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Why Does Doctor Prescribe Antihypertensive Drugs For Patients Without Hypertension

2018-08-01 09:19

Working in nephrology for a long time, patients often ask such a question:

As a kidney patient, I don’t know why you prescribe blood pressure lowering drugs for me. Although I was diagnosed with Nephritis and had urinary protein, there was no abnormality in blood pressure. Was it wrong to prescribe antihypertensive drugs?

Nephrotic patients are somewhat special. Even if hypertension does not occur, they sometimes have to take medicines to lower blood pressure because these medicines can not be used to prevent hypertension. these medicines also have the effect of reducing urinary protein and protecting renal function.

Therefore, nephrologists usually use blood pressure lowering drugs to prevent urinary protein from damaging renal function. Commonly used drugs are sartan and puli blood pressure lowering drugs.

These two kinds of antihypertensive drugs, the sartan class is younger, and the puli class is considered as the older generation of antihypertensive drugs, so it is cheaper. However, some people will have discomfort when they eat puli, such as cough, and then they will have to choose sartan.

Patients who take antihypertensive drugs are afraid that their body will become dependent. They will have to rely on antihypertensive drugs all their life. In fact, this idea is wrong. Because this is the need for treatment of the disease, and puli and sartan will not lead to dependence.

Because this is a blood pressure medicine, the first thing is to pay attention to whether it will lead to low blood pressure. Therefore, when the doctor gives you this kind of medicine, you must remember to take blood pressure! The blood pressure of nephrotic patients is best below 130 / 80 mmhg, but it should not be lower than 90 / 60 mmhg.

Does blood pressure drop on the low side? The blood pressure of nephrotic patients is best below 130 / 80 mmhg, but it should not be lower than 90 / 60 mmhg. Therefore, always remember to test your blood pressure.

1. pay attention to the status of blood potassium. This is especially important for patients with renal insufficiency.

2. serum creatinine. There will be an increase in serum creatinine, but as long as there is no sustained increase, antihypertensive drugs cannot be stopped at will.

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