6 best drugs for high blood pressure

Drug ranking includes drugs from a wide variety of pharmacological groups, but they all share the ability to fight high blood pressure. Readers should be warned against self-medication and attempts to purchase these medicines without a prescription. The popularity of drugs does not mean their safety and the possibility of uncontrolled use. These are serious drugs that can interact with other medications, have various side effects, dramatically lower blood pressure in overdose, and for their appointment sometimes careful examination by a cardiologist is necessary.

Blood Pressure Ratings

Lozap (Lozartan)

Rating: 4.9

Preparations from the group of sartans occupy a leading position in the market of medicines that protect against arterial hypertension. This medicine does not affect the heart and blood vessels. The effect of all sartans is that they make insensitive vascular receptors to angiotensin, which is the final link in the transformation cascade, causing vasoconstriction. When receiving losartan blood pressure decreases immediately in the first hours.

Available in three dosages, 12.5 mg, 50 and 100. Indications for admission are hypertension, chronic heart failure with swelling and shortness of breath, as well as the prevention of heart attack and hypertension. Apply Lozap, regardless of the meal, once. At the beginning of therapy, the dosage is 50 mg per day. The most pronounced effect develops a month after starting the drug. Also, this drug can be used in patients with diabetic kidney damage. Lozap is made by the Czech company Zentiva, and a month's pack of 30 tablets of the standard 50 mg dosage can be purchased for 235 rubles.

Advantages and disadvantages

The positive properties of this medication include good tolerability and the rare development of side effects, of which the headache, dry nose or the development of weakness are more common. In the event that patients have an abnormal liver or kidney function, then special consultation of a specialist is necessary for dose adjustment.Also, the advantage is the ability to prescribe Lozap with other drugs to reduce pressure, but each case should be prescribed by the attending physician.

Captopril

Rating: 4.8

Perhaps, Captopril is the most common drug, and it belongs to the blockers of enzymes that catalyze the conversion of angiotensin, which eventually narrows the blood vessels and increases blood pressure. Captopril is able to fight heart failure, kidney damage in diabetes, and prevent repeated episodes of myocardial infarction. The drug is prescribed in dosages of 25 and 50 mg according to the scheme given by the doctor. Captopril is extremely popular, it has dozens of different forms of release, of which the most affordable have an extremely low price. Thus, the domestic drug production LLC Ozone has a cost of 10 rubles. per pack of 40 tablets of 25 mg.

Advantages and disadvantages

Captopril It is good that he is able to quickly reduce blood pressure during hypertensive crisis, and thus protect against heart attack and stroke, which he deserved a place in this rating. When you take a sublanguage of one pill, the pressure decreases in just a matter of minutes. To the positive qualities is the cheapness of the drug. Captopril may also have various contraindications and restrictions for use, which only a doctor can assess, for example, bilateral narrowing of the renal arteries. It is undesirable to use it for long-term therapy, since it can drastically reduce blood pressure, which can provoke a violation of cerebral circulation in the elderly.

Arifon-retard (indapamide)

Rating: 4.8

This drug is a diuretic drug that removes excess fluid from the body, while the drug reduces blood pressure. In addition, indapamide improves the tone of the arterial walls, and reduces the excessive development of the heart muscle (myocardial hypertrophy). The drug is usually taken on one tablet (1.5 mg) per day, in the morning. The most popular commercial name of the original indapamide that first appeared on the market is Arifon retard (slow release of the drug). The drug is produced by the French company Servier, oval-shaped tablets provide a slow release of the substance, which allows you to use it, unlike conventional indapamide, once a day. Packaging of the drug, calculated for a month, will cost 300 rubles.

Advantages and disadvantages

The advantages of the drug can be attributed to the effect on the formation of urine in small doses - it is not a diuretic in fact, only by belonging to the group, a single use, a good effect of stabilizing blood pressure. That is why you should not take Arifon retard to reduce puffiness, but it should be taken only with the aim of lowering blood pressure. This drug was also rated because of its good tolerability in various groups of patients, and in connection with the possibility of taking it in elderly patients with diabetes and increased body weight. Also, do not discount the affordable price, which is about 10 rubles. per day reception. The disadvantages of the drug include its ban on the reception in patients with severe renal and hepatic insufficiency, as well as with lactose intolerance.

Amlodipine (Norvask)

Rating: 4.7

Amlodipine is a blocker of slow calcium channels, and an extremely popular drug for the treatment of hypertension. It is worth noting that, in addition to the first and original manufacturer of amlodipine by Pfizer, there are more than 3 dozen different copies of “other amlodipins” in different dosages. Standard Norvask in tablets of 5 and 10 mg is produced.

In addition to lowering blood pressure, amlodipine has an antianginal effect, that is, it prevents the occurrence of an angina attack. Amlodipine is able to lower the pressure for a long time, expanding blood vessels.When you take one pill Norvaska blood pressure is reduced by the whole day. It is necessary to take Amlodipine in connection with such a stable effect once a day, with a small amount of water.

The initial dose is usually 5 mg, but, according to the decision of the attending physician, it can be doubled. The original amlodipine, or Norvask, can be purchased in a minimum dosage of 5 mg for the month of intake, at a price of 460 rubles. The most affordable analogue of domestic amlodipine can be purchased in the same dosage and in the same quantity from the Ozone company for a total of 10 rubles. per pack. But the question remains as to the quality of the original substance, which is used by the original Pfizer company and the quality of the domestic drug. The choice is made by the patient.

Advantages and disadvantages

The advantages of amlodipine include a persistent and long-lasting hypotensive effect, as well as the ability to treat both hypertension and angina pectoris at once. For this universal action, he deserved his place in the rating. Overdose can be attributed to the negative side, which can seriously lower blood pressure and develop heartbeat, the occurrence of other adverse reactions from various organ systems, and it is also necessary to use amlodipine very carefully in patients with hepatic insufficiency and aortic stenosis.

Prestarium (perindopril)

Rating: 4.6

This drug also belongs to ACE inhibitors, but is a more modern medicine. The standard dosage of the pill is 2.5 mg, 5 and 10 mg. Prestarium is effective in the treatment of hypertension of any severity, which is an obvious advantage. It reduces both systolic and diastolic pressure. This drug can also, after a single dose, maintain the antihypertensive effect during the day. This medicine allows you to return the elasticity of large vessels, and reduce the excessive development of the left ventricle of the heart. Also, the drug is indicated in the treatment of ischemic heart disease, and in patients with vascular diseases of the brain for the prevention of stroke.

Apply the drug should be once a day, preferably in the morning, one tablet. The duration of the course and the transfer to higher dosages is carried out by the attending physician. The original Prestarium in the average dosage of 5 mg, calculated for a month of administration can be purchased from 350 rubles. per pack. The drug has many different analogues: Perinev, Perindopril, Hypernik, Coverex.

Advantages and disadvantages

The advantage of Prestarium is the ability to be administered as a monotherapy, that is, to be the only drug for high pressure. He can also be appointed together with other means. To the negative side can be attributed to side effects, which are most often manifested by headache, dizziness, tinnitus, but directly depended on the dose. Also to the negative sides include the rise in blood pressure at the beginning of treatment. Therefore, the cardiologist should monitor the patient’s condition, and the combination of Prestarium with other drugs at the initial stage of treatment.

Veroshpiron (spironolactone)

Rating: 4.5

Finally, one should not forget about popular medicines, which include potassium-saving diuretics. Usually, strong diuretic drugs, such as furosemide or Lasix, are capable of removing potassium from the body, which is manifested by unpleasant sensations, disturbance of the heart, pulling cramps in the calf muscles, especially at night.

Veroshpiron is a drug that removes urine, but at the same time saves potassium in the body, and its effect is more "soft." This original spironolactone is produced by the Hungarian company Gedeon Richter, 20 tablets - 25 mg costs about 70 rubles. Take this drug should also under the supervision of a physician, but not more than 4 tablets per day.

Advantages and disadvantages

The advantages of Veroshpiron is a wide range of indications, ranging from arterial hypertension and heart failure and ending with edema and endocrine disorders.Also, this drug acts gently, and the effect is observed for 3-5 days of treatment. Of the disadvantages - Veroshpiron should be used carefully in many endocrine diseases, and in the treatment of hypertension it cannot be prescribed as the only medicine, and must be used together with other drugs.