Some Meds You Take Might Improve Your Blood Strain


By Denise Mann
HealthDay Reporter

MONDAY, Nov. 29, 2021 (HealthDay Information) — Almost 1 in 5 individuals with hypertension could also be unintentionally taking a drug for an additional situation that causes their blood strain to climb even increased, a brand new research suggests.

Left untreated or undertreated, hypertension will improve your danger for coronary heart assault, stroke, kidney illness and imaginative and prescient issues by damaging blood vessels. Life-style adjustments reminiscent of weight reduction, proscribing salt consumption, and/or medicine may help transfer your blood strain numbers again into the conventional vary. However asking your physician whether or not any medication you’re taking for different situations could be pushing these numbers up is well worth the effort, the researchers mentioned.

“The danger of [drugs] elevating blood strain could also be merely ignored, notably for sufferers utilizing these further medicines for a few years,” mentioned research creator Dr. Timothy Anderson. He’s a clinician investigator and an assistant professor of drugs at Harvard Medical Faculty in Boston.

“We hope our article helps change this, as in lots of instances there are efficient therapeutic options to medicines which will increase blood strain or methods to attenuate danger, reminiscent of having sufferers monitor their house blood pressures when beginning a brand new medicine which will increase blood strain,” Anderson mentioned.

For the research, the researchers reviewed information from the Nationwide Well being and Diet Examination Survey (NHANES) from 2009 to 2018. They checked out the usage of the medication recognized to lift blood strain, together with antidepressants, prescription-strength non-steroidal anti-inflammatory medication (NSAIDs), steroids, hormonal medicines, decongestants and weight-loss tablets amongst individuals with hypertension.

The research discovered that 18.5% of adults with hypertension reported taking a drugs that elevated their blood strain, and people who did have been extra more likely to have uncontrolled hypertension in the event that they weren’t additionally on blood pressure-lowering medicines.

And individuals who have been on blood strain medication have been extra more likely to want increased doses to manage their blood strain if in addition they took medication for different situations that increase blood strain, the research confirmed.

What do you have to do if in case you have hypertension?

Ask your physician if any of your medicines will have an effect on your numbers, Anderson prompt.

“It’s all the time clever to ask your physician about attainable interactions between new medicines [including over-the-counter medicines] and present situations and coverings,” he mentioned. “That is notably true for sufferers who see a number of medical doctors who might not all the time be updated on their medicine lists.”

Generally options can be found, Anderson mentioned. For instance, acetaminophen does not increase blood strain, however NSAIDs do. Each of those medication can deal with ache and cut back fever.

The brand new findings have been printed not too long ago within the journal JAMA Inner Medication.

Dr. Michael Goyfman is chief of cardiology at Lengthy Island Jewish Forest Hills in New York Metropolis. He understands how these types of issues can occur inadvertently.

“Numerous physicians and specialists don’t essentially speak to one another, and ceaselessly their digital well being information don’t talk with one another,” mentioned Goyfman, who wasn’t a part of the research. “In consequence, sufferers could be positioned on plenty of medicines by completely different suppliers, a few of that are counterproductive to particular medical points.”

There are methods to forestall these situations. “All the time carry essentially the most up to date medicine record to every physician’s go to,” Goyfman advisable.

Dr. George Bakris, director of the American Coronary heart Affiliation’s Complete Hypertension Middle in Chicago, additionally reviewed the findings and agreed. “I’d urge sufferers who’re prescribed medicines recognized to extend blood strain to examine their blood strain at house after a couple of days,” he mentioned.

In case your blood strain is elevated, contact your physician to search out out what to do subsequent, Bakris suggested.

Extra data

Be taught extra about the way to handle hypertension on the American Coronary heart Affiliation.

SOURCES: Timothy Anderson, MD, clinician investigator, assistant professor, drugs, Harvard Medical Faculty, Boston; Michael Goyfman MD, chief, cardiology, Lengthy Island Jewish Forest Hills, New York Metropolis; George Bakris, MD, professor, drugs, and director, American Coronary heart Affiliation’s Complete Hypertension Middle, College of Chicago Medication; JAMA Inner Medication, Nov. 22, 2021

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