Review of high blood pressure pills: the best drugs for treating hypertension with minimal side effects

High blood pressure is a pathology that, according to recent studies, affects every third person. Treatment of hypertension (high blood pressure) is carried out by a specialist, having previously understood the causes that cause hypertension and the individual reaction of the body. There is no need to self-medicate.

Hypertension is dangerous because complications can lead to heart attacks and strokes. Therefore, every year pharmacological companies produce newer and more effective drugs to lower blood pressure. We will find out which one to choose and what types they are divided into in this article.

Trade names of drugs

The quality and life expectancy of the patient depends on whether it is possible to reduce the pressure to the target level. When selecting a drug, the doctor takes into account the presence of:

• risk factors for cardiovascular diseases. Smoking, excess weight, alcohol abuse, a sedentary lifestyle, and consumption of large amounts of salt significantly increase the likelihood of developing myocardial infarction and stroke;
• chronic diseases: pathologies of the kidneys, thyroid gland, diabetes mellitus, metabolic syndrome, atherosclerotic vascular lesions;
• heart condition;
• previous myocardial infarction, stroke;
• physiological characteristics of the body: old age, pregnancy;
• possibility of drug interactions.

It will not be possible to choose an antihypertensive drug on your own, since the selection criteria are very individual and require special knowledge. A properly selected medicine must be both effective, safe, and appropriate to the patient’s health condition.

However, there are still certain patterns. We have prepared a list of the most effective drugs that help most patients lower blood pressure on their own.

Tablets for hypertension are divided into 8 pharmacological classes, forming two large groups of first-line drugs (prescribed first of all) and second-line - used for long-term therapy of certain groups of patients: pregnant women, patients with diabetes, the elderly.

First line medications are:

• angiotensin-converting enzyme inhibitors (ACE inhibitors);
• diuretics;
• calcium antagonists;
• angiotensin II receptor inhibitors;
• beta blockers.

Second line medications include:

• alpha-blockers;
• means of central action;
• direct acting vasodilators.

Angiotensin-converting enzyme inhibitors

According to statistics, Russian doctors most often prescribe ACE inhibitors (ACEIs) to their patients. In addition to a well-defined antihypertensive effect, these drugs reduce the severity of hypertrophy (proliferation) of the left ventricle, prevent deterioration of the kidneys, and reduce the amount of protein excreted in the urine.

Angiotensin is a hormone that causes vasoconstriction. It is especially effective on the arteries of the kidneys. ACE inhibitors reduce the production of the hormone. A decrease in angiotensin concentration is accompanied by relaxation of vascular walls, dilation of arteries, and a decrease in high blood pressure.

Typical side effects of ACE inhibitors:

• rash;
• loss of taste;
• constant dry, rough cough;
• kidney pathology (rare).

Medicines in this group are contraindicated for women planning pregnancy; they can cause serious harm to the health of the mother and baby. In case of accidental conception, you should immediately seek help from a doctor.

New drugs to lower blood pressure

Currently, new generations of drugs are being actively produced that are much more effective than older drugs. All the latest generation products, without dangerous side effects, help to quickly eliminate the signs of hypertension.

"Indapamide"

This diuretic lowers blood pressure by reducing contractions of the vessel walls. Indapamide also improves arterial patency and reduces the load on the heart. If the medicine is used by a person for whom it is contraindicated, complications will appear in the form of weakness, headache, numbness of the limbs and digestive problems.

"Methyldopa"

If blood pressure rises due to increased vascular tone, doctors advise drinking Methyldopa. These tablets quickly cope with the symptoms of high blood pressure, normalize the heartbeat and improve blood flow in the brain. The medicine should not be taken by people who suffer from renal failure, cirrhosis of the liver, hepatitis or an acute form of anemia.

"Hydrochlorothiazide"

Some doctors advise treatment with a diuretic such as Hydrochlorothiazide. The medicine helps in the treatment of heart pathologies, swelling and hypertension. The advantages of “Hydrochlorothiazide” include the fact that it has no contraindications. It is even prescribed for the treatment of children and adolescents under 16 years of age.

"Ramipril"

To improve the functioning of the cardiovascular system, Ramipril is often prescribed. Such tablets help improve blood flow, lower blood pressure and dilate arteries. The medicine also cleanses the kidneys of excess fluid and sodium accumulation.

Ranipril should not be used by young women who are breastfeeding or by patients with renal failure.

"Perindopril"

In the initial stages of the development of hypertension, it is recommended to use Perindopril, which begins to act on the body an hour after consumption. The tablets effectively fight ischemia, heart failure and hypertension. "Perindopril" should not be taken by pregnant women and people with hypersensitivity to the components of the composition.

"Losartan"

Losartan is considered one of the most effective diuretic drugs used to treat hypertension. Allergy sufferers and girls in the last stage of pregnancy should not take the tablets. Such people experience dizziness, rash and nausea after using Losartan.

"Telmisartan"

Doctors advise using Telmisartan to prevent the development of complications such as angiopathy. This pathology is accompanied by vascular damage and deterioration of blood flow. The drug is actively used in the treatment of heart failure and hypertension. Telmisartan should not be used by people with allergies and children under 10 years of age.

"Amlodipine"

A distinctive feature of the drug is that, unlike other similar drugs, Amlodipine does not contribute to the development of tachycardia. Regular use of tablets strengthens the heart muscles, dilates blood vessels and lowers high blood pressure. People with angina pectoris, severe stenosis and allergy sufferers should not drink Amlodipine.

"Felodipine"

For hypertension, Felodipine is an indispensable medicine that quickly reduces high blood pressure. Such tablets can be taken not only by young people, but also by older pensioners, since Phenlodipine has no contraindications or side effects.

Fast acting blood pressure tablets

A quick effect from taking medications is required mainly in emergency cases, when blood pressure is especially high. Fast-acting drugs include captopril, furosemide, anaprilin, enalapril, adelfan. Usually their effect occurs literally within 10-30 minutes.

The main disadvantage of drugs that reduce high blood pressure in the short term is their short duration of action. Typically, such medications have to be taken 3-4 times a day.

High blood pressure indicators

First of all, attention is paid to the blood pressure indicator. Pathological indicators include indicators exceeding 140 to 90. Until recently, it was believed that different blood pressure indicators were normal for representatives of different age categories. But now doctors have come to the same conclusion that a patient with a blood pressure of 140 over 90 requires therapy. But you don’t always need to resort to medication.

Normal blood pressure

For example, in the absence of manifestations of coronary artery disease, but at the same time persistently high blood pressure, it will be enough to reconsider the usual lifestyle. In this case, normalization of nutrition will be required, including a special diet, psychotherapy and lowering blood pressure through massage and meditation. This technique will be effective if the upper blood pressure threshold does not exceed 160 to 90 and the patient has no concomitant ailments.

Note! A patient with hypertension should monitor their weight. After all, extra pounds will only worsen the clinical picture.

The second exciting question is the desired blood pressure level after therapy and the level that needs to be maintained for a long period. For example, the category of people under 55-60 years of age with complications of hypertension, kidney disease or diabetes mellitus should maintain indicators of no more than 130 to 85.

Causes of hypertension

What aggravates the clinical picture with high blood pressure?

There are several categories of patients with hypertension. The first ones ignore the danger of blood pressure risks and try to live to the best of their health. Thus, considering that if the disease does not cause significant discomfort, then you can get by with pills that block blood pressure surges. The second patients, on the contrary, overestimate the risk and try to cure the disease with all the drugs that come to hand, not paying attention to the side effects, but ignore going to the doctor.

The danger of hypertension

Video - Hypertension: how to protect yourself

Long-acting drugs

They are most often prescribed to people with stage 2.3 hypertension, who are indicated for lifelong use of antihypertensive drugs.

Long-acting medications are prescribed outside the acute stage. It is enough to take them 1-2 times a day. The maximum antihypertensive effect appears 3-6 weeks after the start of treatment. During this time, the pressure will begin to gradually drop to the target numbers. The smooth effect allows you to avoid complications typical of a rapid decrease in blood pressure, as well as avoid pressure surges in the future.

List of long-acting drugs:

• Bisoprolol;
• Metoprolol;
• Propranolol;
• Losartan;
• Cordaflex;
• Prestarium;
• Diroton.

Side effects

Like any medicine, blood pressure medications have a number of side effects that may occur after they are used to treat symptoms of hypertension. Common complications include:

• Frequent urination. The problem appears 2-3 hours after using the medicine.
• Disturbed heartbeat rhythm. Some patients complain of arrhythmia caused by drug therapy. To determine the causes of problems with heartbeat, you need to donate blood for analysis.
• Muscle weakness accompanied by spasms. A side effect occurs if during treatment you use products that contain a lot of potassium.

• General weakness with dizziness and fainting. Presyncope may bother the patient with increased physical activity during therapy.
• Dehydration. If signs of dehydration appear, you should immediately visit a doctor.
• Temperature increase. After using medications that are contraindicated for the patient, the body temperature may rise, accompanied by a severe cough and sore throat.
• Rash. Redness or rash on the surface of the skin occurs in people who are allergic to the components included in the medications.

All of these side effects are not considered fatal and do not increase the patient's risk of death. However, despite this, before starting drug therapy, it is better to consult a doctor so that he can prescribe the most suitable drugs without side effects.

Combined products

Severe forms of hypertension require the prescription of drugs of various groups. This allows you to increase the effectiveness of drugs and reduce the number of side effects.

Popular combinations.

Combination therapy involves taking several medications that have two antihypertensive components. The following drugs are produced based on active ingredients:

• Caposide = captopril + hydrochlorothiazide;
• Enap N = enalapril + hydrochlorothiazide;
• Noliprel = perindopril + indapamide;
• Renipril GT = enalapril + hydrochlorothiazide;
• Lorista = losartan + hydrochlorothiazide;
• Equator = lisinopril + amlodipine;
• Exforge = valsartan + amlodipine;
• Logimax = metoprolol + felodipine.

Over time, the human body gets used to any antihypertensive drugs. Therefore, the doctor periodically adjusts the treatment. Combining medications on your own is quite dangerous. Ignorance of pharmacology can make a new regimen ineffective, provoke an exacerbation or the development of complications.

TOP 5 best remedies for hypertension

Every year new drugs against arterial hypertension appear in pharmacies. Since the disease is common and doctors clearly know the treatment tactics, you can determine the TOP 5 best tablets for blood pressure (high blood pressure) with the names and prices presented in the table.

Each specified remedy may have a different name. It is determined by the manufacturer. But the active substance and its concentration will be identical. The price fluctuates up or down depending on the region in which the pharmacy chain status is acquired.

Which medications are suitable for whom?

When selecting antihypertensive drugs, many factors must be taken into account. The individual characteristics of the body must be taken into account. Tablets for the treatment of arterial hypertension, which will work well for one patient, will be useless or dangerous for another.

Aged people

In elderly patients, it is recommended to prescribe thiazide diuretics (indapamide, hydrochlorothiazide) alone or in combination with beta blockers to lower blood pressure. Calcium channel blockers can be prescribed to older people.

Elderly people are not prescribed alpha-blockers, as well as other drugs that can cause a sharp drop in blood pressure when standing up. After all, any fall from dizziness or darkening of the eyes in older patients can result in fractures and other injuries.

ACE inhibitors and angiotensin receptor blockers are prescribed to elderly patients with diabetes mellitus.

Combination use of several drugs

When using medications to treat hypertension, many doctors advise using a combination therapy method, since this is the treatment that is considered the most effective. The essence of the method is to use several drugs at once that belong to different groups.

To quickly get rid of the signs of high blood pressure, it is recommended to combine beta blockers with diuretics.

This combination of medications will improve your well-being within a week. Also, when treating pathology, you can take diuretics with inhibitors, which will complement each other’s actions.

Choosing an analogue

Judging by medical experience, good drugs for high blood pressure, the effect of which is similar to Captopril, are as follows:

• "Angiopril";
• "Catopil";
• "Rilcapton";
• "Kopoten";
• "Kalofarm".

These drugs are also recommended for use for short-term severe increases in blood pressure and, as a rule, are not used for long-term therapy. However, the final word should always remain with the cardiologist, who makes a prescription based on tests and the general picture of the disease.

The safest and most effective products

IT IS IMPORTANT TO KNOW!

In 90-95% of people, high blood pressure develops regardless of lifestyle, being a risk factor for diseases of the brain, kidneys, heart, vision, AS WELL AS HEART ATTACKS AND STROKES! In 2019, scientists discovered a relationship between the mechanisms of increasing blood pressure and blood clotting factor. Read more "

The best blood pressure medications without side effects include the newest drugs for hypertension, including several of the most effective.

Lisinopril

An effective drug for hypertension, which includes several active components. Thanks to this, the medicine is not very toxic, among other analogues. The tablets are included in the group of ACE inhibitors, and also contain an element included in the group of diuretics, which enhances the effectiveness.

Doctors often prescribe Lisinopril to elderly people who have been diagnosed with hypertension. After consuming the tablets, a cumulative effect appears; it can be used for diabetes, since the substances do not in any way affect the level of glucose in the blood. After taking the pill, the result appears within a few hours and lasts up to a day.

Among the main functions are:

1. Increasing myocardial endurance in heart failure.
2. The risk of developing heart disease is reduced.
3. The pressure is normalized within normal limits, a decrease below normal levels has not been noticed.
4. You can drink it if you have diabetes and heart disease.

If side effects appear, they do not lead to serious consequences; they can only cause a dry cough, dry mouth, dizziness and heavy sweating. You can choose another new drug that has similar properties:

1. Lipryl.
2. Renipril.
3. Diroton.

Physiotens

A good drug that differs from others in the almost complete absence of side effects. According to the instructions for use, the medicine can only cause dry mouth, as well as increased drowsiness. But the described symptoms occur in rare cases and more often hypertensive patients do not feel anything bad.

The decrease in pressure occurs gently, the functions of the respiratory organs are not impaired, due to which the tablets can be used by asthmatics. The drug can increase sensitivity to insulin, which means that the tablets can be used for diabetes.

Losartan

Losartan is part of the sartan group. The action of the drug allows you to block enzymes, which lead to blood vessels narrowing. The effect after taking the drug appears almost immediately after the first use of the tablets and remains in the blood for 6 hours. The effect of the medicine on blood pressure occurs throughout the day, so an increase in indicators is not observed.

This medication allows you to improve the general condition of hypertensive patients after 2-3 weeks of using the medicine. The tablets can be used by diabetics. The product is well tolerated by people, it can be used conveniently, since it is enough to take 1 tablet per day. In some cases, patients experience headaches, dry mouth, and possible nasal congestion. The drug is quite expensive, so it is replaced with cheaper analogues in the form of Lozap, Xartan. Losartan shows excellent results in hypertension with a number of complications.

Renipril GT

A modern drug that belongs to combination drugs. The composition contains a couple of active substances that reduce blood pressure, while retaining potassium, which is beneficial for the functioning of the heart and blood vessels.

The effectiveness after administration lasts for 24 hours, but the maximum concentration of active substances appears 2 hours after taking the tablet. The medicine is easily tolerated by patients without consequences, and also has a good effect on the heart, since excess stress is removed from the muscles.

Among the drugs already described, Renipril GT has a large number of side effects:

1. Possible allergy to certain components.
2. Renal stenosis develops.

Despite the described effects, they occur extremely rarely and treatment is often positive. If there are contraindications to the use of such a medicine, then analogues in the form of Enap-N or Berlipril Plus can be used to reduce blood pressure.

Captopril

Captopril is a very well-known medication that belongs to the group of ACE inhibitors. It allows you to very quickly reduce blood pressure, so it is used for emergency relief during hypertensive crises. The tablets are not recommended for long-term treatment, since the composition is very active, can greatly reduce blood pressure and cause acute symptoms and serious consequences. In some cases, doctors combine Captopril with medications from another group, but in this case it is important to constantly monitor blood pressure readings.

Captopril can improve heart function, all internal organs receive a sufficient amount of nutrients, and the risk of blood clots is reduced. If a patient is diagnosed with hypertrophy, then Captopril can be used for long-term treatment to improve the general condition.

There are prohibitions on the use and side effects of Captopril, but they are extremely rare. Possible disruption of the heart, rhythm disturbances, severe decrease in blood pressure and development of dizziness. It is forbidden to use tablets for people:

1. With stenosis.
2. During breastfeeding and pregnancy.
3. Kidney failure.

Arifon retard (Indapamide)

This medicine for lowering blood pressure is considered a combination medicine, since it simultaneously includes several active substances, including diuretics, as well as antihypertensive components. If it is necessary to correct a slight increase in pressure, then the tablets will need to be used in small doses. It is worth noting that the drug has no obvious diuretic effect, but normalization of indicators occurs within a day. The main advantages of Indapamide:

1. Easy to use, no need to take pills often.
2. Safe for the body.
3. Does not change blood sugar levels, can be used for diabetes.
4. It is allowed to take the drug in case of hormonal imbalances.
5. Heart function improves.
6. Well tolerated by patients with hypertension.

It is not recommended to take the medicine for people with lactose intolerance. The use of tablets is strictly prohibited in case of kidney or liver failure, as well as allergies to active substances.

Veroshpiron

The tablets are included in the group of diuretics, but do not remove beneficial potassium from the body. As a rule, Veroshpiron is prescribed as an additional medicine when combining medications for hypertension. You should take the pills strictly as prescribed by your doctor, then there will be no side effects. It is not recommended to treat with the drug on an ongoing basis, because this can cause hormonal imbalances, although the blood pressure of a hypertensive patient quickly decreases and remains stably within normal limits.

The presented list of drugs is not exhaustive, but the drugs described are considered the safest with minimal contraindications. The new generation of medications for hypertension combines all the properties and effects on humans, thereby increasing the effectiveness of treatment. The doctor can choose the exact tablets and their dosage after a thorough examination.

Features of "Captopril"

Only the attending physician can tell which drug is best to take for high blood pressure in each individual case. Thus, “Captopril” is indicated for a sudden jump in blood pressure and has the following features:

• improves blood supply to the heart muscle;
• reduces the risk of blood clots;
• can be used for hypertrophy.

For hypertrophy, the medicine is not so often prescribed, but its ability to correct the patient’s well-being in this case has been proven.

Even good medications for high blood pressure always have a number of contraindications and can provoke a number of undesirable effects. Thus, Captopril has virtually no harmful effects on the body, or such conditions are very rare. However, it is necessary to note possible changes in well-being:

• cardiopalmus;
• dizziness;
• orthostatic hypotension.

According to doctors, all such cases were often recorded only in those patients whose bodies showed hypersensitivity to the components included in the medicine.

If you study the instructions, you can identify contraindications to taking Captopril:

• lactation;
• a history of arterial stenosis;
• renal failure;
• myocardiopitia;
• narrowing of the mitral valve.

Adrenergic blockers

Among the main drugs prescribed for hypertension are beta-blockers. They reduce the heart rate, thereby normalizing blood pressure. New generation beta blockers can also prevent the development of complications that can arise from high blood pressure. Possible side effects include skin rashes, headache, weakness, significant slowing of heart rate, nausea, vomiting, diarrhea, flatulence, drying of the mucous membranes of the mouth. According to doctors, new generation beta-blockers cause side effects extremely rarely, in less than 1% of cases. Their use is contraindicated during lactation.

Beta blockers - Acebutalol, Atenolol, Carteolol.

Atenolol is a beta blocker

Alpha blockers block the action of hormones that cause blood vessels to constrict. As a result, the vessels dilate. When taking medications in this group, dizziness, depression, emotional lability, nausea, vomiting, shortness of breath, diarrhea, changes in heart rate (tachycardia or bradycardia), and increased blood viscosity are possible.

Due to their prolonged action, modern antihypertensive drugs are usually used in lower doses, which significantly reduces the likelihood of side effects.

Alpha adrenergic blockers – Doxazosin, Zoxon, Tonocardin.

Is it possible to use an analogue?

Among the disadvantages of Losartan, its relatively high cost is often mentioned. Therefore, patients are interested in possible budget analogues. The following medications may be noted:

• "Xartan";
• "Lozap";
• "Vasotens";
• "Renicard."

Of course, these drugs have a lower cost. However, as medical practice shows, the original is more effective if high blood pressure is complicated by the presence of other diseases. In addition, side effects can also be avoided if you use the product recommended by your doctor.

Myotropic antispasmodics

Antispasmodic drugs affect the smooth muscles of blood vessels, causing them to expand, reduce blood viscosity, reduce the load on the heart, and moderately stimulate an increase in diuresis. When using them, headaches, dizziness, weakness and fatigue, decreased appetite, increased sweating, heartburn, nausea, and a feeling of heat may occur.

The drugs in this group are Dibazol, Papaverine, No-shpa.

No-shpa is one of the most popular myotropic antispasmodics

Relief of hypertensive crisis

• During crises, intramuscular injections of magnesia or other drugs have already been abandoned.
• Today, a hypertensive crisis can be stopped by dissolving a 10 mg tablet (less often 5 mg) of nifedipine (Corinthard) under the tongue.
• or 25 - 50 mg of capoten (this is the best medicine for a crisis).

The latter drug is used only for those who chronically take clonidine, which has now been removed from the standard of care.

Algorithm for assistance with attacks of hypertension

Even the most effective high blood pressure pills will not help if they are used incorrectly. Most of the drugs are designed for course use.

If a person suffering from hypertension has a sharp rise in blood pressure, you can help him in the following way:

1. Lay or sit the person in a comfortable position.
2. Help get rid of clothes that make breathing difficult.
3. Ensure good ventilation of the room: an open window will help you recover faster.
4. For pain in the heart area, Nitroglycerin (under the tongue) is recommended.
5. To stop an attack of hypertension, give Nifedipine or Captopril.
6. Try to calm the person down, at least partially relieving nervous tension.

If symptoms persist for a long time, you should seek medical help.

How to treat hypertension?

If a patient observes regular jumps in blood pressure to high levels, then he should first visit a doctor. Since all medications are aimed at normalizing the patient’s condition and lowering blood pressure, at the same time they can have side effects.

Reminder for patients with hypertension

It is advisable to consider the main drugs:

1. Beta blockers
   . These are special medications to lower blood pressure by lowering the heart rate. But their downside in the form of side effects is weakness, skin rashes, and excessive slowing of the pulse.
2. ACE inhibitors
   . The body can produce large amounts of a hormone that negatively affects blood vessels, narrowing them. This group of drugs is aimed at reducing the amount of hormone produced. As a result, blood pressure drops as blood vessels dilate. The negative consequences of inhibitors can manifest themselves in the form of allergic reactions or a sudden cough.
3. Diuretics
   . This is a group of drugs with a diuretic effect. They are taken to quickly lower blood pressure by removing fluid from the body. But, taking these medications can negatively affect the functioning of the heart, leading to dizziness, seizures and nausea.
4. Calcium antagonists
   . The main purpose of such drugs is to have a relaxing effect on blood vessels, as a result of which blood pressure decreases. Side effects after taking such drugs manifest themselves in the form of hot flashes, rapid heartbeat, and sometimes even dizziness.
5. Angiotensin antagonists . High blood pressure may be due to the effect of angiotensin 2 on blood vessels, and drugs in this group block this effect. But as a result, dizziness may occur, accompanied by nausea.

What will help get rid of high blood pressure

That is why it is necessary to consult a doctor and prescribe effective therapy for the treatment of hypertension.

Diuretic "Veroshpiron"

When considering which drugs are better for lowering blood pressure, it should be noted that diuretics promote active loss of potassium. "Veroshpiron" is classified as a diuretic, which is designed to maintain a sufficient amount of this element in the body. In this case, the medicine is often not used as a primary drug and is part of a combination treatment for high blood pressure.

The best blood pressure medications should have positive reviews, indicating the absence of side effects. In this case, as practice shows, no unpleasant moments are observed during treatment, but only if you follow all the doctor’s recommendations regarding dosage, method of administration and regimen of use.

It must be remembered that the medication is not intended for continuous use. If you neglect this rule, the following symptoms are possible:

• hormonal imbalances;
• blood pressure is too low.

Doctors note a good effect from the use of Veroshpiron and a rapid decrease in blood pressure to normal values.

The use of tablets in the treatment of blood pressure

Initially, when correcting high blood pressure, specialists adhere to conservative measures without prescribing medications:

• patient weight loss;
• reducing salt in the diet;
• giving up bad habits.

Medicines are used in cases where no physiological treatment has produced results.

The following types of medications are often used in the treatment of high blood pressure:

• alpha and beta blockers (for the second type, Metoprolol, Atenolol, Bisoprolol are common, for the first - Artesin, Urorek, Doxazosin, Terazosin);
• alpha stimulants;
• ACE inhibitors (Captopril, Zocardis, Lisinopril);
• sympatholytics;
• calcium antagonists (Amlodipine, Verapamil);
• diuretics (Indapamide, Triamterene, Furosemide);
• nitrates.

The type and dosage are selected according to the patient’s condition by the doctor.

The safest drugs

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When it is necessary to lower blood pressure, many patients are interested in what exactly to choose so that there are minimal side effects. It must be said right away that there are simply no completely safe medications; in any case, each human body is individual and there may be different reactions to the active components.

Among the best drugs for hypertension are a new generation of drugs that are convenient to use, and they are also much safer than the pills of old.

The new products have the following qualities:

1. Minimum side effects. Due to the new formula, all components are selected so that the negative impact on the human body is reduced to a minimum, while the effectiveness of treatment is at a high level.
2. Prolonged action. The components of the new generation tablets are selected so that they can have a cumulative effect and act for quite a long time after use. This leads to the fact that a person only needs to take 1 tablet per day for blood pressure.
3. Complex impact. Modern means immediately affect several processes in the body, which allows you to quickly reduce blood pressure and overcome hypertension, relieving the patient of the symptoms of the disease.

Traditional medicine can be used as a complement to drug treatment. In this case, you can take infusions and decoctions based on herbs and other plant components, and also add honey, which has a positive effect on the functioning of the cardiovascular system.

ACE inhibitors

The drugs affect the activity of angiotensin. They also enhance the effect of diuretics. ACE inhibitors reduce the risk of diabetes and cardiovascular disease.

If a dry cough occurs from taking these medications, then their use is discontinued and a replacement is found. ACE inhibitors also enhance the effect of alcohol on the central nervous system. It is not advisable to take non-steroidal anti-inflammatory drugs with them. Salt should also be consumed in moderation during this therapy.

Side effects of such drugs are:

• decreased blood pressure after diuretic therapy;
• lack of taste;
• dry cough;
• rash.

Elderly man at reception

If an elderly person complains of high blood pressure, only a competent doctor can tell you which medications are best for him. It is necessary to use only the most effective, but also safe drugs for treatment. It is known that adaptive forces decrease at a certain age. Therefore, the less the chosen medicine gives complications, the more successfully it will be possible to control the entire therapy process and avoid all kinds of complications.

Experts have tentatively identified a list of medications that are most often prescribed to patients over 60 years of age. These include:

• "Nifedipine". It is classified as a calcium antagonist and helps reduce blood pressure not sharply, but gradually.
• "Hydrochlorothiazide." Refers to diuretics and is prescribed when the patient has obvious fluid retention in the body.
• "Perstance." The drug is combined, which makes it possible to avoid side effects and effectively normalize the patient’s condition. The composition contains amlodipine and perindopril.

However, the main medication for the treatment of arterial hypertension in older patients remains Lisinopril, the properties and features of which have already been discussed above.

Angiotensin receptor blockers. Sartans

The drugs not only lower arterial hypertension, but also reduce the risk of death and slow down or prevent internal damage to the body.

The following may occur from sartans:

• insomnia;
• dizziness and migraine;
• runny nose;
• cough;
• constipation;
• stomach pain;
• nausea and vomiting.

The following properties of angiotensin II blockers have been revealed:

• instant restoration of blood pressure;
• weakening of vascular resistance of the peripheral system;
• sharp vasodilation.

Angiotensin antagonists are good to take for very high blood pressure, as they are most effective in this condition.

From taking sartans:

• heart rate is always moderate;
• the pressure decreases evenly, and not abruptly;
• There is less protein in the urine with diseased kidneys;
• the level of harmful substances in the blood decreases;
• lipid metabolism is always normal;
• sexual activity does not suffer;
• There is no dry cough.

Selective imidazoline receptor agonists

Drugs in this group, by stimulating imidazoline receptors in the brain, inhibit the vasomotor center, reducing peripheral vascular resistance. These are effective blood pressure medications that are well tolerated by patients and have a small number of contraindications (severe liver and kidney disorders, severe depression, sinus bradycardia) and side effects (headache, weakness, dry mouth).

The drugs in this group are Physiotens, Albarel.

Albarel is a drug from the group of selective imidazoline receptor agonists

Price

The cost of drugs is of decisive importance for patients with hypertension, especially the elderly. You can buy them inexpensively in an online store. Medicines can be ordered from the catalogue. The most expensive are drugs with ready-made and precise combinations of active ingredients: