Hypertension要长期吃药吗
Jul 15, 2024
Source: Cainiu Health
Dr. Wang Xin
Introduction
Hypertension is divided into two major categories: primary hypertension and secondary hypertension. Patients with primary hypertension need to take antihypertensive medications long-term, as the exact causes and mechanisms of primary hypertension have not yet been fully understood. If patients do not continue taking medication consistently, their blood pressure will quickly return to pre-treatment levels after stopping the drugs.
In general, whether patients with hypertension need long-term medication can be determined based on how well their condition is controlled. If discomfort occurs, it is recommended to seek medical attention promptly. The specific analysis is as follows:
1. Not necessary
If a patient's hypertension is well controlled—meaning blood pressure remains consistently within the normal range through lifestyle modifications such as healthy eating and regular exercise—medication dosage may be gradually reduced under a doctor's guidance, or medication may be cautiously discontinued with close monitoring. In such cases, long-term medication may not be necessary.
2. Necessary
However, for patients whose condition is difficult to control—such as those with comorbidities like diabetes, kidney disease, or other cardiovascular conditions—long-term, and sometimes lifelong, antihypertensive medication is required to maintain blood pressure control and prevent cardiovascular and cerebrovascular events. Abruptly stopping medication in these cases may lead to worsening of the condition.
In daily life, attention should be paid to dietary adjustments, avoiding excessive intake of high-sugar and high-fat foods that could exacerbate physical discomfort. Appropriate physical exercise is also recommended to strengthen the body and boost immune function.
