewed dialectically. Everyone's blood pressure is different. What suits others may not be suitable for you. Taking antihypertensive drugs should also be "individualized". The time when the antihypertensive drug exerts its maximum effect overlaps with the peak blood pressure, which is the ideal state of taking antihypertensive drugs.

Tao Bo, Deputy Chief Physician, Department of Hypertension, Ruijin HospitalIt is pointed out that blood pressure measurement is most relevant to drug selection, which can be measured by office blood pressure, self-measured blood pressure and ambulatory blood pressure monitoring.

Because the office blood pressure is greatly affected by the environment, the value is not particularly accurate, so it is recommended to measure the ambulatory blood pressure conditionally . Focus on two values ​​in the data: one is the 24-hour average blood pressure, and the other is the average blood pressure measurement in the morning and the average blood pressure measurement at night .

Generally speaking, hypertensive patients will have two blood pressure peaks in the morning and afternoon respectively. Most of the long-acting antihypertensive drugs take effect about 2 hours after taking the medicine, so the doctor can arrange the taking time according to the specific situation.Antihypertensive drugs are usually taken two hours before the time when the patient's blood pressure peaks.

However, there are also patients whose nighttime blood pressure drop rate is less than 10%, which is not up to the standard , so the medication time is more inclined to nighttime.

If the blood pressure is high when you get up in the morning , the time of taking the medicine tends to be at night, and an appropriate long-acting drug should be selected to prolong the antihypertensive effect.

For home self-measurement of blood pressure, it is recommended to select a time period for measurement in the morning and evening , and choose a relatively fixed time point. It is usually enough to take the medicine in the morning. If the blood pressure is high in the afternoon or evening, thenTake mid-to-long-acting antihypertensive drugs about 2 hours before blood pressure rises.

Of course, in addition to insisting on medication and monitoring blood pressure , you should also pay attention to choosing the antihypertensive drugs that suit you . Even if the blood pressure increases, the dose cannot be increased by itself, and the medication must be taken under the guidance of a doctor . In addition, to control blood pressure, you must actively adjust your lifestyle , achieve a low-salt and light diet , moderate exercise , quit smoking and drinking , and avoid staying up late.

for hypertensive patients. Not taking medicine or taking medicine indiscriminately is equivalent to chronic suicide. We must not only learn the scientific treatment of high blood pressure, but also know how to prevent high blood pressure, in order to stay away from the disease and win health!

References

[1] "High disability rate, high mortality rate! There are 300 million people with hypertension in China ! Presenting new trends..." . CCTV Finance . 2022-05-17

[2] "[Health] If I have high blood pressure, should I take antihypertensive drugs for the rest of my life? The most reliable explanation is here ... 》.CCTV Life Circle.2021-05-17

[3] "When to take antihypertensive drugs, the best effect? 》 .Medical Cardiovascular Channel . 2020-06-10

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