Question

Choose one antihypertensive medication that you would prescribe for patients newly diagnosed with hypertension. Why did you choose this medication? how does this medication work in the body? what would be the choice for second line therapy? why? how does this medication work in the body

Answer 1

I would prescribe;

First line therapy: Angiotensin-converting enzyme (ACE) inhibitors help relax your veins and arteries to lower your pressure. ACE inhibitors prevent an catalyst in your body from manufacturing angiotensin, a substance that narrows your blood vessels. This narrowing will cause high pressure and force your heart to figure tougher. Eg of ACE inhibitors; Benazepril (Lotensin), Captopril, Vasotec (Vasotec)

Monitor the potassium and renal perform. If patient cannot tolerate the ACE inhibitor and cardiovascular disease is not reducing then we are able to add thiazide diuretics eg. chlorthalidone (Thalitone)

Second line therapy: thiazide diuretics lowered mortality and morbidity from stroke, heart failure, and coronary failure quite beta blockers.1 ACE inhibitors and CCBs reduced mortality and morbidity the maximum amount as water pill diuretics, however the proof is a smaller amount sturdy

Thiazide diuretics (water pills) are medications that are accustomed treat high blood pressure (hypertension) and scale back fluid accumulation within the body. They work by reducing the power of the kidneys to absorb salt and water from the urine and into the body thereby increasing the assembly and output of urine (diuresis).