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Suggest Treatment For High Blood Pressure

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Posted on Fri, 11 Mar 2016
Question: what is the best pill for high blood pressue?
doctor
Answered by Dr. Anantharamakrishnan (1 hour later)
Brief Answer:
Wide choice indeed

Detailed Answer:
Hi friend
Welcome to Health Care Magic

There are several ones – equally good …

There are several CLASSES of drugs
And there are several DRUGS in each class –
The list is rather long! – Angiotensin Receptor Blocker (ARB) / Angiotensin Converting Enzyme (ACEI) Inhibitor / Direct Renin Inhibitor / Diuretic / Beta- Blocker / Calcium Channel Blocker (CCB)

The choice depends on several factors, typically associated morbidity –
Beta blockers is the choice for pressure with effort angina and/or arrhythmia, but is contraindicated in asthma…
Diuretic for those with swollen feet...
CCB for pressure with Prinzmetal angina…
And so on...

In most people, the safe choice and the first choice is ARB – a sartan like the one you are taking… [or ACE like Lisinopril, enalapril etc]

Most people need a second drug to be added – usually a diuretic like thiazide
Some may need a third one – usually CCB like amlodipine

The treating doctor could conclude better based on total clinical picture…

To sum up, usually, the first and best is usually an ARB (a sartan)

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For High Blood Pressure

Brief Answer: Wide choice indeed Detailed Answer: Hi friend Welcome to Health Care Magic There are several ones – equally good … There are several CLASSES of drugs And there are several DRUGS in each class – The list is rather long! – Angiotensin Receptor Blocker (ARB) / Angiotensin Converting Enzyme (ACEI) Inhibitor / Direct Renin Inhibitor / Diuretic / Beta- Blocker / Calcium Channel Blocker (CCB) The choice depends on several factors, typically associated morbidity – Beta blockers is the choice for pressure with effort angina and/or arrhythmia, but is contraindicated in asthma… Diuretic for those with swollen feet... CCB for pressure with Prinzmetal angina… And so on... In most people, the safe choice and the first choice is ARB – a sartan like the one you are taking… [or ACE like Lisinopril, enalapril etc] Most people need a second drug to be added – usually a diuretic like thiazide Some may need a third one – usually CCB like amlodipine The treating doctor could conclude better based on total clinical picture… To sum up, usually, the first and best is usually an ARB (a sartan) Good luck God bless you