56 of 126
lifestyle changes: cheaper with few side effects!
Exercise Æ lower resting HR, decreased sym tone
Sodium Æ controversial, but may improve the efficacy of drugs
PotassiumÆ deficiency can raise BP
Alcohol Æ decreases in chronic alcohol can lower BP
Low calcium intake Æ increase BP
Caffeine Æ increase BP
Smoking Æ questionable influence on BP. Don’t smoke
Relaxation therapy Æ increased BP is linked to stress. Effectiveness deprend on patient
Four classes: diuretics, sympathomimetics, vasodilators, Renin-ang system antagonists
This is a review from pharm. I’m not going to write about all these drugs….
The recommendations are: diuretics and beta blockers. Addition or substitution of one of the other families of drugs can help in certain patients.
Drug regimen should fit patientÆ recall the changes in HTN with age…older patient may not need the beta blocker he needed when he was younger.
When using multiple agents, pick ones that act on different sites