INDEX

S.NO. ARTICLE AUTHOR
1 A Comparison of the remedy picture with the phychological profice of the cancer personality Dr. Harsh Nigam M.B.B.S., M.D., M.F. (Hom.), Kanpur
2 Chronic Renal Failure Dr. Harsh Nigam M.B.B.S., M.D., M.F. (Hom.), Kanpur
3 CLINICAL VERIFICATION OF HOMOEOPATHIC DRUGS IN PSORIASIS Dr. Rajeev Shukla B.Sc., B.H.M.S. (Hons London),Kanpur
4 BEHAVIOURAL PROBLEMS AND ABNORMAL PSYCHOLOGICAL ASPECTS OF CHILDREN Dr. Manish Jain B.Sc., B.H.M.S., H.M.D. (LON), Kanpur
5 PROBLEMS OF MENTALLY SUBNORMAL ADOLESCENTS Dr.Kanta Chhabra D.I. (HOM)London, Kanpur
6 MENOPAUSAL SYNDROME Dr. Poonam Sharma B.H.M.S , Kanpur
7 HOMOEOPATHIC TREATMENT OF AIDS Dr. Durgesh Gupta, Lucknow
8 SPORTS INJURIES & HOMOEOPATHIC TREATMENT Dr. Anil Kumar Jain (Lucknow)
9 When your hand refuses to write Dr. Jintendra Shukla, Lucknow
10 PROSTATE AND HOMOEOPATHY Dr. Sandeep Kumar Mishra, Kanpur
11 SCOPE OF HOMOEOPATHY IN HEAD INJURY Dr. Santosh Tiwari, Kanpur
12 IF YOU HAVE HIGH BLOOD PRESSURE Dr. Parth Sarthi Sharma , Agra
13 ROLE OF HOMOEOPATHY IN SURGICAL CASES DR. PAWAN PAAREEK ,AGRA
14 Dioscorea Villosa in the Treatment of Brown sugar Addiction Dr. Prabhat Kulshreshtha, Agra
15 Psoriasis & Vitiligo DR ABHISHEK BHARTI, Sitapur
16 THE BLOOD AND BLOOD CANCER Dr. Rajendra Kumar ,Ghaziyabad
17 CHOLESTEROL AND THE HEART Dr. Rajendra Kumar,Ghaziyabad
18 Gall Bladder Stone & Kidney Stone Dr. Rajendra Kumar,Ghaziyabad
19 CANCER Dr. Rajendra Kumar,Ghaziyabad
20 OBESITY Dr. Rajendra Kumar ,Ghaziyabad
21 RECOMENDATIONS OF DIET FOR VARIOUS DISORDERS
22 मानव स्वास्थ निरोगी शरीर Dr. Ashok Kumar , Kanpur
23 अपराध और होमियोपैथी Dr. K.L Adarsh, Kanpur
24 होमियोपैथी के द्वारा कैंसर का इलाज़ संभव Dr. Sayad Manzar Azami,Kanpur
25 गाय और बैश भैंस के बंधत्वा और होमियोपैथी उपचार Dr. S.K. Parihaar,Lucknow

12.   IF YOU HAVE HIGH BLOOD PRESSURE

Dr. Parth Sarthi Sharma Agra


How does blood circulate ?

As your heart beats, it contracts and pumps blood through a system of blood vessels that circulate blood and nourishment throughout your body. Blood is pumped to the lungs as well , where it picks up oxygen and discharge carbon dioxide. Your heart and blood vessels are called your cardiovascular system or circulatory system. Blood is pumped our of your heart into vessels called arteries, and it eventually returns to the heart in vessels called veins. The blood vessels nearest your heart are about as thick as a thumb, but as they travel away from your heart into different parts of your body, they branch off like a tree and become progressively smaller. The smallest arteries are called arterioles,which then subdivide into even smaller vessels called capillaries. The blood then passes from the capillaries into the smallest veins or venules, which lead to larger veins that return blood to the heart.


What is blood pressure ?

When your heart contracts, blood is pumped out and pushes against the walls of the arteries causing them to expand. A measure of the force of the blood pushing against the walls is known as your systolic bloood pressure. After the contraction, the heart relaxes and the blood vessels recoil. A measurment at this point demonstrates your diastolic blood pressure.
Everyone’s blood pressure rises and falls throughout the day and from day to day what you are doing or how you feel can cause changes in blood pressure.
For example, your blood pressure can increase if you are nervous or upset, and it can decrease if you are calm and relaxed.


What controls blood pressure ?

A complex system controls the flow of blood and regulates blood pressure. If your body did not have such a control system, the blood would rush to your feet when you stand up, your pressure would fall, and you would feel faint.
Other factors that affect your blood pressure are :
— The strength and ability of your heart muscle to pump blood;
— The total amount of blood circulating in your body; and
— The general condition of your arteries.


What is high blood pressure ?

It is normal for blood pressure to rise and fall in certain situations. “High Blood Pressure” occurs if your blood pressure is almost always higher than the levels established as normal for both the systolic and diastolic values.
A diagnosis of high blood pressure is usually not made from a single measurement. When your blood pressure is measured and first found to be higher than normal,it is likely your doctor will ask you to return for additional measurements over a course of a few weeks or more to determine if you have consistently high blood pressure.


What is hypertension ?

High blood pressure is also called hypertension by doctors. The “hyper” part in the word “hypertension” means “too much,” and the “tension” refers to the pressure on the artery walls. Some people think that only tense or nervous people can have hypertension. But the fact is that even calm and relaxed people can have high blood pressure


What are the symptoms of high blood pressure (hypertension) ?

Hypertension usually produces no warning signs of symptoms. You usuually cannot “feel” blood pressure even when it is unusually high a few people may have symptoms, such as dizziness, nose-bleeds, of headaches that are signs of hypertension, but also could be due to other medical problems. The vast majority of individuals never know that their blood pressure is elevated until it is ckecked by a health professional.


Why should hypertension be treated ?

Even if you “feel fine~, it is very important that your hypertension be treated and kept under control. If your high blood pressure is not controlled, it is likely to go higher, and the higher it goes, the more likely you are to develop serious complications such as heart attacks, heart failure, strokes, and kidney failure. Thus, the most important reason for controlling your blood pressure is to reduce your risk of developing more serious or even fatal complications.


Is there much change in blood pressure over 24 hours ?

Over the course of 24 hours, which is called a circadian period, a rhythmic pattern of changes occurs not only in blood pressure, but also in the heart and other parts of the blood circulatory and blood clotting system.
Normally, the blood pressure tends to decrease during the night, but then increases during the early morning hours. Individuals with hypertension mirror these changes, but at a higher blood pressure level. Many experts believe that the early morning surges of blood pressure may be a factor contributing to the occurence of heart attacks and other serious heart problems that occur more frequently in the early morning hours. However, further research is needed to confirm this relationship.
Thus, it is important that your hypertension is controlled as well as possible for the full 24 hours of everyday.


What causes hypertension ?

Unfortunately, no one yet knwos what causes hypertension in over 90% of the cases. However, it can be treated in almost all such cases. In cases where the cause of hypertension is not known, the condition is called primary hypertension or essential hypertension.
In less than 10% of the cases, where the cause is known, the condition is called secondary hypertension. Causes of secondary hypertension include certain kidney and blood vessel diseases, hormonal disorder, and birth defects. Some cases can be corrected by surgery or controlled by medication. Other causes may be due to certain medicines. In such cases the blood pressure will return to normal when doses of the medicines are reduces of stopped.


Who gets essential hypertension

Anybody can have it or develop it. However, statistics show that the development of essential hypertension is associated with the following factros.

Family History

Some families tend to be susceptiable to high blood pressure. If both parents have hypertension, the risk of their child developing it is approximately 50%.

Age

Although it is more common in older age groups, it can occur at any age. Nearly half the people over the age of 64 have it, and it is usually first detected between the ages of 35 and 50.


Before the age of 50, it occurs more frequently in men than women. The rates are about equal at age 50, but by 55 to 60, more women have it.


Race

It has been found that hypertension is more common among black than white individuals for all age groups beyond adolescence. At a given level of high blood pressure more damage will occur in black individuals than in whites.


Weight

High blood pressure occurs much more frequently in overweight people, and weight loss may be accompained by a reduction in blood pressure. Although salt has a function in the regulation of blood pressure, the part it may play in the development of hypertension is not yet clear. People who have a tendency to develop high blood pressure may be more likely to get it or worsen it if they eat highly salted foods.


Stess

Although there is yet no definitc proof, some medical studies have reported an association between certain stess factros and hypertension.


Other Factors

Other factors of conditions that may be associated with high blood pressure are physical inactivity, alcohol intake, diabetes, and cigrette smoking.


How is blood pressure measured ?

Doctors usually measure blood pressure with a device called a sphygmomanometer. It has a cloth and rubber cuff, a rubber air bulb, and a manometer, which is similiar to a thermometer or other type of measurement guage.


Your systolic pressure.

A doctor or nurse wraps the cuff around your upper arm above the elbow. The bulb is sqeezed to pump air though a tube into the cuff causing it to tighten around your arm and the mercury or other indicator in the manometer or gauge to rise. Air is pumped into the cuff until it tightens enough to temporarily stop the blood in the main artery of your upper arm from flowing down into the lower part of your arm.
A stethoscope is placed on your arm below the cuff. The air is slowly released from the cuff, and the first tapping sound of blood as it begins to flow through the artery is heard by the doctor or nurse though the stethoscope. As the air released, the level of mercury in the manometer also drops. (Some equipment will utilize a guage). A reading is taken at the first tapping sound heard. It is the sound of blood being pumped by the contraction or systole of your heart, and it begins the moment the air pressure in the cuff is just slightly lower than the pressure in the artery. This reading is called your upper or systolic pressure. Systolic pressure is thus the maximum pressure produced by your heart and is a measure of the greatest force of the blood against your artery walls.


Your diastolic Pressure

As more air is let out of the cuff, the level of mercury in the manometer, or gauge reading, continues to decrease. When the tapping sound is no longer heard through the stethosope, a reading is taken at that point. This recording is your lower of diastolic pressure, which is taken when your heart is at rest between beats, and there is the least amount of pressure on your artery walls.


Your blood pressure measurement

The measurement of blood pressure is, therefore, given as two numbers. The first number is the measure of your systolic pressure, and the second is the measure of your diastolic pressure. Both pressures are measured in milimeters (mm) of mercury (Hg) and may be shown, for example, as 140/85 or mentioned as “one-forty over eighty-five.”


What is normal blood pressure ?

Most doctors agree that 120/80 mm Hg is the average normal blood pressure for adults. It is considered elevated when on repeated measurements it remains at, or above, 140/90 mm Hg.


How is hypertension diagnosed ?

As we mentioned earlier, your blood pressure may rise and fall many times in a single day, and from one day to another. It is also influenced by other factors such as whether you are calm or nervous, or whether your body is relaxed or exercising. Your blood pressure may also slightly different in each arm.
Therefore, if your doctor suspects you have hypertension, he may take the readings in both arms on your first visit, and again in the next several days or weeks.
The arm that shows the higher pressure is often used for future measurements. Your pressure may also be taken while you are standing, sitting, or lying down because it differs slightly in the different positions.
If these reading show you have hypertension, your doctor will probably ask for your medical history, give you a physical examination, and may order some laboratory tests.


Your medical history

The doctor will probably ask you some question about your past health and lifestyle, and your answers can provide him with very important information about your condition and how best the treat you. It is, therefore, for your own benefit that you answer his questions as accurately as possible.


Among other things, the doctor may want to know :

— If you have any symptoms such as weakness, nosebleeds, dizziness, headaches, chest pain, heart palpitations, and other that may or may not be related to high blood pressure;
— If you have been taking drugs such as cold/cough medications, diet pills, birth control pills, or any others that may affect your blood pressure;
— If other members of your family have been treated for hypertension, kidney disease, heart problems, strokes, or other related diseases;
— If your job, family relations, habits, diet, general attitude, or any other possible factors might be adversely affecting your blood pressure;
— If you have any symptoms accociated with secondary casuses of high blood pressure.

Your physical examination

Your doctor will examine you to determine if the hypertension has caused any damage to your heart, blood vessels, kidneys, or eyes, and for signs of a secondary cause of your high blood pressure. The blood vessels in your eyes can provide one of the earliest signs of damage, and will often be looked at by the doctor using an ophthalmoscope. They are the only blood vessels than can be seen from the outside and may suggest the condition of arterioles throughout your body.
Your heart sounds will be checked with a stethoscope, and a change in sound may indicate the effect of high blood pressure on the pumping action of your heart muscle. With high blood pressure, the heart may become enlarged, and it can sometimes be detected by tapping the chest and listening to the sounds. The doctor will also listen with a stethoscope for signs of fluid in your lungs.
Your pulse probably will be felt in several places to check for signs of reduced blood flow resulting from narrowed arteries.
Your weight will also be cheked, and samples of blood and urine may be taken for certain laboratory tests. An electrocardiogram and chest x-ray are often done as well.
These tests help to evaluate the effects of high blood pressure on the heart.


Why is treatment so important

Alothough you may feel fine without treatment, the most important reason for treating hypertension is to prevent its serious consequences. Your can have hypertension for 15 to 20 years before symptoms appear, but some permanent damage may have already been done to vital organs in your body. According to statistics, even mild hypertension can shorten your life expectancy. People with hypertension are much more likely to develop heart attacks, strokes, kidney failure, and blood vessel damage in the legs and eyes.


What are the goals of treatment ?

The major goals of treatment are to reduce and control your blood pressure and reduce other risk factors that may contribute to the development of diseases of the heart and other body organs. There are two types of risk factors, those that are permanent and cannot be changed and others that can be modified or eliminated. Permanent, or unmodifiable, risk factors are :
— an inherited susceptibility to hypertension and heart problems;
— being a male’
— having diabetes;
— being over the age of 40.
While you certainly can’t change or eliminate any of the above risk factors, those listed below are some that you and your doctor can help modify to improve or protect your general health.


Which modifiable risk factors are most dangerous ?

They can all be considered dangerous because having one cause or worsen another, and the more you have, the greater your total risk. For example;


If you have hypertension

Hypertension can accelerate the process of atherosclerosis, or hardening of the arteries.
When blood pressure is consistently high, it pushes against the artery walls with extra force. The muscular layer of the artery walls gradually becomes hard and thick. They lose their elasticity, and the passages become smaller and the vessel wall stiffer. Vessels also develop a build up of fat or cholestrol. If you already have some atherosclerosis, high blood pressure worsens or accelerates the process. Thus, atherosclerosis makes the vessel opening smaller, and the vessel wall stiffens. The narrowed vessles make the blood pressure rise, and more fat accumulates in the vessel walls. As the cycle continues, it increases the danger of serious complications such as heart disease, renal failure and strokes. People with high blood pressure are much more likely to have heart disease, the majority of all stroke victims have had high blood pressure.
High blood pressure also makes your heart pump harder to keep the blood moving especially as the vessels narrow and thicken, Eventually the extra work can make your heart muscle lose its pumping power until it is no longer strong enough to keep the blood circulating, congestion or a backup of fluid in the circulatory system can occur and result in a condition commonly called congestive heart failure (CHF).


If you smoke cigarettes

In addition to its damaging effect on the lungs, cigarette smoking is also damaging to the heart and blood vessels.


Cigarette smoking

— Stimulates the heart, making it beat faster, and narrows the blood vessels making it hard to pump out blood;
— Decreases the supply of oxygen to the heart and body tissues;
— Makes blood more likely to form clots;
— Causes “extra” or irregular heartbeats;
— Produces potentially harmful changes in the amount of lipids (fats) (described below) that circulate in your blood. Medical statics show that: Cornary heart disease occurs more commonly and more severely among smokes than nonsmokers; cigarette smokers are much more likely to have a heart attack; and they often have a more difficult recovery.


If your blood is high in cholesterol and other fats

Certain kinds of fatty substances are made in the body and are normally carried in the blood stream. They are called lipids, and one of them is cholesterol, which is also found in many food, Eating foods high in cholesterol can increase the amount of cholesterol in your body. Although the body needs a certain amount of cholesterol and other lipids, and excessive amount of them can cause problems. As they flow through the blood stream, they can stick to the artery walls, statistics show that a high level of cholesterol in the blood is a major cause or atherosclerosis, and the higher the level of cholesterol in your blood, the more likely you will develop cardiovascular disease.


If you overweight

Being overweight puts an extra work load on your heart. Even when at rest, an overweight body must work harder to breathe because it needs more oxygen.


If you are under stress

Stress can result from outside pressure such as business and family problems or inside cause such as worry or emotional depression. During periods of stress, your body may react in a way where your heart beats more rapidly, and your blood pressure rises. However, you may not notice it.


What is needed to control hypertension and protect yourself from serious cardiovascular problems ?

Two of the most important needs are :
1. The motivation to help yourself by always remembering that, even if you have only mild hypertension and “feel fine”, you are still vulnerable to more serious disease of the heart and blood vessels.
2. To follow the recommendations and advice of your doctor and other health care professionals in regard to medications, diet, and other treatment measures.


How can hypertension be reduced and controlled without drugs ?

Blood pressure can be lowered without drugs in many individuals by losing weight, restricting your intake of salt, and learning to overcome your stress. If you have mild hypertension, doing the above may be enough to lower your blood pressure into the normal range, and you may not need any drugs. For others, it may result in the need for fewer drugs or lower dosages of drugs.


If you should lose weight

If your weight is normal, it is important that it remain that way. However, if you are over weight your doctor will probably advise you to diet. Statistics show that a reduction of blood pressure often occurs with weight loss, and if the extra weight is not restored, the blood pressure often remains lowerd.
Weight loss may be the only treatment required for some hypertensive people. As important, once lost, effort must be maintained to avoid regaining the extra weight.


If you need to diet

Poor eating habits are the most likely reason for being overweight, and usually are difficult to change, particularly without proper advice and guidance from doctors, nurses, and dietitians. The health care specialists can help and advise you on: — how to change your eating habits; — setting realistic goals in regard to how much you should lose from week-to-week and from month-to-month; — Which foods to avoid and which would be beneficial; — planning proper meals that would still be tasty and enjoyable; and the reasons why most bad diets, crash diets, and reducing aids rarely help, especially over a long period of time. The safest and easiest way to lose weight and not regain it is with self-control, proper guidance, and gradual but lasting change in your eating habits.


If you need to restrict your intake of salt

The treatment of hypertension often includes some restriction of salt in the diet because salt contains sodium. Some individuals respond to lower sodium intake alone. If medication is required, salt restriction can enhance its efficacy. Therefore, it is considered important that people who have hypertension or a tendency to develop it should restrict the amount of salt in their diets. Reducing your daily salt (sodium) intake can be easily done by following a few simple guidelines, including;
— Eat meats, vegetables, and fruits that are fresh, rather than processed;
— Read the labels on canned or processed foods and beverages, and avoid those that have a high salt of “sodium” content.
— Add very little or no salt is preparing foods and instead try herbs or lemon juice.
— Avoid saltier foods such as bacon, sausages, pickels, mustard, and some cheeses; Your doctor or a dietitian can advise you about the salt (sodium) content of different foods and which foods you should avoid of limit in your diet.
Foods may seem bland or less tasty, particularly in the early stages of a saltrestricted diet. After a while, however, many people claim their food tastes better without added salt. Sodium-free salt substitutes are also available and may be used, with your doctor’s permission.


If you should reduce your intake of cholesterol and saturated fats

An intake of some cholesterol and other fats found in food is essential for energy and general good health. However, the amount and kind of fat in your diet should be controlled because the amount you eat affects your cholesterol level. In addition to cholesterol, there are two other types of fat in food that can change the level of cholesterol in your blood. There are saturated fats (found in meats, butter, margarine, and even some plant oils) that may increase cholesterol levels in the blood, and there are unsaturated fats (for example, in corn oil, olive oil, and fish oils) that may help reduce blood cholesterol. Therefore, to reduce your weight and improve the balance of your blood cholesterol, it is important to follow the recommendations of your doctor or other diet counselor.
Some usual guidelines are: — Avoid high cholesterol foods such as egg yolks, fatty meats, and organ meats (liver and kindeys); — Avoid or reduce your intake of foods that are high in saturated fats, including animal and dairy products such as meats, cream, cheese, and butter; — Have foods in your diet that contain unsaturated fats, including vegetable products such as corn oil, soyabean oil, and other vegetable oils, but not coconut oil of palm oil because they are high in saturated fats.


If you should reduce your intake of cholesterol and saturated fats

An intake of some cholesterol and other fats found in food is essential for energy and general good health. However, the amount and kind of fat in your diet should be controlled because the amount you eat affects your cholesterol level. In addition to cholesterol, there are two other types of fat in food that can change the level of cholesterol in your blood. There are saturated fats (found in meats, butter, margarine, and even some plant oils) that may increase cholesterol levels in the blood, and there are unsaturated fats (for example, in corn oil, olive oil, and fish oils) that may help reduce blood cholesterol. Therefore, to reduce your weight and improve the balance of your blood cholesterol, it is important to follow the recommendations of your doctor or other diet counselor.
Some usual guidelines are:
— Avoid high cholesterol foods such as egg yolks, fatty meats, and organ meats (liver and kindeys);
— Avoid or reduce your intake of foods that are high in saturated fats, including animal and dairy products such as meats, cream, cheese, and butter;
— Have foods in your diet that contain unsaturated fats, including vegetable products such as corn oil, soyabean oil, and other vegetable oils, but not coconut oil of palm oil because they are high in saturated fats.


If you are smoking

As I mentioned earlier, cigarette smoking causes the blood vessels to narrow which, then tends to increase blood pressure. However, soon after you stop, your heart and lungs will begin to function better, and your whole body will benefit. Although many longtime smokers believe it would not help to quit smoking because too much damage has already been done, they are wrong. One year after you stop smoking, your extra risk of a attack will decrease by almost 50%. The risk of death from other diseases also decreases with time. No matter what your age or how long you have been smoking, quitting now can improve your overall health and increase your life expectancy.


If you have excessive stress

Knowing how to avoid or relieve stress may directly or indirectly benefit some people with high blood pressure. A direct benefit may be reducing blood pressure, and an indirect benefit may be making you “feel better” physically and emotionally.
While it is virtually impossible for anyone to completely avoid stress, you can try to reduce and control it by reacting to its cause realistically and moderately. Either overreacting or not reacting at all to the cause of stress can actually lead to more stress.
It, thus, is important to understand and follow the suggestions of your doctor or other specialist on how to avoid and relieve stress and on how to relax.


Is exercise helpful ?

The role exercise plays in preventing heart disease and decreasing cardiac death is controversial. Many physicians feel that people who get little or no exercise and are not physically fit may be more likely to have a heart attack and slower to recover after having one. However, by exercising regularly according to a program which should be suggested by your physician or other appropriate expert :
— Your heart will pump blood more efficiently your circulation will improve, and your blood pressure may be reduced;
— Your blood levels of cholesterol and other lipids may be improved and, thus, may slow down the development of atherosclerosis;
— Your physical strength and muscle tone will improve, and, thus you will tireless easily and be able to do more;
— Your mental state may improve and allow you to cope better with stress, relax more easily, and sleep better;
— Your weight can be controlled more easily with a reasonably proper diet.


When are drugs needed to control blood pressure ?

Certain drugs may be prescribed to decrease your blood pressure if it is elevated and cannot be reduced to the normal range by diet restrictions and/or other nondrug treatment measures.
If the doctor prescribes medication to control your hypertension, it is important that you take it exactly as intructed. It is important no to skip any doses because, although you may feel fine, your blood pressure can rise. Morning increases in blood pressure may contribute to the increased risk of heartattack and stroke that occurs during this time period. However, as previously mentioned, further research is needed to confirm this.


Which drugs are used to control blood pressure ?

Different types of drugs are used, and they work on the different parts of the body’s system that regulate blood pressure. The different types are used for different purposes, and the type to be used usually depends on the condition and needs of the hypertensive patient. However, some may work better in certain people and may be not very well in others. Some people may need a combination of two or more drugs, and the amount of a drug which would be most beneficial usually varies from person to person.
The different types of antihypertensive drugs now being widely used are as follos.


Diuretics

Drugs in this group are often called “water pills” and are still some of the most commonly prescribed drugs for hypertension. They act initially by promoting the elimination of salt and water from the body through the urine. They reduce the amount of fluid circulating in the blood steam, which, thus, reduces the pressure in the arteries. If your doctor prescribes a diuretic, you will probably need to utinate more frequently than usual, at least for several days. Although all diuretics produce basically the same effect, different types vary in how they work and how fast they work.
Diuretic treatment may decrease the amount of potassium in your blood, so your doctor may need to supplement potassium. Thus, if your take diuretics (alone or with other drugs), it is important to visit your doctor for regular periodic exminations so that he can evalutae the effects of treatment and determine whether it should remian the same or be changed.


Beta Blockers and Alpha Blockers

As mentioned ealier, two factors that are related to and affect blood pressure are the force of contraction of the heart muscle and the condition of the blood vessels. Beta Blockers are used to reduce blood pressure because they block singals from certain types of nerves that stimulate the mechanism responsible for the heart rate and the force of contraction of the heart. This results in a decrease in pressure of blood being pumped, thus lowering the blood pressure. Alpha blockers block other types of nerve signals that cause blood vessels to tighten and narrow. They, thus, reduce blood pressure by relaxing and widening blood vessels to allow blood to flow through them with less resistance and pressure.


ACE Inhibitors

These are newer drugs now being used to reduce blood pressure. ACE inhibitiors reduce or inhibit the body’s production of a substance called angiotensin. Angiotensin causes blood vessels to narrow by inhibiting the production of this substance, vesseles relax allowing easier blood flow and a reduction in pressure.


Calcium Antagonists

Calcium antagonists also are drugs used to treat hypertension. They work primarily by blocking the entry of calcium into the blood vessel cells. When calcium reaches a certain level in the cell, it plays a role in the process of contraction or narrowing of the vessles. Thus, calcium antagonists reduce blood pressure by dilating the vessles making it easier for more blood to flow through the circulatory system. Because of the way calcium antagonists ease to flow of blood and oxygen through the coronary arteries unlike ACE inhibitors, they are also used to treat heart problems such as angina and related conditions where the circulation of blood and oxygen is inadequate.


Symptomatic Homoeopathic Medicines.


Ayurvedic Medicines.


Which type of drug would be best for you ?

If you have hypertension, the one or more drugs prescribed for you will depend on your condition and other factors. Doctors often begin treatment by prescribing a low dose of a single drug and checking your response after a short period of time.
The dosage might be increased, or a different type of drug might then be prescribed if the desired reduction in your blood pressure is not reached within a certain time, or if the original drug causes excessvie side effects. If this approach does not achieve the desired effect, a second, or sometimes even a third drug may be added. After your blood pressure has been controlled with in a sage range, the doctor may prescribe other changes in your medication to make treatment easier and more convenient for you.
The ideal goal is to reduce and maintain continuous control of your blood pressure with the fewest number of drugs at the lowest effective dosage and without causing discomforting side effects.


What are the side effect of different blood pressure drugs ?

Most drugs prescribed for hypertension can produce some side effects, but many of them are minor and temporary or not even noticeable. However some people stop treatment whey they first experience even a minor side effect. To stop treatment can be dangerous, as hypertension can cause permanent damage to vital organs in your body. It thus, is important that your understand why side effects may occur and how they can be avoided or reduced to a point where they may be barely noticeable, allowing you to continue treatment. Many side effect of blood pressure drugs disappear with in a few days after treatment begins when your body becomes accustomed to the changes that may occur. It side effects continue, they can be reduced or entirely eliminated by taking a lower dosage or by switching to another drug. Talk to your doctor about the side effects you may be experiencing, and let him/her decide the best course of action. Drugs that reduce blood pressure may do so too quickly in some people, particularly at the beginning of treatment.The sudden drop in blood pressure may cause them to feel dizzy of faint. It may happen only after the first dose and before their bodies have adjusted to the lower blood pressure. Because alcohol also tends to lower blood pressure, alcoholic drinks about should be avoided with blood pressure drugs.
Other minor side effects such as tiredness, stuffy nose, and dryness of the mouth may occur, but they usuallly disappear after the first few days of treatment.
Other types of side effect caused by certain drugs are mood changes, depression, muscle discomfort or leg cramps, reduced sexual desire, swelling of lower legs or feet, cough and headache.
As we mentioned earlier, however, most side effects that may be caused by blood pressure drugs can be avoided by changes in dosages of drugs.


What if you need to take drugs for other problems ?

It you have hypertension and take drugs to control it, you should check with your doctor or pharmacist before taking any other drug to treat a different condition for reasons that include the following;
— Certain medicines such as cold remedies, diet pills, nasal sprays and inhalers, laxatives, and antacids may conunteract the drugs you take to treat your high blood pressure.
— To avoid unnecessary problems, the only medications you should take are those that have been prescribed or approved for you by your doctor.


What should you know about your medication ?

When a drug for high blood pressure, of other condition for that matter, is prescribed or approved for you to take, you should know
— Its name, why you are taking it, and what is dose;
— Exactly when, how often, and how much you should take;
— Its possible side effects and what you should do if any occur:
— It it may be unsafe to take with or interfere with other drugs might be taking for the same or a different condition;
— If eating certain foods, drinking alcohol, or certain activities such as driving should be avoided.


How can you best live with hypertension ?

If you are told you have hypertension and need treatment:
— Start treatment and continue it even though you may “feel fine” because hypertensioncan easily lead to far more serious problem if it is not treated and controlled. Take your medication every day;
— Remember that the benefits of controlling your blood pressure far outweitht any minor or temporary discomfort of side effets that may be caused by medication;
— Don’t be discouraged by the fact that you may need to take medication indefinitely;
— Establishing and maintaining more beneficial habits in regared to your diet or lifestyle can reduce or eliminate the need to take drugs for high blood pressure;
— Improve your physical and emotional states; and most importantly.
— Help yourself to live a healtheir, much longer life.


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