Thank you; Chinese medical culture is profound, if even high blood pressure can not come down, can only prove that you do not learn the art of excellence, not yet understand the wonder in the wonderful only, the old saying: medicine but the door, the road is not light transmission. I can only answer this question in this way,

What should I do if my high blood pressure keeps recurring and won't come down?

Thanks for the invite!

There is actually a contradiction in the question itself.

The fact that hypertension is always recurring means that there are highs and lows, and that it is only recurring when it comes down and goes up again, which means that there is still time for blood pressure to come down, it is just unstable and unsustainable.

What if it doesn't come down? Since there are repetitions, it's not that it can't come down, it's just that it can't come down consistently and steadily.

What to do? Find the cause!

You can start with these:

1. Is the cause of the disease found，Is there a cause of secondary hypertensionNot ruled out yet? That is, there are other conditions that can cause high blood pressure that have not yet been identified, such as kidney disease, adrenal gland disease, or sleep breathing disorders. Some people with primary hypertension also develop secondary hypertension. We have encountered elderly people in their 80s whose hypertension, which had been under stable control for decades, suddenly became poorly controlled, and tumors of the adrenal glands were found.

2. what are the possible triggers of elevated blood pressure that are not well controlled and prevented?For example, lifestyle, high salt diet, mental-emotional changes, sleep disorders, and even urinary and bowel problems.

3. Problems with antihypertensive treatment：

Whether the use of drugs is appropriate: the choice of varieties of antihypertensive drugs is not appropriate, is not as long as possible to choose the drug; the dose is not sufficient; if you take a variety of drugs, the combination is not appropriate.

Whether the time and method of taking medication are appropriate: whether the medication is taken regularly according to the doctor's instructions, whether the long-acting drugs are taken every day, whether the short-acting drugs that need to be taken several times a day are taken at intervals, and whether the drugs that should be taken on an empty stomach are eaten with meals, and so on, which will affect the effect of lowering blood pressure and cause fluctuations in blood pressure.

4. Drug interactions, other medications the patient was taking interacted with the antihypertensive medication.

Hypertensive patients can also suffer from other diseases, and the treatment of drugs in the drug can cause an increase in blood pressure. For example, licorice tablets commonly taken for respiratory infections, ephedrine-containing drugs, hepatitis, dermatological patients with the application of glycyrrhizic acid diamine, antidepressant and anxiety drugs, tumor chemotherapy drugs, hormones, and even some proprietary Chinese medicines, can cause blood pressure to varying degrees of elevation. There are also some drugs will affect the liver's metabolism of antihypertensive drugs, if it is an enzyme inducer, it will promote the metabolism of the drug, weaken the effect of antihypertensive drugs, which will also affect the effect of antihypertensive.

So, if the blood pressure can be lowered in hypertension treatment but recurs, the first thing to do is to look for the cause to remove it.

If the blood pressure continues to rise and cannot be lowered, it is generally necessary to consider that the factors of secondary hypertension have not been removed or cannot be removed, such as renal parenchymal disease, renal function has failed; renal vascular disease, renal artery stenosis has not been lifted, and it is very difficult to lower the high blood pressure in this way. Further examination is needed at this time.

Thank you.

Approximately 10% of patients with hypertension who do not reach their target blood pressure despite treatment with a combination of three or more antihypertensive medications at appropriate doses are referred to as refractory or refractory hypertension.

When encountering such a situation, the first thing to do is to look for the cause, and then to deal with the specific causes, the common causes are as follows.

1. Errors in blood pressure measurement.

The cuff is not the right size, the person with a large upper arm circumference uses a normal cuff; the cuff is placed on the outside of the elastic resistance, such as sweaters, etc., and the cuff deflates too quickly when measuring blood pressure, the stethoscope is placed inside the cuff, and too much force is exerted on the stethoscope.

Hypertension due to extensive atherosclerosis and calcification in the elderly caused by indirect measurements, especially in the brachial artery, requires higher pressures than the hardened arterial lumen in order to block blood flow.

Pseudohypertension should be highly suspected in the presence of any of these conditions.

Extremely high blood pressure without damage to the heart, brain, kidneys, etc.

Not obvious decrease in blood pressure after taking antihypertensive drugs but with obvious symptoms of hypotension such as palpitations, dizziness, and fatigue

Calcification of the brachial artery and higher blood pressure in the brachial artery than in the lower extremities

Severe simple systolic hypertension

2. Unreasonable antihypertensive treatment program

Inadequate combined antihypertensive regimen results in a nonsignificant enhanced antihypertensive effect.

Significant adverse reactions to antihypertensive medications in some patients, resulting in an inability to increase the dosage of antihypertensive medications and an inability to take medications regularly and on time

Absence of diuretics in combination regimens of three antihypertensive drugs.

3, non-hypertensive drugs taken at the same time have an interfering effect on antihypertensive drugs ...... This is a more insidious reason

The sodium and water storage induced by non-steroidal anti-inflammatory drugs (NSAIDS) such as aspirin enhances the vasoconstrictor response to antihypertensive hormones and counteracts the effects of various antihypertensive drugs other than calcium antagonists.

Also sympathomimetic drugs such as certain nasal drops and appetite suppressant diet pills, as these drugs have agonisticAlpha-adrenergic activity, prolonged use may cause elevated blood pressure or interfere with antihypertensive effects.

Tricyclic antidepressants block the uptake of antihypertensive drugs such as rifampin and colistin by sympathetic nerve endings.

Cyclosporine, a drug used to prevent rejection of organ transplants, stimulates the release of endothelin, which increases renal vascular resistance and sodium retention, leading to elevated blood pressure.

Erythropoietin, used in the treatment of renal anemia, acts on blood vessels causing an increase in peripheral vascular resistance, resulting in an increase in blood pressure.

Glucocorticoids and oral contraceptives can also interfere with the action of antihypertensive drugs.

4. Volume overload: excessive salt intake or too much to offset the effects of antihypertensive drugs.

Patients with chronic renal failure, diabetes mellitus, and obesity are prone to volume overload.

Some patients in the combined use of antihypertensive drugs blood pressure is still unable to control the standard, often found that the use of diuretics, or diuretics selection and dosage is unreasonable, can be considered short-term intensive use of diuretics to determine the joint use of long-acting thiazide diuretics and short-acting diuretics, and to observe the effect of treatment.

5. Insulin resistance.

Insulin resistance as a major cause of refractory hypertension in diabetic and obese patients.

Combined use of insulin sensitizers with antihypertensive therapy improves blood pressure levels.

Appropriate weight loss in obese patients reduces blood pressure or the dosage and quantity of antihypertensive medication.

6. Secondary hypertension: primary aldosteronism and renal artery stenosis are the most common causes.

In addition, sleep apnea hypoventilation syndrome and heavy smoking can also contribute to persistent hypertension.

The management of recurrent or uncontrolled hypertension should be based on an evaluation of the possible causes described above, which can be identified and corrected in most patients.

If blood pressure remains off target, further hemodynamic and neurohormonal testing should be performed.

If all else fails, try stopping the medication for a short period of time, monitor your blood pressure closely, and find a new treatment plan to break the vicious cycle of elevated blood pressure.

(Images from the Internet, not for commercial use! (The content of this article is for reference only, not as a basis for diagnosis and medication, and can not replace the diagnosis and treatment of doctors and other medical personnel and advice, if you are not feeling well, please seek medical attention in a timely manner.)

What should I do if my high blood pressure keeps recurring and won't come down? First of all, you start by testing yourself for the following problems:

1. Is the method of blood pressure measurement correct? If you are monitoring your blood pressure at home by yourself, it is important to know the correct method of measurement, such as paying attention to the seat height, posture during measurement, cuff type and other issues. If your blood pressure is unstable, it is recommended that you take measurements once a day in the morning and once in the evening, preferably in the morning after waking up to urinate, before taking medication, and in the evening before going to bed, for seven consecutive days. The frequency of blood pressure measurement should not be too frequent. Some people take measurements whenever they think of it, which tends to cause anxiety. If a certain blood pressure value is not normal, do not be overly concerned, because blood pressure is affected by the internal and external environment has a certain degree of fluctuation. Another thing to note. Some patients in order to get the night blood pressure, set the alarm in the middle of the night to get up to measure the blood pressure, this destruction of the physiological state of the night and the measurement of the blood pressure value, does not represent the night blood pressure.

2. Are you taking the right medication? Proper use of medication is the key to achieve the blood pressure standard, to take medication on time and regularly, do not stop or reduce the amount of medication. Patients often ask, "My blood pressure has been under very good control for a while, can I stop taking my medication? Of course, this is not possible, good blood pressure control is based on the medication control, once you stop taking the medication, the blood pressure may come up again, so do not easily stop taking the medication or reduce the dosage. If you take your medication on time and according to the dosage, and your blood pressure is still not well controlled, you can see if the drugs you are currently taking have drugs that raise blood pressure, such as licorice, ephedra, oral contraceptives, etc. You can also consult your doctor to see if the antihypertensive drugs you are currently taking are properly selected and need to be adjusted. In addition, we need to remind you that the general patients should be 4-12 weeks of treatment to make the blood pressure standard, and long-acting antihypertensive drugs to play a stable role in lowering blood pressure generally takes about 1-2 weeks, some patients require rapid control of blood pressure, only a few days of medication, began to complain that the drug is not ideal, and asked the doctor to add drugs or frequent changes in the drug, which is not wise.

3. Is the lifestyle healthy? All hypertensive patients should adhere to a healthy lifestyle from the beginning to the end, which mainly includes reasonable diet, weight control, quitting smoking and limiting alcohol consumption, moderate exercise and psychological balance. Changing an unhealthy lifestyle and taking antihypertensive medication are both indispensable. Improvement of lifestyle is the foundation, only with a healthy lifestyle, antihypertensive drugs can have a good effect. Many patients take two or three antihypertensive drugs, blood pressure is still poorly controlled, may be because in the treatment at the same time also eat too salty, excessive drinking, eating and drinking, no exercise, lifestyle and unhealthy, leading to antihypertensive drug efficacy is not good. Of course, relying solely on lifestyle improvement, do not adhere to the rational use of medication, but also can not achieve the purpose of controlling high blood pressure. These two must be properly combined to effectively control hypertension.

As there is still a lack of fundamental treatment for the cause of hypertension, most hypertensive patients still need to take antihypertensive drugs for a long time or even for their whole life, and only through long-term treatment is it possible to make the blood pressure reach or close to the target blood pressure and to prevent target organ damage and the occurrence of hypertensive complications. Therefore, it is necessary to adhere to long-term treatment, regular follow-up, monitoring of various risk factors, strengthening of a healthy lifestyle, adherence to medication under the guidance of the doctor, timely detection of problems and good communication with the doctor, and only in this way will good results be obtained.

Ref: Hypertension Alliance (China), National Center for Cardiovascular Disease, et al. Guidelines for educating hypertensive patients in China, Chinese Journal of Frontiers of Medicine (electronic version), 2014, 6(3):78-110.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Hypertension is one of the most common chronic diseases in China, but good or bad blood pressure control does seriously affect the prognosis of hypertensive patients! That's why it's so important to keep your blood pressure under control! But as the questioner said, what if your blood pressure is repeatedly high and won't come down? You may need to pay attention to these conditions!

I. Insufficient dosage of drugs

Whether it is a single drug or a combination of drugs, it may be that the drugs are not dosed at the right dose, making it impossible to control the blood pressure up to the mark, resulting in high and low blood pressure! At this point, the situation may improve if the drug is dosed or combined with other drugs!

II. Identifying pseudo-elevated blood pressure

Whether it is the white coat effect or an incorrect method of measuring blood pressure at the wrong time, the possibility of pseudohypertension needs to be considered, and ambulatory blood pressure monitoring, or an identification method, needs to be performed!

III. Identifying secondary hypertension

Generally refractory hypertension, high blood pressure in the young or high and low blood pressure need to be alerted to the possibility of secondary hypertension!

IV. Failure to change lifestyles

Antihypertensive treatment depends not only on taking medication, but also on lifestyle changes, and only with lifestyle changes can blood pressure control be brought up to standard! This includes a low-salt and low-fat diet, a reasonable mindset, moderate exercise, smoking and alcohol cessation, weight control and many other factors!

V. Have you taken your medication on time

If none of these factors are present, then it's time to consider whether or not you're taking your medication on time!

Pro, see what I mean? Follow us to get daily updates on science tweeted to you!

High blood pressure is always repeated, it is difficult to come down, this is a lot of high blood pressure patients friends one of the distress, for this problem, in the end, how to deal with it? I think the combination of different situations, resulting in blood pressure is always higher, difficult to fall for different reasons, only to understand the specific causes of this problem, we can better target the improvement of conditioning. Today we will talk to you about several common blood pressure is difficult to drop the situation and cause analysis, I hope to be able to some of the high blood pressure, but it is always difficult to drop friends, can have some inspiration.

Is it really hard to lower low blood pressure in young and middle-aged people?

The development of the trend of hypertension at a younger age is a social health problem that should not be ignored, and there are already more and more young and middle-aged people suffering from high blood pressure. Hypertension in young and middle-aged people is characterized by high low pressure (diastolic blood pressure), often exceeding the level of 90mmHg, while the high pressure level rises insignificantly, but it is such a seemingly insignificant problem of high low pressure, but it is also difficult to defeat a lot of young and middle-aged patients with high blood pressure, and can not be lowered, and even take medication does not have a significant effect. For young and middle-aged hypertensive patients who have high low pressure and are difficult to reduce, we may wish to regulate and control from the following aspects -

• Doing a good job of controlling healthy living regimens, especially in the areas of increased exercise, weight loss, and low-salt diets, are all important aspects of controlling and improving high blood pressure, and sometimes when the body's metabolic capacity improves, the problem of high blood pressure naturally improves as well.
• Positively adjust the state of mind, long-term anxiety, stress, self-demand is too high, will lead to increased sympathetic excitability, which in turn affects the secretion of adrenaline, resulting in faster heartbeat, blood vessel constriction, which will lead to elevated blood pressure, psychological problems can not be resolved, the elevated blood pressure may really take medication also can not be lowered.
• Reasonable choice of medication is also very critical, it is usually recommended that the first choice of sartans or Prilosec drugs, this type of drug can inhibit the activity of the renin - angiotensin - aldosterone system, to achieve the effect of lowering the diastolic blood pressure, but for the fast heart rate as the main feature of the low blood pressure patients, you should also choose the β-blocker class of drugs to strengthen the control of blood pressure, such as Aurolol and other drugs, are good choices.

What can I do if I can't get my high blood pressure down all the time during menopause?

It should be clear that, although female menopause is more common, but there are a lot of male friends to the age of 50 or 60, will also appear hypogonadism, androgen deficiency caused by menopausal symptoms, and in this stage of the friend, if combined with high blood pressure problems, often will also find that the blood pressure is always smooth control, sometimes the control is good, and a while and then appear to be elevated, for this kind of situation of menopausal high blood pressure is difficult to control the problem, the mood is still very important to influence a factor.

Menopause due to changes in hormone levels, people's emotions will be more difficult to control, irritability, anxiety, depression and other bad moods, more likely to plague the menopausal population, and for many patients with high blood pressure, itself is the character of impatience and irritability, under the influence of these two factors, the chances of bad moods may be even greater, and the bad mood will in turn affect the frequency of our heartbeat, vasoconstriction, thus making it difficult to control the blood pressure and more prone to fluctuations. Thus, the blood pressure is difficult to control, and more likely to fluctuate, in this case, control the mood, has become one of the key points of the smooth control of blood pressure, and for the existence of more serious anxiety, insomnia, friends, you can through the appropriate sedative, sleeping drugs to regulate, coupled with the rational use of antihypertensive drugs, on the contrary, to achieve a better blood pressure control effect. Therefore, menopausal people's high blood pressure is difficult to control the problem, might as well try to start from the control of emotions.

I can't get it down with antihypertensive medication, is there really no way out of this high blood pressure?

There are still some friends with high blood pressure patients, not not to eat antihypertensive drugs, insist on taking antihypertensive drugs, or even eat a variety of antihypertensive drugs, blood pressure still can not come down, which inevitably will make people feel helpless, but really there is no way out? Let's analyze 2 different situations.

Friends who have already taken a type of antihypertensive drugs, the first thing you should do is to make sure that the dose you are taking is the regular dose, and whether you need to further increase the dose, and compared to increasing the dose, combining other types of antihypertensive drugs to strengthen the effect of lowering blood pressure is a better choice. Lowering blood pressure using a combination of drugs, can strengthen blood pressure control from multiple physiological mechanisms, often synergistic effect, sartan / Puli + diphenhydramine analogues, sartan / Puli + thiazide diuretics, diphenhydramine analogues + β-blockers, diphenhydramine analogues + thiazide diuretics, and other combinations are very good combinations, combined with the use of medication before the first, do not be in a hurry to say that hypertension is not good to control.

For those who have taken two or more antihypertensive drugs, especially those who have taken enough thiazide diuretics and sartans, if the blood pressure still can not be effectively controlled, two possibilities should be considered, one is the secondary causes of the problem of elevated blood pressure, secondary problems if not effectively controlled, elevated blood pressure is difficult to reduce; and the other is the refractory hypertension. From the current clinical data, refractory hypertension, on the basis of the conventional combination of drugs, the addition of spironolactone and other aldosterone receptor antagonists, can help to improve the rate of blood pressure control.

The three situations mentioned above are common situations in which high blood pressure is difficult to control, of course, compared to these situations, there are also some friends with high blood pressure is difficult to control, is due to not pay attention to the intervention of life conditioning, improper use of medication, unwilling to take long-term medication to control the causes, on some aspects of the aspects that we do not go into detail, I hope that some of the above knowledge can be difficult to control high blood pressure to help some of my friends, so that see We hope that some of the above knowledge can help some friends who have difficulty in controlling high blood pressure, and let friends who see this article receive inspiration to strengthen the rate of blood pressure control and reach the standard rate.

Outpatient clinics often encounter some patients who still have high blood pressure after taking a variety of antihypertensive drugs orally, and their blood pressure is also recurring and cannot be lowered, which is very harmful to health. Hypertension is often referred to as the "silent killer", and it is crucial to control blood pressure at an appropriate level to prevent complications caused by hypertension, the most important of which are stroke, heart attack and uremia.

What should I do if my high blood pressure keeps recurring and won't come down?

If the blood pressure always continues to rise and cannot be lowered, it is possible that the patient has made some mistakes.

1. Taking medicine in an unscientific way

Blood pressure is always unable to come down may not grasp the skills of medication, or the way to take medication errors. For example, 65-year-old Li has been poorly controlled blood pressure, asked the reason, only to find that the original is the old Li this person is more frugal, taking medication is always broken to eat.

The tablets of antihypertensive drugs should not be privately split, antihypertensive drugs have slow-release, controlled-release, enteric-coated and other dosage forms, must be taken as a whole, so that the concentration of the drug in the body is more stable, and the effect of the drug is also more durable. If broken to eat, will accelerate the release of drugs, so that the blood concentration in a short period of time rose too high, resulting in danger, but also shorten the action of the drug time, affecting the efficacy of treatment.

Others prefer to take and stop taking their medication, which affects the medication's ability to lower blood pressure poorly.

2, always eat high salt food

Doctors often warn hypertensive patients to eat less salt, this is because too much sodium intake in salt, accumulation in the body, high sodium state will affect the cellular water balance, resulting in water and sodium retention situation, the body's blood volume increases, like a water pipe filled with too much water, the pressure on the wall of the pipe will increase, and the person's blood pressure is therefore elevated.

Not only that, in addition to strict salt restriction, but also pay attention to dietary structure, protein, fat, carbohydrates, and dietary fiber should be a reasonable combination of more fresh fruits and vegetables, and at the same time to quit smoking and drinking.

3. Sleep deprivation

High blood pressure and sleep are very closely related. Long-term poor sleep quality or stay up late, insomnia and other problems will affect our blood pressure, resulting in a greater chance of hypertension. There is a young man in his early 30s who always has high blood pressure when measuring, and he can't find the reason, he usually doesn't drink or smoke, and he's not fat, and his diet structure is okay. Finally asked about sleep, only to realize that because of the nature of his work, he would often stay up late, the quality of sleep is very poor, which is also an important influence on the recurrence of his blood pressure.

4. High mood swings

High blood pressure can be caused by frequent mood swings. Some hypertensive patients do not pay attention to the control of emotions during the onset of the disease, when the mood fluctuations, adrenaline secretion increases, the blood pressure will also rise, so it is easy to appear blood pressure can not come down.

If your blood pressure is still high despite taking antihypertensive medication, you may have "persistent hypertension".

Recalcitrant hypertension is defined as hypertension where the blood pressure is still higher than 140/90mmHg after more than one month of treatment with three or more different types of antihypertensive medications; or where the blood pressure can only be reached by four or more antihypertensive medications. Intractable hypertension leads to organ damage in the heart, brain and kidneys and an increase in cardiovascular and cerebrovascular events, and the longer it lasts, the greater the harm it produces.

Having stubborn high blood pressure can start with improving your lifestyle, for example, you have to engage in smoking and alcohol cessation and a balanced diet approach. A diet high in fiber, low in cholesterol, low in fat and low in salt can be adopted. The cardiovascular harm of saturated fat and trans fatty acids has been confirmed by a large number of studies, therefore, it is recommended to limit fat to 30% of daily calories in the daily diet, and saturated fat should not exceed 7%. Eat less animal offal, fried food, western desserts, etc. The daily salt intake is no more than 6 grams, which is almost the amount of salt that can be contained in a beer cap.

In addition to diet, exercise 5 or more days a week for 30-60 minutes a day. Maintain a healthy weight, especially overweight people should be careful to lose weight. Manage risk factors and try to control blood sugar and cholesterol levels. Adhere to medication and take medication as prescribed by your doctor.

I am Pharmacist Wang, dedicated to helping you manage your body by explaining complex and difficult disease knowledge in plain words. Your praise is my greatest motivation! Also, if you have family members with blood sugar-related troubles, please pass this article on to them!

High blood pressure is always recurring and it is difficult to bring it down, which is one of the frustrations of many friends who suffer from high blood pressure, what exactly should be the response to this problem?

I think the combination of different situations, resulting in blood pressure is always higher, difficult to drop the reasons are also different, only to understand the specific causes of this problem, we can better target to improve the regulation.

Today we are going to talk to you about several common situations and causes of difficult to drop blood pressure analysis, hope to be able to some of the friends who have high blood pressure, but always difficult to drop, can have some enlightenment.

Is it really hard to lower low blood pressure in young and middle-aged people?

The development of the trend of under-ageing of hypertension is a social health problem that cannot be ignored, and more and more young and middle-aged people are already suffering from the problem of hypertension.

High blood pressure in young and middle-aged people have a characteristic, that is, often the low pressure (diastolic blood pressure) is high, often more than 90mmHg level, while the high pressure level is elevated insignificantly, but it is such a seemingly insignificant problem of high low pressure, but it is also difficult to defeat a lot of young and middle-aged patients with high blood pressure friends, and always can not be lowered, and even take medication does not have a significant effect.

For young and middle-aged friends with hypertension who have high low pressure and find it difficult to lower, we may wish to regulate and control it in the following ways-

• Doing a good job of controlling healthy living regimens, especially in the areas of increased exercise, weight loss, and low-salt diets, are all important aspects of controlling and improving high blood pressure, and sometimes when the body's metabolic capacity improves, the problem of high blood pressure naturally improves as well.

• Positively adjust the state of mind, long-term anxiety, stress, self-demand is too high, will lead to increased sympathetic excitability, which in turn affects the secretion of adrenaline, resulting in faster heartbeat, blood vessel constriction, which will lead to elevated blood pressure, psychological problems can not be resolved, the elevated blood pressure may really take medication also can not be lowered.

• Reasonable choice of medication is also very critical, it is usually recommended that the first choice of sartans or Prilosec drugs, this type of drug can inhibit the activity of the renin-angiotensin-aldosterone system, to achieve the effect of lowering the diastolic blood pressure, but for the fast heart rate as the main feature of the low blood pressure patients, you should also choose the β-blocker class of drugs to strengthen the control of blood pressure.

What can I do if I can't get my high blood pressure down all the time during menopause?

It should be clear that, although female menopause is more common, but there are a lot of male friends to the age of 50 or 60, will also appear hypogonadism, androgen deficiency caused by menopausal symptoms, and in this stage of the friend, if combined with high blood pressure problems, often will also find that the blood pressure is always smooth control, sometimes the control is good, and a while and then appear to be elevated, for this kind of situation of menopausal high blood pressure is difficult to control the problem, the mood is still very important to influence a factor.

Due to the changes in hormone levels during menopause, people's emotions can be more difficult to control, and irritability, anxiety, depression and other negative emotions are more likely to plague menopausal people.

And for many hypertensive patients, itself is impatient and irritable character, under the influence of these two factors, may appear bad mood more likely, and bad mood will then affect our heart beat frequency, blood vessel contraction, thus making it difficult to control the blood pressure, and more prone to fluctuations, in this case, control the mood, has become one of the key points of the smooth control of blood pressure.

For the existence of more serious anxiety, insomnia, you can through the appropriate sedative, sleeping drugs to regulate, coupled with the rational use of antihypertensive drugs, but can achieve better blood pressure control effect. Therefore, menopausal people's high blood pressure is difficult to control the problem, might as well try to start from the control of emotions.

I can't get it down with antihypertensive medication, is there really no way out of this high blood pressure?

There are still some friends with high blood pressure patients, not not to eat antihypertensive drugs, insist on taking antihypertensive drugs, or even eat a variety of antihypertensive drugs, blood pressure still can not come down, which inevitably will make people feel helpless, but really there is no way out? Let's analyze 2 different situations.

Those who have already taken one type of antihypertensive drug should first confirm whether the dose taken is the regular dose and whether a further increase in the dose is needed, and it is a better choice to combine other types of antihypertensive drugs to enhance the antihypertensive effect than to increase the dose.

Lowering blood pressure using a combination of drugs, can enhance blood pressure control from multiple physiological mechanisms, often synergistic effect, sartan / Puli + diphenhydramine analogues, sartan / Puli + thiazide diuretics, diphenhydramine analogues + β-blockers, diphenhydramine analogues + thiazide diuretics, and other combinations are very good combinations, combined with the use of medication before the first, do not be in a hurry to say that hypertension is not good to control.

For those who are already taking two or more antihypertensive medications, especially those who are already taking a full dose of thiazide diuretics as well as sartans, there are two possibilities that should be considered if blood pressure is still not effectively controlled:

One type of elevated blood pressure is a secondary cause of the problem. If the secondary problem is not effectively controlled, the elevated blood pressure will be difficult to truly reduce;

There is also the problem of refractory hypertension. From the current clinical data, refractory hypertension can be helped by the addition of aldosterone receptor antagonists, such as spironolactone, to the conventional combination of medications to improve the rate of achieving blood pressure control.

The three situations mentioned above are common situations in which high blood pressure is difficult to control, of course, compared to these situations, there are also some friends who have difficulty controlling high blood pressure due to inattention to life-conditioning interventions, improper use of medication, unwillingness to take long-term medication to control the causes of these aspects we do not want to go into detail here.

I hope that some of the above knowledge will be helpful to some friends who have difficulty controlling high blood pressure, so that those who read this article will receive inspiration to strengthen the rate of blood pressure control and compliance.

Blood pressure keeps recurring and not coming down. These are two different concepts, one is recurring, which means that it is sometimes high and sometimes low, but the degree of high or low is unknown. Is it recurring in the high pressure areas (in those areas) or is it recurring between within the standard and the high pressure? Does it not come down, is it from a high level all the way down, or does it not come down enough to meet the standard? It all makes a difference. If it is rising and falling repeatedly between the high pressure zone and the substandard zone, it means there is a chance of lowering the pressure to meet the standard. If it has been fluctuating up and down in the high pressure zone, it means it is difficult to lower the pressure. But in any case, you have to find the original cause first.

1, look for the cause in the medication you are taking. Are you on a single medication or a combination. Is it a double or a multiple. The multiple medication is self dispensing or is it prescribed by a specialist? If it is self-mixed, quickly consult a specialist, if it is a specialist prescription, specialized follow-up for prescription adjustment.

2, diet to find the cause, whether you do the bottom salt, low fat, low sugar light diet.

3, lifestyle habits to find the cause, whether you quit smoking and alcohol, bad habits whether to change.

4, from the weight to find the reason, whether you are obese whether you have lost weight up to standard.

5, whether to adhere to one hour of exercise per day, the amount and intensity of exercise to achieve the goal or not.

6, look for the cause from the disease, whether there is hyperthyroidism, kidney disease, diabetes, whether the blood lipid is abnormal, whether there are other high-risk factors.

7, psycho-psychological factors to find the cause, whether there are psycho-psychological disorders, such as anxiety, depression, not smooth and so on.

Thanks for the invite.

I'm Dr. Small Eyes.

Specializing in cardiovascular diseases

Commitment to public health

Cardiologist who is passionate about fitness and likes my answers, I can click on the top left corner to see more about cardiovascular disease

This image should be seen by any patient who has seen Dr. Small Eyes answer a question.

Everyone likes to have their blood pressure under control up to the mark.But sometimes blood pressure control isn't as easy as it seems.

As depicted in this image above.Every medication is a good one, but it may not always be exactly right for you, and there are rules about the timing of the medication that you need to be aware of.

Why is my blood pressure kind of not going down.

In fact, there is a good chance that it has something to do with your lifestyle habits.

For example, if you are chronicallyNot sleeping very well may not lower your blood pressure to the right range.

Also, I don't know if you take your meds very regularly.

There are many patients who feel that they are already taking their medication, but they do not go to drink it every day, and in some cases, they may simply wait until their blood pressure rises.

In this way, even though you have taken the medication, you still have not brought your blood pressure under control.

According to the clinical guidelines, the broad clinical scope allows you to adjust your medication as long as there are no problems.

For example, nifedipine extended-release tablets are very effective in lowering blood pressure, but they are not for everyone.

I'm Dr. Small Eyes.

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