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Treatment of High Blood Pressure

Many people can control high blood pressure with diet and other lifestyle changes if they are sufficiently motivated. If you suffer from high blood pressure, go on my modified DASH diet and start an exercise program to help you lose weight.

To see if you are among the eighty percent of people who can control blood pressure with lifestyle changes, try my SHOW ME! diet for just two weeks. You (and your doctor) will be amazed.
If you cannot reduce your blood pressure to normal with lifestyle changes, I think that the drugs of choice are angiotensin II receptor antagonists. If your blood pressure is still high, add a calcium channel blocker.

The American Heart Association recommends beta blockers and diuretics as treatments for people with high blood pressure. However, beta blockers can cause impotence, tiredness at rest and during exercise, and weight gain; and they increase risk for diabetes. Diuretics make you tired. Furthermore, a study from Sweden shows that beta blockers increase risk of strokes. There is no data to show they prevent heart attacks in healthy people.

Several studies show that the drugs of choice to treat high blood pressure for most North Americans are calcium channel blockers or angiotensin II receptor antagonists.

Other studies have recommended different combinations and the combination with the fewest side effects includes a calcium channel blocker and angiotensin II receptor antagonists. Long-acting calcium channel blockers relax blood vessels, while angiotensin II receptor antagonists block a blood vessel-constricting hormone released by the kidneys (4). Check with your doctor.

BETA BLOCKERS include: Betapace, Blocadren, Brevibloc, Cartrol, Inderal, Kerlone, Levatol, Lopressor, Sectral, Tenormin, Toprol, Zebeta.
ANGIOTENSIN II RECEPTOR ANTAGONISTS: Atacand, Avapro, Cozaar, Diovan.
CALCIUM CHANNEL BLOCKERS: Adalat, Calan, Cardizem, Covera, Dilacor, DynaCirc, Isoptin, Nimotop Norvasc, Plendil, Procardia, Sular, Tiazac, Vascor, Verelan
ALPHA BLOCKERS: Cardura, Dibenzyline, Hytrin, Minipres.

See my report on Why Your Blood Pressure Should Be Under 120

Checked 11/29/16

August 22nd, 2013
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About the Author: Gabe Mirkin, MD

Sports medicine doctor, fitness guru and long-time radio host Gabe Mirkin, M.D., brings you news and tips for your healthful lifestyle. A practicing physician for more than 50 years and a radio talk show host for 25 years, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology. The Dr. Mirkin Show, his call-in show on fitness and health, was syndicated in more than 120 cities. Read More
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