High Blood Pressure Treatment (cont.)
John P. Cunha, DO, FACOEP
John P. Cunha, DO, FACOEP
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
In this Article
Treatment with combinations of drugs for high blood pressure
The use of combination drug therapy for hypertension is common. At times, using smaller amounts of one or more drugs in combination can minimize side effects while maximizing the anti-hypertensive effect. For example, diuretics, which also can be used alone, are more often used in a low dose in combination with another class of antihypertensive medications. This way, the diuretic has fewer side effects while improving the blood pressure-lowering effect of the other drug. Diuretics also are added to other antihypertensive medications when a patient with hypertension has fluid retention and swelling (edema).
A useful combination is that of a beta blocker with an alpha blocker in patients with high blood pressure and enlargement of the prostate gland in order to treat both conditions simultaneously. Caution is necessary when combining two drugs that both lower the heart rate. For example, patients receiving a combination of a beta blocker to a non-dihydropyridine calcium channel blocker (for example, diltiazem [Cardizem, Dilacor, Tiazac] or verapamil [Calan, Verelan, Isoptin, Covera-HS]) need to be monitored carefully to avoid an excessively slow heart rate (bradycardia). Combining alpha and beta blockers such as carvedilol (Coreg) and labetalol (Normodyne, Trandate) is useful for cardiomyopathies and for hypertension patients.
Medically Reviewed by a Doctor on 11/6/2015
Viewers share their comments
High Blood Pressure Treatment - Experience Question: What kinds of treatments have been effective for your high blood pressure?
High Blood Pressure Treatment - Diet Question: How did you change your diet to lower your blood pressure?
High Blood Pressure Treatment - Smoking Question: Are you a smoker or former smoker undergoing treatment for high blood pressure? After diagnosis, did you quit smoking?
High Blood Pressure Treatment - Alcohol Question: Do you have hypertension and also drink alcohol? Have you cut back since receiving a diagnosis?
High Blood Pressure Treatment - Coffee and Caffeine Question: In what ways do coffee and other caffeinated beverages affect your blood pressure?
High Blood Pressure Treatment - Medications Question: What medications and other types of treatment do you receive for hypertension?
High Blood Pressure Treatment - Alternative Medicine Question: Describe any alternative or complementary medicine you use to treat your high blood pressure.
- Allergic Skin Disorders
- Bacterial Skin Diseases
- Bites and Infestations
- Diseases of Pigment
- Fungal Skin Diseases
- Medical Anatomy and Illustrations
- Noncancerous, Precancerous & Cancerous Tumors
- Oral Health Conditions
- Papules, Scales, Plaques and Eruptions
- Scalp, Hair and Nails
- Sexually Transmitted Diseases (STDs)
- Vascular, Lymphatic and Systemic Conditions
- Viral Skin Diseases
- Additional Skin Conditions