Drugs And Supplements To Avoid With High Blood Pressure
It’s just as important to avoid substances that can increase your blood pressure as it is to make lifestyle changes and take blood pressure medications.
Here is a list of substances to avoid if you have high blood pressure:
- Over-the-counter “decongestant” cold medications that contain pseudoephedrine or phenylephrine, like Sudafed
- Chronic use of NSAIDs , like Motrin , Advil , and Aleve
What To Take In Place Of Blood Pressure Medicine
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Complications Of Isolated Systolic Hypertension
When high blood pressure isnt managed, it can cause damage to your arteries. This can affect many parts of your body and increase your risk of:
- Heart attack. Elevated blood pressure can damage your coronary arteries, which increases the risk of a blockage in one of your hearts arteries.
- Stroke. Untreated high blood pressure can damage or weaken the arteries in your brain, which increases the risk of an ischemic stroke, hemorrhagic stroke, and transient ischemic attack .
- Heart failure. Elevated blood pressure can weaken the muscles of your heart, causing them to become too weak to pump blood efficiently to the rest of your body.
- Aneurysm. High blood pressure can weaken part of an artery, causing it to bulge out and possibly rupture.
- Kidney disease. The blood vessels in your kidneys can become damaged by untreated high blood pressure, resulting in your kidneys being unable to effectively filter toxins out of your blood.
- Vision loss. Damage to the blood vessels in your eyes can lead to bleeding in the retina and loss of sight.
- Dementia.Dementia or vascular dementia can occur when oxygen-rich blood flow to your brain is reduced.
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What Are Monoamine Oxidase Inhibitors What Are The Side Effects
Monoamine oxidase inhibitors or MAOIs were the first class of antidepressants to be developed. They fell out of favor because of concerns about interactions with certain foods and numerous drug interactions. MAOIs elevate the levels of norepinephrine, serotonin, and dopamine by inhibiting an enzyme called monoamine oxidase. Monoamine oxidase breaks down norepinephrine, serotonin, and dopamine. When monoamine oxidase is inhibited, norepinephrine, serotonin, and dopamine are not broken down, increasing the concentration of all three neurotransmitters in the brain.
Monoamine oxidase also breaks down tyramine, a chemical present in aged cheese, wines, and other aged foods. Since MAOIs inhibit monoamine oxidase, they decrease the breakdown of tyramine from ingested food, increasing the level of tyramine in the body. Excessive tyramine can elevate blood pressure and cause a hypertensive crisis. Patients treated with MAOIs should adhere to recommended dietary modifications that reduce the intake of tyramine. Interestingly, the 6 mg/24 hour dose of selegiline transdermal system does not require dietary restrictions because at this dose EMSAM does not substantially inhibit tyramine. Higher selegiline transdermal system doses require dietary restrictions.
What are the side effects of MAOIs?
Symptoms of hypertensive crises include
Other side effects and adverse events of MAOIs include:
Sexual side effects may diminish with time or a reduction in dose.
Treatment For Isolated Systolic Hypertension
ISH can be treated like other forms of hypertension. The goal is to reduce your systolic blood pressure to below 140 mm Hg. This can be accomplished by lifestyle changes, medication, or both.
Its important that treatment is balanced to reach a lower systolic blood pressure, but not reduce diastolic blood pressure too much. Lower-than-normal diastolic blood pressure may lead to heart damage.
If theres an underlying condition thats causing or contributing to ISH, your doctor will work to treat that as well.
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What Can I Do To Prevent Or Manage High Blood Pressure
Many people with high blood pressure can lower their blood pressure into a healthy range or keep their numbers in a healthy range by making lifestyle changes. Talk with your health care team about
- Getting at least 150 minutes of physical activity each week
- Managing stress
Learn more about ways to manage and prevent high blood pressure.
In addition to making positive lifestyle changes, some people with high blood pressure need to take medicine to manage their blood pressure. Learn more about medicines for high blood pressure.
Talk with your health care team right away if you think you have high blood pressure or if youve been told you have high blood pressure but do not have it under control.
What Can I Expect If I Have This Condition
Since high blood pressure doesnt cause many symptoms at first, you probably wont feel any different with a high blood pressure diagnosis. But its important to follow your providers instructions to bring your blood pressure down so it doesnt cause serious illnesses later in life.
How long does high blood pressure last?
If you have primary high blood pressure, youll need to control it for the rest of your life.
If you have secondary high blood pressure, your blood pressure will most likely come down after you receive treatment for the medical problem that caused it. If a medication caused your high blood pressure, switching to a different medicine may lower your blood pressure.
What is the outlook for high blood pressure?
You can get seriously ill if you dont treat your high blood pressure. However, if you take the medicines your provider ordered, you can control your blood pressure. Exercising and eating healthy foods also helps lower your blood pressure.
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What If Lifestyle Changes Dont Help Lower My Blood Pressure
If diet, exercise and other lifestyle changes dont work to lower your blood pressure, your healthcare provider will prescribe medications to help lower your blood pressure. Your provider will take into account other conditions you may have, such as heart or kidney disease and other drugs youre taking when prescribing medications to treat your high blood pressure. Be sure to follow your providers dosing directions exactly.
Causes Of High Diastolic Blood Pressure And What You Can Do To Lower It
Your blood pressure is a measure of the pressure of your blood pushing against your artery walls as your heart pumps it around your body. High blood pressure, also known as hypertension, is a condition where blood flows through your arteries at a pressure that is higher than usual. Normal blood pressure is less than 120/80mm Hg.¹
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What Is Systolic Blood Pressure And What Is Diastolic Blood Pressure
Your blood pressure is recorded in millimeters of mercury as two numbers, for example, 120/80 mmHg.
- The upper number is your systolic blood pressure it indicates the pressure exerted by your blood against the walls of your arteries when your heart contracts.
- The lower number is your diastolic blood pressure it indicates the pressure in your blood vessels during the rest period between heartbeats.
Lowering Elevated Diastolic Blood Pressure Will Lessen Chance Of Developing Elevated Systolic Blood Pressure
Dear Mayo Clinic:
I have normal systolic blood pressure, but my diastolic goes between 82 and 96 during the work day and goes down to normal at night or when there is no stress. Should I be concerned or is this normal?
If you don’t have other health issues that increase your risk of cardiovascular problems, the situation you describe isolated diastolic hypertension isn’t dangerous now. But it’s not normal, either. People with elevated diastolic blood pressure often develop elevated systolic blood pressure over time. You can help prevent that by taking steps to lower your diastolic blood pressure to a normal level.
A blood pressure reading, given in millimeters of mercury , has two numbers. The first, or upper, number measures the pressure in the arteries when the heart beats . The second, or lower, number measures the pressure in the arteries between beats . Normal blood pressure is below 120/80 mm Hg.
Research regarding diastolic blood pressure has evolved considerably over the last several decades. During the 1970s and 1980s, many researchers and physicians believed the diastolic reading was the more important of the two blood pressure measurements. Now, we know they are both equally important.
To effectively address your situation, I encourage you to make an appointment with your doctor to assess your elevated diastolic blood pressure and, based on your health history and other medical issues, develop a plan to manage it appropriately.
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How Can You Reduce Your Risk Of High Blood Pressure
Fortunately, there are certain things you can do to help reduce your risk of developing high blood pressure. These include the following:
- Eat right: A healthy diet is an important step in keeping your blood pressure normal. The DASH diet emphasizes adding fruits, vegetables and whole grains to your diet while reducing the amount of sodium. Since its rich in fruits and vegetables, which are naturally lower in sodium than many other foods, the DASH diet makes it easier to eat less salt and sodium.
- Keep a healthy weight: Going hand-in-hand with a proper diet is keeping a healthy weight. Since being overweight increases your blood pressure, losing excess weight with diet and exercise will help lower your blood pressure to healthier levels.
- Cut down on salt: The recommendation for salt in your diet is to have less than 1,500 milligrams of sodium a day . To prevent hypertension, you should keep your salt intake below this level. Don’t forget that most restaurant foods and many processed and frozen foods contain high levels of salt. Use herbs and spices that do not contain salt in recipes to flavor your food do not add salt at the table.
- Keep active: Even simple physical activities, such as walking, can lower your blood pressure .
- Drinkalcoholin moderation: Having more than one drink a day and two drinks a day can raise blood pressure.
What Foods Help Lower Blood Pressure
If your blood pressure reads consistently higher than 130/80 when you are in a lying down position, you are considered to have high blood pressure.
While limiting alcohol consumption and avoiding smoking are the best ways to lower blood pressure, changes to your diet are important as well. Below are examples of foods that can help you bring your blood pressure under control:
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Checking Blood Pressure At Home
Keeping track of blood pressure at home is important for many people, especially if you have high blood pressure. This helps you and your doctor find out if your treatment is working.
Your doctor may also suggest that you check your pressure at home if they think you may have “white coat hypertension.” It’s a real condition. The stress of being in a doctor’s office raises your blood pressure, but when you’re home, it’s normal.
Ask your doctor to recommend an easy-to-use home blood pressure monitor. Make sure the cuff fits properly. If your arm is too big for the cuff, the reading may be higher than your blood pressure really is. Ask your doctor for a larger cuff or make sure you buy a home monitor with a cuff that fits you.
You also can use a wrist blood pressure monitor, but they often aren’t as accurate. Follow the directions that come with the device to make sure you are using it correctly.
No matter which type of blood pressure monitor you have, it’s a good idea to take it to your doctor’s office. You can compare its reading to the numbers your doctor gets. Avoid caffeine, cigarettes, and exercise for at least 30 minutes before the test.
When you take your blood pressure at home, sit up straight in a chair and put both feet on the floor. Ask your doctor or nurse to show you the right way to position your arm so you get accurate readings.
Prevention Of Diastolic Hypertension
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What Diet Helps Control High Blood Pressure
- Eat foods that are lower in fat, salt and calories, such as skim or 1% milk, fresh vegetables and fruits, and whole-grain rice and pasta.
- Use flavorings, spices and herbs to make foods tasty without using salt. The optimal recommendation for salt in your diet is to have less than 1,500 milligrams of sodium a day. Don’t forget that most restaurant foods and many processed and frozen foods contain high levels of salt. Use herbs and spices that do not contain salt in recipes to flavor your food. Dont add salt at the table.
- Avoid or cut down on foods high in fat or salt, such as butter and margarine, regular salad dressings, fatty meats, whole milk dairy products, fried foods, processed foods or fast foods and salted snacks.
- Ask your provider if you should increase potassium in your diet. Discuss the Dietary Approaches to Stop Hypertension diet with your provider. The DASH diet emphasizes adding fruits, vegetables and whole grains to your diet while reducing the amount of sodium. Since its rich in fruits and vegetables, which are naturally lower in sodium than many other foods, the DASH diet makes it easier to eat less salt and sodium.
What Are The Medical Uses For Stimulants
Approved medical uses for stimulants include
- attention-deficit hyperactivity disorder ,
- treatment-resistant depression.
- Some formulations are used for treating obesity.
Because of their addictive potential, some stimulants are no longer recommended for treating asthma and other nervous system disorders.
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How To Read Your Blood Pressure
Blood pressure readings have two numbers: a systolic pressure and a diastolic pressure, given in units of milligrams of mercury .
The higher number is the systolic blood pressure, which is the pressure generated by the heart pumping blood through the arteries. The lower number is the diastolic blood pressure, which is the pressure in the arteries while the heart is relaxing.
A normal blood pressure is less than 120 systolic over less than 80 diastolic. A systolic blood pressure in the 120s is considered elevated, even with a normal diastolic reading.
Hypertension is diagnosed with a systolic reading of 130 or higher, or a diastolic reading of 80 or higher.
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Both systolic and diastolic measurements are important when considering your heart’s health. A high systolic reading is the most common form of high blood pressure, especially in older people, due to arteries stiffening over time.
Medications For High Blood Pressure
There are a variety of medications that can help manage high blood pressure. Again, medication is typically recommended when lifestyle changes dont produce results, and in more serious blood pressure cases like stage 1 or stage 2 hypertension. Medications for high blood pressure include:
- Alpha, beta and alpha-beta blockersStop epinephrine and similar hormones from affecting the cardiovascular system, allowing the muscles of the heart and arteries to stay relaxed.
- Angiotensin-converting enzyme inhibitorsStop the body from producing angiotensin, a hormone that narrows blood vessels.
- Angiotensin receptor blockers Stop angiotensin from affecting blood vessels.
- Calcium channel blockersHelp keep arteries relaxed by preventing calcium from entering heart and artery cells.
- Central agonistsHelp control heart rate and blood flow by blocking signals between the brain and the nervous system.
- DiureticsReduce excess sodium and water in the body.
- Renin inhibitorsSlow the bodys production of the enzyme renin, which can play a role in high blood pressure.
- VasodilatorsPrevent artery and vein muscles from narrowing.
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What Do Blood Pressure Numbers Mean
Blood pressure is measured using two numbers:
The first number, called systolic blood pressure, measures the pressure in your arteries when your heart beats.
The second number, called diastolic blood pressure, measures the pressure in your arteries when your heart rests between beats.
If the measurement reads 120 systolic and 80 diastolic, you would say, 120 over 80, or write, 120/80 mmHg.