What medication for hypertension has fewer side effects and better efficacy?
Disease description:
I have hypertension and have been taking medication. Could you please tell me which antihypertensive medications have fewer side effects and are effective?
Doctor's answer (1)
Dr. Tian Hongbo
In the treatment of hypertension, medication should be selected based on the patient's condition, blood pressure levels, complications, and potential side effects of the drugs. Several common antihypertensive medications include:
1. Angiotensin II receptor antagonists: such as telmisartan capsules and valsartan tablets. These are suitable for most patients with hypertension, especially those with cardiovascular disease. They lower blood pressure by blocking the effects of angiotensin II and generally have relatively few side effects.
2. Calcium channel blockers: such as sustained-release nifedipine tablets and amlodipine besylate tablets. These are suitable for elderly patients with hypertension and those with isolated systolic hypertension. They reduce vascular resistance and lower blood pressure by blocking the entry of calcium ions into vascular smooth muscle cells.
3. Beta-blockers: particularly suitable for hypertensive patients with angina pectoris or tachyarrhythmias, although caution is needed due to their potential effects on glucose and lipid metabolism.
4. Diuretics: commonly used for mild hypertension or in combination with other medications, although careful monitoring of electrolyte balance is required.
