高血压 That's Hard to Treat

What happens if your blood pressure isn't going down?

你做过 生活方式的改变. You’re taking several blood pressure medications. But your blood pressure still isn’t going down. This is called resistant hypertension. 这意味着你的 高血压 is hard to treat 和 may also have another cause. 

可能的原因

Resistant hypertension may be caused by one or more medical conditions. Health care professionals typically look for possible causes such as:

  • Problems with hormones that control blood pressure
  • Plaque in the blood vessels that feed the kidneys
  • Sleep problems, such as 睡眠呼吸暂停
  • 肥胖
  • Heavy use of 酒精
  • Prescription or nonprescription medications that can elevate blood pressure

Monitoring 和 treatment 

Controlling blood pressure begins with the basics, such as underst和ing your blood pressure patterns. 这可能意味着:

  • Wearing a small automatic blood pressure recorder for 24 hours
  • Checking pressure with an 家庭监控 several times a day

Treatment might also include:

It is important to take the right medications in the right doses at the right time. Do not take medications or supplements that can increase blood pressure such as:

  • Diet pills 和 stimulants
  • Cyclosporine or Tacrolimus (drugs used to prevent organ rejection after a transplant)
  • 天然甘草
  • Herbal agents such as ma huang or Ephedra
  • Non-steroidal anti-inflammatory drugs such as ibuprofen 和 celecoxib
  • Antacids containing sodium
  • 咖啡因
  • 避孕药
  • 减充血剂

Ask your heath care professional or pharmacist if any medications you take could be increasing your blood pressure.

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