Five kinds of antihypertensive drugs have different effects

Different antihypertensive drugs have different effects, but also have different side effects After determining the type of hypertension, patients should take fixed antihypertensive drugs according to the doctor's advice, and do not change them at will Hydrochlorothiazide and indapamide are commonly used as diuretics They are suitable for the elderly patients with hypertension, systolic hypertension and heart failure Side effects include hypokalemia and hyperacidemia Therefore, it is necessary to reexamine the blood potassium during the medication period It is forbidden for patients with gout Calcium antagonists, such as amlodipine, felodipine sustained-release tablets, nifedipine controlled-release tablets, are suitable for elderly patients with hypertension, simple systolic hypertension, hypertension with stable angina, hypertension with coronary artery or carotid atherosclerosis and peripheral vascular diseases Beta blockers commonly used are bisoprolol, metoprolol, carvedilol, etc., which are suitable for patients with coronary heart disease (including angina pectoris, myocardial infarction), fast heart rate or premature beat and other rapid arrhythmias, chronic heart failure, hyperthyroidism, anxiety and other conditions They are forbidden for people with slow heart rate (< 55 times / min), chronic arrhythmia and bronchial asthma The commonly used inhibitors of ace are perindopril, benazepril, fosinopril, ramipril, etc they are suitable for hypertension patients with diabetes, nephropathy, proteinuria, metabolic syndrome, chronic heart failure and myocardial infarction The common adverse reactions are persistent dry cough The commonly used antagonists of Ang Ⅱ receptor are irbesartan, losartan, valsartan, telmisartan, etc., which are suitable for patients with insulin resistance, diabetes, left ventricular dysfunction, heart failure and myocardial infarction This kind of drugs can increase blood potassium, especially when combined with potassium retention diuretics Patients with unilateral or bilateral renal artery stenosis should not be used.