Treatment of hypertension in the elderly: what causes, how to lower high blood pressure

Treatment of hypertension in the elderly is more difficult in young. Therapy requires special caution in the choice of method and necessary medicines, but the disease can be muted at any age, if you just follow the instructions of the specialist and not to self-medicate.

Treatment method

Treatment of hypertension in the elderly has its own characteristics. Of great importance are the factors influencing the development of the disease. Doctors can apply together with old and new treatment regimens, depending on the factors causing the pathology:

  • Pressure surges can contribute to failures in kidneys and adrenal glands. This happens due to the fact that the body decreases production of renin, a hormone that is responsible for their work. Fluid from the bodies do not have time to receive in time, resulting in increased pressure.
  • Many of the elderly damaged the endothelium — layer of cells that covers the blood vessels and heart.
  • Age causes thinning of blood vessels, increase of their fragility, the risk of damage to the tissues, and the occurrence of hemorrhage is increased. During rapid changes in blood pressure seizures pose a serious danger.
  • Vessels lose their elasticity, become stiff, faster damage that disrupts the blood circulation.
  • Just to bring down high blood pressure in the elderly, ignoring the other problems, is very dangerous. You should care not only about the treatment of hypertension, but also to get rid of the attendant diseases. Often affects the eyes, kidneys, heart, stomach and brain. That’s why during the medication it is important to pay attention to the contraindications of a drug. Many of them can get rid of hypertension, but significantly worsen the condition of the other body. Improper use of any medication can lead to serious consequences including heart attack and stroke and low pressure, which is also undesirable for an elderly body.

    For a long time it was believed that hypertension in the elderly is not treated, because the risk from the emergence of a number of undesirable consequences is much higher than the effect of therapy. But not all doctors supported this view.

    The results of the experiments it was established that when properly chosen combination of drugs in the treatment of hypertension, as well as considering individual patient therapy is yielding results and is safe for the elderly body. Scientists have proven that more than 30% of cases reduces the risk of problems with blood vessels, and 40% — stroke and heart attack. The main goal of treatment of hypertension in older people is the improvement of the General condition of the human body and the maximum extension of his life.

    READ  Erythrocyte sedimentation rate above the norm: what it means, is increased, as evidenced by the increase in

    Necessary recommendations

    At the beginning of treatment it is necessary to remember about some rules. They will help to strengthen the effects of the drugs and to lower the risks of complications to minimum. What to do during treatment:

  • The need to lower the pressure gently and consistently, gently acting on the body. A sharp jump will only hurt an elderly person.
  • The first dosage of medicines should be minimum and increase only under the strict supervision of a physician.
  • Age significantly affects the rate and being spread components of the medication throughout the body, as well as their absorption and excretion.
  • While taking drugs is to monitor the overall state of internal organs and systems: kidney, water balance, carbohydrate metabolism, etc.
  • If the person is older than 60 years, the therapy may take several months, so it is advisable to be patient and not expect that improvement will happen from the first minute of the medication. Mental attitude plays a big role in the recovery process.
  • A particularly careful one must be with patients who have diagnosed coronary heart disease. Reduced to a normal level the pressure in this case is dangerous for the blood vessels.
  • Carefully and often to check the status of your pressure.
  • Make the preparations you need life.
  • Necessary drugs

    Drugs that have been approved for the treatment of hypertension in the elderly, are divided into several groups:

  • Diuretics.
  • Alpha-adrenergic blockers.
  • Beta-blockers.
  • Antagonists of calcium Ions.
  • ACE inhibitors (angiotensin converting enzyme).
  • Diuretics used in the treatment of hypertension for over 50 years. It is a diuretics that can help excrete the excess salt and thus lower the pressure. Over time, the body gets used to them and fluid from the body is derived independently, keeping the effect from the therapy. Diuretics prescribed in low doses long course. If the therapy produces its effect, the course over time is not adjusted, since overdose increases the risk of developing diabetes and increasing cholesterol levels in the blood.

    Alpha-blockers are the most effective modern drugs for the treatment of hypertension. This group promotes vasodilation, constriction of veins and arteries, gives them vitality, acting on adrenergic receptors. In this type of drugs is important first application, which is preferably carried out under the supervision of a physician or the nearest relative.

    If the first call person is in the upright position, may feel dizzy and even lose consciousness. The body reacts to increased tone of the arteries and the flow of oxygen to the brain, which causes a similar effect. Subsequent applications of such attacks will be gone.

    READ  Hematoma during early pregnancy: causes, treatment, symptoms

    The reasons for the appointment beta-blockers are the reduction of the load on the heart by blocking the effects of adrenaline. This greatly facilitates the work, reduces the demand on oxygen. Thus reduced blood pressure. Beta-blockers are prohibited in asthma, emphysema, if the patient has hypotension (low blood pressure) and slow heartbeat.

    During the medication it is necessary to clearly measure your heart rate and write down all the figures as per the medicines have components, reducing pulsation. In such cases it is necessary to consult a doctor for further advice.

    Antagonists of calcium ions inhibit the penetration of substances in the heart and blood vessels. They reduce the risk of stroke compared to diuretics, beta-blockers and inhibitors of the ACF, but more likely to contribute to the development of heart failure, therefore not recommended for acceptance after heart attacks. When you apply this group without any adverse effects (severe fatigue, depression and lethargy).

    ACE inhibitors (angiotensin converting enzyme) is particularly effective for patients with kidney disease. They are often used in conjunction with diuretics to rapidly reduce pressure to normal level. It is important to not be taken in conjunction with drugs of different salt substitutes, which can cause a delay of potassium in the body. It is also advisable to abstain from taking non-steroidal anti-inflammatory drugs, especially of Nurofen.

    Popular drugs

    Only a doctor can advise which products to choose from just a huge selection how to lower blood pressure quickly. The most efficient means:

  • Atenolol.
  • Dihlotiazid.
  • Diltiazem.
  • Captopril.
  • Clonidine.
  • Atenolol is available in tablets. In patients with hypertensive problems are usually receive 100 mg per day, but some need 50 mg. and the Effect is noticeable after about a few weeks. The tool is often used together with diuretics. Receiving Atenolol may affect the results of certain laboratory tests, so it is advisable to inform your doctor. Caution it is recommended for patients with kidney disease and acute allergic reactions. Requires constant monitoring of the functional state of the organism.

    Dihlotiazid to lower blood pressure take 12.5 mg a day. On the first day of admission may occur diuresis (excessive urine volume) and a natriuresis (excretion of sodium in the urine), but the next day the symptoms disappear. 3-5 days after you start taking a break for a few days. It is undesirable to apply Dihlotiazid drugs which contain lithium salts.

    Diltiazem is prescribed for the treatment of hypertension in the elderly, starting with a maximum dose of 30 mg 3-4 times a day, over time, the rate can be adjusted.

    Use with caution in severe renal failure and during the heart problems. Frequent side effect is a reduced clearance of the active substance (the rate of withdrawal of fluid from the body). The drug contains lactose, therefore, forbidden to use for Allergy sufferers.

    The recommended dosage of Captopril: 1-2 tablets 2-3 times a day. If the pressure in the treatment process is not stabiliziruemost dose increase 2 times. Patients with impaired gastric function after myocardial infarction, diabetics, and patients with a bad kidney number of tablets recommended to reduce. Before treatment necessarily kompensiruet loss of fluid and salts, otherwise it is fraught with complications hypotension. The reason for this may be a false diagnosis when the test acetonuria.

    READ  Uric acid: normal, what it means, what needs to be improved

    For the treatment of mild and moderate forms of the disease therapy begins with Clonidine 75 micrograms twice a day. Over time the dosage can be increased according to doctor’s recommendation. One-time admission is only acceptable in the hospital environment. The drug is not prescribed to patients with cardiac arrhythmias, recently suffered a myocardial infarction, atherosclerosis and depression. In a joint use with beta blockers the first course of treatment they are removed, and then he Clonidine.

    Spa treatment for hypertension

    An excellent complement to medical treatment of a sanatorium therapy, which not only helps to get rid of the disease, but will help to relax the elderly person in the process reabelitatsii. Patients following treatments:

  • Baths. The physician will be prescribed a course of sulfide, radon and carbon dioxide treatments, which perfectly restore the body’s immune system.
  • Diet. When arterial hypertension is contraindicated junk food, which is poorly absorbed by the stomach, is prohibited salty, fatty and fried. In the resorts food to be steamed or stewed.
  • Physiotherapy (physical therapy). Specially selected exercises under the supervision of an experienced instructor will help to strengthen the muscles.
  • Additionally, the patient continues drug treatment of hypertension in the elderly. He takes various vitamins, and some institutions are invited electrophoresis, which had a good effect on the cardiovascular system and brain. All procedures and assignments is strictly controlled by the attending physician.