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Johns Hopkins Health Alert

What to Ask Your Doctor About Blood Pressure Medication

For many individuals, lifestyle measures are not sufficient to get and keep their blood pressure at a healthy level. In fact, most people with hypertension need at least two kinds of blood pressure-lowering drugs to gain adequate control. Here are 6 questions you should ask to get the most benefit from your blood pressure medications:

  1. What is the name of my blood pressure medicine? Is that the brand or generic name? How much will it cost? It's always a good idea to know both the generic and brand names of the medications you take, particularly in a medical emergency or when you visit a new doctor. If medication costs are an issue, let your doctor know. Many blood pressure drugs are available in less expensive, generic formulations that work just as well as the brands.
  2. Should I be on a diuretic? Experts now say that most people with high blood pressure should take a diuretic, either alone or in combination with other blood pressure drugs. That's because diuretics of the thiazide type effectively lower blood pressure, reduce the risk of heart attacks and strokes, and cause few if any side effects.
  3. What are the possible side effects of my medicine? Blood pressure drugs can cause side effects. Knowing in advance what side effects might occur can help you and your doctor decide which drug is best for you. Also find out what to do if you experience a side effect: Should you call your doctor right away or wait and see if it goes away on its own? Is it safe to drive if you're experiencing a side effect?
  4. What time of day should I take my blood pressure drugs? Blood pressure varies over 24 hours. For example, it is typically low during the night and high when you wake up in the morning. Some blood pressure medications work better when taken at one time of day than at another, so ask your doctor about dose timing.
  5. What foods and dietary supplements should I avoid while taking this medicine? Some drugs are made less effective or more powerful when taken with certain foods or beverages. For example, grapefruit juice can increase blood levels of calcium channel blockers.
  6. What should I do if I forget to take my blood pressure medicine at the recommended time? Everyone occasionally forgets to take a dose of medication. Be prepared for this situation by asking for advice before it happens. Whether your physician recommends that you take your medication as soon as you remember or that you wait until the next dose will depend on how long it has been since your last dose.

Posted in Hypertension and Stroke on November 24, 2009

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The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or MediZine LLC, which has no responsibility for any comments posted on this site.




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