专家解释高血压用药过程中30个问题（Experts explain 30 problems in the use of hypertension）.docVIP

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2017-08-20 发布于河南
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专家解释高血压用药过程中30个问题（Experts explain 30 problems in the use of hypertension）.doc

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专家解释高血压用药过程中30个问题（Experts explain 30 problems in the use of hypertension）

专家解释高血压用药过程中30个问题（Experts explain 30 problems in the use of hypertension） Experts explain 30 problems in the use of hypertension Treatment of hypertension patients, often worry about side effects, do not know how to overcome; or that the antihypertensive effect is poor, but I do not know how to do; or do not understand why doctors give their dressing, worry about drug use error etc....... See how the expert explains the questions you have encountered. Calcium antagonists There are two classes of calcium antagonists commonly used. Two hydrogen pyridine: Extended Release Nifedipine Tablets (Ni Fuda), Nifedipine Controlled Release Tablets (Bai Xintong), felodipine (plendil), amlodipine (Norvasc, really). Two non dihydropyridine: Vera Pammy (verapamil) and diltiazem (diltiazem, herbesser). Does the 1. calcium antagonist have increased risk of heart disease? For calcium antagonists, there is a risk of increased heart disease, a statement, mainly referring to the cardiac pain. Studies have found that heartburn may increase blood pressure, accelerate heart rate and increase target organ damage. Therefore, if you need to take it for a long time, you should pay attention to the monitoring and change the dressing when necessary. Does the 2. calcium antagonist have any effect on liver and kidney function? Can nimodipine cause hepatitis? How should we prevent it? Because a lot of calcium antagonists are excreted in the liver and discharged through the kidneys, the dosage of the patients with liver and kidney dysfunction should not be too large. Nimodipine mainly acts on cerebral vascular smooth muscle, and no hepatitis has been reported. 3. Plendil and Norvasc, nifedipine compared? Which is better? How to choose? The United States Food and Drug Administration (FDA) has determined that the peak / peak ratio of more than 66% can meet the requirements of long-term antihypertensive. 30% ~ 50% plendil, amlodipine 70%, and less than 30% nifepine. Obviously, Plendil and nifedipine is