How to effectively treat essential hypertension?

Question
Hello doctor,
I have high blood pressure for a long time, subjectively do not re-examine, regularly take 1 tablet of normodipine 5mg and 2 tablets of betaloc 50mg. Recently, my blood pressure spiked 190/100, I was in the emergency room at Thu Duc Hospital (HCMC). Since then, it has been more than 2 months, I have regular check-ups and take medicine according to the doctor's prescription. The doctor also changed my prescription 3 times and the hospital also did a general test, I have essential hypertension. Currently, I am taking the 3rd prescription: Losartan Bivitanpo 100mg 1v pm, Indapamide Diuresin SR 1.5mg 1v am, Carvedilol Cypdicar 6.25mg, morning 1/2v, afternoon 1/2v, Amlodipine 5mg pm 1v. After nearly 25 days of taking it, I measured my blood pressure at home regularly and saw a gradual decrease, at 150/90, at 140/90. I saw that my blood pressure was still high so I was worried. In addition, in the above 4 blood pressure drugs, there are very serious side effects of decreased libido and erectile dysfunction. The doctor asked me how to effectively treat essential hypertension? I sincerely thank the doctor.
Vo Dinh Trong (1962)
Answer
Answered by Master, Doctor Pham Van Hung - Interventional Cardiologist, Department of Examination & Internal Medicine - Vinmec Danang International Hospital.
Hello,
With the question "How to effectively treat essential hypertension?", the doctor would like to answer as follows:
With the information provided, you are diagnosed with grade III hypertension. However, you did not tell about the associated cardiovascular risk factors such as: obesity, smoking, left ventricular thickening, coronary artery disease, kidney failure, type 2 diabetes, dyslipidemia... You Depends on how many risk factors are involved.
Treatment of high blood pressure includes: lifestyle changes (quit smoking, ideal weight loss, regular exercise, limit alcohol), antihypertensive drugs, treatment of comorbidities (type 2 diabetes). , dyslipidemia, coronary heart disease, kidney failure...). Doctors have monitored the treatment and adjusted the prescription 3 times, currently treating hypertension with the above 4 drugs, the blood pressure reading after 25 days is in the range of 140 - 150/90 mmHg. You should continue treatment and monitor to achieve the goal of blood pressure 130 - 140/80 - 90 mmHg after 2 - 3 months.
Most of the classes of antihypertensive drugs can affect sex drive (decreased libido, erectile dysfunction ...) to varying degrees, the main reason being that the drugs directly affect the system. blood vessels of the body and cause a decrease in blood pressure in the genital organs. Besides, with the age of over 50, the habit of smoking, drinking a lot of alcohol, and little exercise can also cause sexual dysfunction. Hypertension treatment is a continuous and long-term course of drug therapy, active lifestyle changes and good control of comorbidities in order to prevent cardiovascular complications and improve quality of life for patients. core.
If you still have questions about how to effectively treat essential hypertension, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wish you a lot of health.
Best regards!