What drugs control blood pressure well?

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Ask
Hello doctor. I have high blood pressure, I take medicine every day and measure my blood pressure regularly, but I don't see a drop in blood pressure. Can you tell me which medicine is good for controlling my blood pressure? Seek medical advice. I would like to thank you.
Anonymous question
Answer
Hello!
According to the Vietnam National Heart Association's 2018 recommendation for diagnosis and treatment of hypertension, hypertension is diagnosed when blood pressure is measured in the clinic with systolic blood pressure ≥ 140 mmHg and/or blood pressure Diastolic blood pressure ≥90 mmHg, and hypertension when measuring blood pressure at home when systolic blood pressure ≥ 135 mmHg and/or diastolic blood pressure ≥ 85 mmHg. The classification of hypertension when measured at the clinic is as follows:

So how high do you have high blood pressure?
Currently there are many classes of antihypertensive drugs, in which there are 5 main groups commonly used by doctors in the treatment of hypertension: Diuretics, ACE inhibitors, Angiotensin II receptor blockers, Channel blockers calcium, beta blockers. Each group of drugs has many active ingredients.
What antihypertensive drug are you taking?
If you have been treated for high blood pressure but it is not stable, you should go to the hospital to take your personal and family history, do a physical exam and do laboratory tests to determine the cause of the increase. primary or secondary hypertension, assess cardiovascular risk factors, target organ damage, and comorbidities to stratify risk. From there, you will be consulted and have an appropriate treatment regimen for you, including lifestyle changes, dietary regimens and appropriate oral medications.
Hope you get well soon!
Thank you for your question to Vinmec Health System. Best regards!
Pharmacist Cao Thanh Tu - University pharmacist - Faculty of Pharmacy - Vinmec Times City International General Hospital.