Which antihypertensive medication is best?
Disease description:
My aunt had a physical examination and found that her blood pressure was slightly high. She would like to know which antihypertensive medication is effective.
Doctor's answer (1)
Dr. Tian Hongbo
When selecting antihypertensive medications, the choice should be based on the specific type of hypertension, the patient's overall health status, the presence of other diseases, potential side effects of the medications, and the patient's preferences. Common antihypertensive medications include:
1. Calcium channel blockers: such as Nifedipine tablets and Amlodipine Besylate tablets. These are suitable for elderly patients with hypertension, especially those with elevated systolic blood pressure and increased pulse pressure caused by vascular stiffness. These drugs lower blood pressure by preventing calcium ions from entering cardiac and vascular smooth muscle cells, thereby reducing the contraction of vascular smooth muscle.
2. Angiotensin-converting enzyme inhibitors: such as Captopril tablets and Enalapril Maleate tablets. These are most suitable for patients with damage to target organs such as the heart and kidneys, and they also have beneficial effects on ventricular remodeling. They lower blood pressure by inhibiting the production of angiotensin II and dilating blood vessels.
It is recommended that medication selection be made under a doctor's guidance.
