This post is a response by a doctor to a question one of our community members asked.
Abu Zidan Asks:
My age is 43 years old. My blood pressure is 130/82. Please give me some suggestions. What about the medicine take please advice me?
Dr Nitesh’s reply:
Blood pressure measurement is usually done by a doctor or a specialist by a device called Sphygmomanometer by placing a inflatable cuff around your arm. Blood pressure reading broadly falls in four categories. A blood pressure of <120/80 is considered normal.
While elevated blood pressures are considered when your systolic BP is between 120-129 and diastolic BP is <80. Preventive steps are needed at this stage to prevent further elevation in blood pressures. Stage 1 hypertension is defined at blood pressure readings of 130-139/80-89 and stage 2 hypertension or more severe form of hypertension is defined as blood pressure readings of >140/>90. Your treating doctor will take three or more readings of your blood pressure on at least three separate occasions before diagnosing you as hypertensive. Your doctor may also advice you take make a chart of period blood pressure readings at home for confirmation of the diagnosis.
First step in management of any stage of hypertension is life style modification. Your daily routine should include eating a low salt diet containing heart healthy foods, Regular physical activity and maintaining normal body mass index of 18.5 – 24.9. If adequate blood pressure levels are not met with lifestyle changes and than your doctor will start medical management for your hypertension. Blood pressure goal with treatment is BP of less than 130/80.
Diuretics or water pills are usually the first choice. Thiazide class of diuretics are usually preferred. Thiazide diuretics include hydrochlorthiazide, chlorthalidone and others. If your blood pressures targets are not met with diuretics, you must ask your doctor to add another medication or change your current medication.
Angiotensin converting enzyme inhibitors are another class of drugs used in treatment of hypertension. ACE inhibitors include lisinopril, benazepril, captopril and others. ACE inhibitors relax the blood vessels and hence lower you BP. Angiotensin II receptor blockers (ARBs) work with similar mechanism as ACE inhibitors. ARBs include candesartan, losartan and others.
Calcium channel blockers include amlodipine, diltiazem and others. They help relax muscles of your blood vessels. Calcium channel blocker is better suitable for elderly. There are other medications which can be added by your doctor if your blood pressure targets are not met with above four classes of drugs.