Hypertension Medication With Lower Side Effects
My Ass.wr.wb, male, 48 years old, occupation of a lecturer, has been suffering from hypertension since 2017 and is currently taking valsatran 80 mg, but the tension is still high around 140/90 mmHg. A healthy lifestyle and only since I was young I rarely exercise. Please advise how to proceed. thank you
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Valsartan is an antihypertensive drug belonging to the angiotensin receptor blocker (ARB) group. The way it works is by inhibiting the effects of angiotensin II, thereby causing blood vessel dilation. The dilation of blood vessels plays a role in reducing blood pressure. This drug should not be used in conjunction with ACE-inhibitors (angiotensin converting enzyme-inhibitors), nor potassium-sparing diuretics and non-steroidal anti-inflammatory drugs (such as ibuprofen and aspirin).
These drugs can also sometimes cause side effects such as vertigo, upper abdominal pain or hyperkalemia and increased blood urea. Therefore, there needs to be regular monitoring of the long-term consumption of this drug, including monitoring of body potassium levels and kidney function.
Regarding overcoming blood pressure, healthy lifestyle patterns that you can do everyday include implementing a healthy diet, maintaining an ideal body weight, exercising regularly and avoiding cigarettes, caffeinated drinks or alcoholic drinks.
Application of a healthy diet. A healthy diet that is recommended in hypertension is dietary approaches to stop hypertension (DASH). There are 4 main principles of DASH, namely:
Limit salt intake, consumption of red meat and sweet foods and drinks Increase intake of nutrients from nuts, whole grains, fish and vegetables Increase consumption of vegetables, fruits and low-fat dairy products Reduce consumption foods that are rich in trans fats, saturated fats and cholesterol For the record, although so far there are no known sources of nutrition that can reduce high blood pressure quickly, but some of the nutritional sources below can reduce blood pressure slowly, including:
Wheat (oatmeal). Wheat is rich in fiber, low in fat and low in salt (sodium). Banana. Bananas are rich in potassium, which learns to keep blood pressure stable. May be consumed together with oatmeal. Fish that contain omega 3, for example salmon Low-fat milk and rich in calcium Beets. Beetroot contains nitrates which are effective in lowering blood pressure. Olive oil yogurt. The polyphenol content in olive oil plays a role in lowering blood pressure. In addition, avoid consuming caffeinated beverages (coffee, tea, soft drinks), meat and processed foods (because they have a high salt content [sodium]), pickles (high salt content), bottled sauce and canned sauce, as well as offal, chicken skin and other fatty foods.
Ideal weight. Ideal body weight plays a role in reducing the risk of various diseases, including diabetes mellitus or hypertension. The way to find out whether you have an ideal body weight or not, is to do a body mass index (BMI) calculation, using the weight formula (in kilograms) divided by the square of your height (in meters). For example, if you weigh 75 kg, height 178 cm (1.78 m), then based on the BMI formula, your BMI is 23.67.
As for the Asian population, there are 4 categories of BMI grouping as follows:
BMI <18.5 = body weight less than normal BMI 18.5-22.9 = normal BMI 23-24.9 = overweight BMI> 25 = obesity So, if your weight is 75 kg with height 178 cm, then according to the above category you are classified as overweight. As for maintaining an ideal body weight, in addition to maintaining a healthy eating pattern that is consistent with the DASH principle, as described above, you should also drink plenty of water (8 glasses per day or more, according to activity) and implementing regular exercise. Regular exercise with mild-moderate intensity such as walking around the home page for at least 15-30 minutes per day or at least 3 times a week should be done, while still applying the principle of social distancing.
If after applying a healthy diet according to the DASH principle and exercising regularly but there has not been a significant change, ideally you should check with your nearest doctor. Because if a change in the dosage of valsartan or other prescriptions for high blood pressure is needed, it must be prescribed by a doctor. While on the other hand the prescription can only be done after going through a physical examination directly by a doctor. However, given the limitations of activities outside the home in connection with social distancing programs, you should postpone seeing a doctor unless really necessary or in an emergency, such as experiencing symptoms of acute coronary syndrome.
Thus information from me, hopefully can be useful.