Patient's question:
My uncle has had high blood pressure for several years. He strictly controls his diet every day and exercises regularly, but his blood pressure remains very high and does not go down. He is afraid to take too much blood pressure medication because of the side effects. The doctor says it is resistant hypertension, so he can only treat it conservatively at home. I would like to ask the doctor, what should be done about resistant hypertension?Doctor's answer:
Recurring issues with blood pressure not lowering can be attributed to the following reasons. Second, the dosage of antihypertensive medication may be insufficient. After taking one oral antihypertensive drug at its maximum dose, if the blood pressure level remains high, a second antihypertensive drug is needed. If two medications are not effective, a third one is added. Many patients with hypertension require combination therapy to control their blood pressure.Additionally, we must conduct a thorough examination of the patient to determine if they have secondary hypertension. This is because if the underlying cause of secondary hypertension is treated, blood pressure control is often difficult to achieve.