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I have hypertension, and my blood pressure is 100/160 mmHg. Please suggest appropriate medications.

Asked by Female, 45 · 3 months ago

A blood pressure of 160/100 mmHg requires prompt initiation of two-drug combination therapy to quickly reach the target of less than 130/80 mmHg and prevent complications. The recommended initial combination generally includes an ACE inhibitor or ARB (such as Lisinopril or Losartan) paired with either a calcium channel blocker (like Amlodipine) or a thiazide/thiazide-like diuretic (like Chlorthalidone). The exact choice should be individualized based on your age, other health conditions (such as diabetes or kidney disease), and your response to treatment. It is important to consult your doctor to determine the safest and most appropriate medications for you.
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Understanding Hypertension and Blood Pressure Readings

  1. Blood Pressure Reading of 160/100 mmHg: Indicates stage 2 hypertension, which increases the risk of heart disease and stroke.

Common Medication Classes for Hypertension

  1. ACE Inhibitors: Lower blood pressure by relaxing blood vessels.
  2. ARBs: Block angiotensin, reducing blood pressure.
  3. Calcium Channel Blockers: Prevent calcium from entering heart and blood vessel cells.
  4. Diuretics: Help kidneys remove excess salt and water.
  5. Beta-Blockers: Reduce heart rate and output.

Medication Selection Considerations for a 45-Year-Old Female

  1. Factors: Age, gender, existing conditions, and side effects.

Examples of Medications Approved in India

  1. Telmisartan (Micardis)
  2. Amlodipine (Amlog)
  3. Hydrochlorothiazide (Esidrex)

Importance of Lifestyle Modifications Alongside Medication

  1. Diet: Low-sodium, balanced diet.
  2. Exercise: Regular physical activity.
  3. Stress Management: Techniques like meditation.

Monitoring and Follow-Up

  1. Regular Monitoring: Check blood pressure regularly.
  2. Consultation: Regular visits to a healthcare provider.

When to Seek Specialist Care

  1. Uncontrolled Blood Pressure: Consult a cardiologist or specialist if issues persist.

Answered 3 months ago

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