There was once a news circulating on the Internet that the emergency doctor prescribed 40 cents of medicine to cure hypertension late at night.
Roughly: After Mr. Wang went home from a trip, his blood pressure could not drop. After going to the emergency department, the doctor only prescribed 40 cents of medicine, which made Mr. Wang’s blood pressure drop. Mr. Wang’s lover said [very surprised, why didn’t you think of it]. He also said [after living 53 years old, it was the first time he met such a good doctor.]
Seeing such [good] news, of course, I can’t wait to know it in detail. After reading it, I found that it is still too early for everyone to be happy! Forty cents of antihypertensive drugs don’t exist. Why do you say that?
Forty cents, what medicine
According to the news, Mr. Wang’s blood pressure at that time was about 160/110 mmHg, which was not up to the diagnostic standard of hypertension emergency, and Mr. Wang did not have dizziness or headache symptoms at that time. Only because of worry, he went to the emergency department.
Mr. Wang’s medical record comes from < < China Business News > >
The drugs prescribed by emergency doctors are hydrochlorothiazide and amlodipine. The combined application of these two drugs is a reasonable antihypertensive medication scheme. Domestic preparations of these two drugs are not expensive.
The doctor’s treatment was right, but it was inappropriate for the news headline to write like this.
There are the following points that need to be explained to you.
Hypertension cannot be cured
Although Mr. Wang’s blood pressure has dropped, it is not cured.
Hypertension is a disease that should be controlled by medication for a long time. Now that Mr. Wang’s blood pressure is under control, Does not mean that hypertension is cured. For Mr. Wang in the news, don’t stop taking the medicine prescribed by the emergency doctor. It is best to go to the cardiology department or the special hypertension clinic as soon as possible, so that the specialist can choose the appropriate medicine and insist on treatment for a long time. At the same time, blood pressure should continue to be monitored to prevent blood pressure from fluctuating again.
Lowering blood pressure is not as fast as possible.
Hypertension patients in fact also taboo blood pressure fluctuation is too large, especially for some elderly patients, doctors do not advocate to take medicine to reduce blood pressure. Now it is generally recommended to reduce blood pressure to the normal range within a few weeks. If blood pressure drops too fast, it may occur heart, brain tissue ischemia and other complications.
Individualized Medication for Hypertension
I would also like to remind everyone not to think that these two drugs have lowered Mr. Wang’s blood pressure and are cheap. I also need to take these two drugs myself.
There are many kinds of commonly used antihypertensive drugs, which are suitable for different groups according to their characteristics.
For example, in the news, The medicine prescribed by the emergency doctor to Mr. Wang, Hydrochlorothiazide is a diuretic, Is a classic antihypertensive drug, However, it may lead to hypokalemia and hyperuricemia, which are generally used in small doses clinically. Amlodipine is a calcium antagonist and is widely used, but some patients may have side effects such as headache, lower limb edema and arrhythmia after taking it. Patients with heart failure and arrhythmia are usually not recommended to use amlodipine alone to lower blood pressure.
Suitable for Mr. Wang’s antihypertensive drugs, but not necessarily suitable for others. I hope everyone will not be misled by the news and blindly take medicine and change dressings.
For patients with hypertension, under the guidance of doctors, regular administration of drugs suitable for them, regular monitoring, combined with a healthy lifestyle and a low-salt diet are the good ways to control blood pressure and prevent complications for a long time.
Editor: Zhang Jingyuan
Author: Jing Yuan