Mr. Feng, 62, who lives in Aerospace Shuangcheng, suffers from primary disease hypertension For 5 years, I took nifedipine sustained-release tablet II 20 mg every day, and the blood pressure was well controlled. However, in the past two years, when the summer weather is hot, the blood pressure is low, occasionally dizzy and uncomfortable, and under the guidance of doctors, the antihypertensive drugs are stopped. Regular monitoring after drug withdrawal showed that blood pressure remained stable. In the autumn, when the blood pressure was unstable, he began to take medication again. This practice has become the norm. There are many outpatients such as Mr. Feng, and there are also cases of no use of antihypertensive drugs after drug withdrawal. There are often hypertensive patients in the outpatient department who ask to stop using antihypertensive drugs once their blood pressure drops to normal, and the answer is often negative. essential hypertension Should the patient take or not insist on taking antihypertensive drugs in summer?
Hypertension patients should insist on taking medicine for a long time to alleviate the pain caused by hypertension, but some people stop taking medicine for some common reasons in life. These common reasons provide an excuse for their laziness, but they delay their illness. Are you a hypertension patient? Do you have the following reasons for stopping taking the medicine?
More than 90% of primary hypertension has unknown causes and can not be eradicated so far, so once hypertension is diagnosed and needs to take medicine, it will have to take medicine for life.
There are several cases of stopping taking antihypertensive drugs at will:
1. Don't know that hypertension requires lifelong medication
Some patients think that hypertension can be "cured" after treatment, and do not know that hypertension needs lifelong treatment. Of course, with the research on the etiology and pathogenesis of hypertension, some effective ways to control blood pressure have been found, but so far, hypertension can not be completely cured or cured.
[Comment] The blood pressure level is the result of the interaction and comprehensive balance between the human neuroendocrine regulatory system and the heart and vascular systems. When blood pressure rises, it will bring very serious risk of cardiovascular disease. Therefore, patients need to take medicine for a long time to control blood pressure and reduce the incidence apoplexy 、 miocardial infarction And other diseases.
2. Busy work, often forget to take antihypertensive drugs
"Office workers" with high blood pressure, especially middle-aged elites in the workplace, are busy and stressed all day long, and have no time to take care of their own health, so they often forget to take antihypertensive drugs and passively stop taking them.
[Comment] Patients need to improve their awareness of the importance of antihypertensive treatment, and try to take long-term antihypertensive drugs after washing every morning (once a day, can control 24-hour blood pressure). In this way, patients do not need to bring drugs to the workplace, nor will they forget to take drugs because they are too focused and busy at work.
3. None dizzy 、 headache Wait for discomfort, stop taking medicine because he thinks his hypertension has improved
Most hypertensive patients have no obvious discomfort, and only when their blood pressure is very high can they have dizziness, headache and other symptoms. Some patients mistakenly believe that it is OK to have no symptoms and high blood pressure, or that hypertension has improved, so they stop taking antihypertensive drugs without authorization.
[Comment] In fact, most of the risks of hypertension occur without any clinical symptoms. Even if there is no symptom at ordinary times, patients cannot stop taking medicine at will. Instead, they should regularly measure their blood pressure at home. According to the measured blood pressure level, they should discuss with the diagnosis and treatment doctor, and then the doctor should decide whether to adjust the dose of antihypertensive drugs or stop taking drugs.
4. Self belief that physical exercise can be reduced hypotension , no need to take medicine again
Regular physical exercise really helps to lower blood pressure, especially those who often reach the sweating state. Some people mistakenly think that if they take part in physical exercise every day, they can refuse to take antihypertensive drugs.
[Comment] The antihypertensive effect of physical exercise is very limited, and often lacks long-term. Even if you participate in physical exercise, your blood pressure temporarily returns to normal, you cannot stop taking medicine without authorization. It must be evaluated by a professional doctor, and the doctor decides whether it is necessary to adjust the antihypertensive dosage or even stop the medication.
5. Think that "drugs are more toxic than drugs", and try not to take or take less antihypertensive drugs
Some people think that "drugs are three kinds of poison". Try not to take antihypertensive drugs if you can, and try to eat less if you must. In fact, various chemicals approved by the state for marketing have passed a complete effectiveness and safety assessment. Therefore, within the recommended dosage range, these drugs are usually very safe, even if taken for a long time or even for life, they will not harm the human body.
[Comment] Scientific research has confirmed that antihypertensive drugs can effectively reduce blood pressure and significantly reduce the risk of stroke, myocardial infarction and other serious cardiovascular and cerebrovascular diseases. Therefore, we should not avoid taking or eat less or even refuse to take antihypertensive drugs because we are afraid of the adverse effects of antihypertensive drugs. In fact, it is very safe to take antihypertensive drugs under the guidance of doctors.
6. He believes that the blood pressure will naturally increase when he is older, so he does not need to take medicine
With the increase of age, the elastic function of the large and small blood vessels in the human body will decline to different degrees (or called Arteriosclerosis )。 Generally, the systolic blood pressure will continue to rise after middle age, while the diastolic blood pressure will not rise or even drop after entering old age due to arteriosclerosis. Some people take it for granted that the increase of blood pressure with age is a natural phenomenon, and it is unnecessary to take medicine.
[Comment] The increase of blood pressure level with age is not inevitable, let alone a natural increase, but a pathological phenomenon with very serious consequences. It is necessary to take antihypertensive drugs continuously to control blood pressure to reduce the risk of cardiovascular disease. In addition, by limiting sodium intake, strengthening physical exercise and other measures, the process of arteriosclerosis can be delayed, so that the arteries remain elastic in old age and maintain normal blood pressure.
7. I think my blood pressure is lower in summer, so I can stop taking medicine
The summer weather is hot. Even if some patients do not take any antihypertensive drugs, their blood pressure level is lower than that in winter and spring. Even some patients may have blood pressure significantly lower than 140/90 mm Hg. These patients "actively" stop taking antihypertensive drugs every summer.
[Comment] Whether the antihypertensive treatment plan needs to be adjusted in summer mainly depends on whether there are obvious hypotension symptoms. If so, the drug dose should be reduced or even stopped. However, if the medication is frequently adjusted only according to the hot weather of a day or a week, it is likely to significantly increase blood pressure volatility and increase the risk of cardiovascular disease.
8. Discontinue taking medicine due to dry cough, fatigue, edema and other discomfort after taking medicine
Some hypertensive patients have obvious adverse reactions after taking antihypertensive drugs, such as irritating dry cough after taking angiotensin converting enzyme inhibitor (ACEI) and angiotensin Ⅱ receptor antagonist (ARB) diarrhea Such as intestinal dysfunction. Although these adverse reactions are usually rare and not serious within the recommended dose range, some patients may still be intolerable and have to stop taking the drug.
[Comment] After patients have adverse reactions after taking antihypertensive drugs, they should reduce the dosage of drugs that lead to adverse reactions under the guidance of doctors, or stop taking these drugs and switch to other types of antihypertensive drugs. If these adverse reactions are not very serious, patients should stick to taking medicine as much as possible. Some discomfort will be significantly relieved or even disappear after a period of medication.
