Treatment FAQ

what is the first line treatment for hypertension?

by Rafael Jerde DDS Published 3 years ago Updated 2 years ago
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There are three main classes of medication that are usually in the first line of treatment for hypertension: 1. Calcium Channel Blockers (CCB) 2. Angiotensin Converting Enzyme inhibitors (ACE inhibitors or ACE-I) and Angiotensin Receptor Blockers (ARBs) 3. Diuretics.

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What are the first line medications for hypertension?

  • Normal blood pressure (BP): systolic BP is less than 120, and diastolic BP is less than 80.
  • Elevated BP: systolic BP 120 to 130 and diastolic BP is less than 80.
  • Stage 1 HTN: systolic BP 130 to 139 or diastolic BP 80 to 89.
  • Stage 2 HTN: systolic BP at least 140 or diastolic at least 90.

More items...

What is the first line drug for hypertension?

Thiazide and thiazide-like diuretics are usually the first-line of treatment for hypertension; in JNC8 guidelines, the thiazide diuretics can be used as the first-line treatment for HTN (either alone or in combination with other antihypertensives) in all age groups regardless of race unless the patient has evidence of chronic kidney disease where angiotensin-converting enzyme inhibitor or angiotensin II receptor blocker is indicated.

What are the JNC stages of hypertension?

Which one of the following is considered stage one hypertension according to JNC 7 guidelines?

  • Normal: systolic BP <120 and diastolic BP <80.
  • Prehypertension: SBP 120-139 or DBP 80-89.
  • Stage 1 hypertension: SBP 140-159 or DBP 90-99.
  • Stage 2 hypertension: SBP ≥160 or DBP ≥100.

What is the first line of blood pressure medication?

There are several types of drugs used to treat high blood pressure, including: Diuretics are often recommended as the first line of therapy for most people who have high blood pressure. However, your doctor may start a medicine other than a diuretic as the first line of therapy if you have certain medical problems.

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What is the first drug of choice for hypertension?

The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.

What is the first step in the treatment of hypertension?

Diuretics are the first step in the treatment of most patients with hypertension and the new clinical trials should focus on drugs to be added to them as the second step in the management of hypertension.

What is the best treatment for hypertension?

Here's what you can do:Eat healthy foods. Eat a heart-healthy diet. ... Decrease the salt in your diet. Aim to limit sodium to less than 2,300 milligrams (mg) a day or less. ... Maintain a healthy weight. ... Increase physical activity. ... Limit alcohol. ... Don't smoke. ... Manage stress. ... Monitor your blood pressure at home.More items...•

What is the first line treatment for uncomplicated hypertension?

However, for most patients with uncomplicated hypertension low-dose thiazide-type diuretics should be first-line therapy. The choice of add-on therapy, which may be required later in up to two-thirds of patients, is not as clearly defined. Beta blocking drugs and ACE inhibitors are effective when used with a diuretic.

Why are ACE inhibitors first line for hypertension?

Introduction. ACE (angiotensin-converting enzyme) inhibitors and angiotensin receptor blockers (ARBs) effectively lower blood pressure (BP) through inhibition of the renin-angiotensin system and are equally recommended as first-line medications in the treatment of hypertension.

What are the 4 best blood pressure drugs?

In terms of prescriptions written, here are the top 4 high blood pressure medications,the ACE inhibitor lisinopril (Prinivil, Zestril) tops the list,followed by amlodipine besylate (Norvasc),a calcium channel blocker, and.generic hydrochlorothiazide (HCTZ).

Which drug is given during hypertension?

Equanil is an important tranquillizer used in depression and hypertension.

Which beta blocker is best for hypertension?

Propranolol and atenolol have been studied most intensely in hypertension. For secondary prevention of myocardial infarction, the evidence is best for timolol. Sotalol is probably the best antiarrhythmic among the beta-blockers.

Why are beta-blockers not first line for hypertension?

In summary, beta-blockers are effective in preventing cardiovascular disease but are no longer suitable for routine initial treatment of hypertension because their cardiovascular protection and metabolic effects are worse than those of other antihypertensive drugs.

Is beta blocker first line hypertension?

Abstract. National and international guidelines still recommend β-blockers (BBs) as first-line agents in uncomplicated prevention of hypertension. However, it has been shown that BBs reduce blood pressure less than other drugs, specifically with regard to central aortic pressure.

What is the second line treatment for hypertension?

The preferred second drugs in patients who are treated with a beta blocker are a thiazide diuretic or a dihydropyridine calcium channel blocker [71].

Why is thiazide first line for hypertension?

Thiazide diuretics are also less costly than other antihypertensive drugs. Therefore, thiazide diuretics are the most cost-effective first-line therapeutic option for the majority of patients.

What is elevated blood pressure?

Elevated blood pressure is a systolic pressure ranging from 120 to 129 mm Hg and a diastolic pressure below (not above) 80 mm Hg. Elevated blood pressure tends to get worse over time unless steps are taken to control blood pressure. Elevated blood pressure may also be called prehypertension. Stage 1 hypertension.

What to do if you have chest pain?

If you also have chest pain, vision problems, numbness or weakness, breathing difficulty, or any other signs and symptoms of a stroke or heart attack, call 911 or your local emergency medical number. Both numbers in a blood pressure reading are important. But after age 50, the systolic reading is even more important.

How to stop high blood pressure?

Try the Dietary Approaches to Stop Hypertension (DASH) diet, which emphasizes fruits, vegetables, whole grains, poultry, fish and low-fat dairy foods. Get plenty of potassium, which can help prevent and control high blood pressure. Eat less saturated fat and trans fat. Decrease the salt in your diet.

What are Alpha blockers?

Alpha blockers include doxazosin (Cardura), prazosin (Minipress) and others. Alpha-beta blockers. Alpha-beta blockers block nerve signals to blood vessels and slow the heartbeat to reduce the amount of blood that must be pumped through the vessels.

What does blood pressure measure?

A blood pressure reading, as shown in the blood pressure monitor in the image, measures the pressure in your arteries when your heart beats (systolic pressure) in the first number, and the pressure in your arteries between heartbeats (diastolic pressure) in the second number.

What happens if your blood pressure is high?

If your blood pressure remains stubbornly high despite taking at least three different types of high blood pressure drugs, one of which usually should be a diuretic, you may have resistant hypertension.

What tests are done to confirm if you have high blood pressure?

Ambulatory monitoring. This 24-hour blood pressure monitoring test is used to confirm if you have high blood pressure.

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