Treating high blood pressure for 4 years but the indicators are low, what should I do?

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Hello doctor,
My relative is 48 years old, about 4 years old, has high blood pressure measured from 140/90 to 160/100,9 and is taking blood pressure medication to maintain Uric Acid test from 650-750, creatinine from 130-145, the test indicators decreased very little. The doctor asked me to ask my relatives who have been treated for high blood pressure for 4 years, but the indicators have decreased slightly, what should I do? Could you please advise me on treatment? Thank you doctor.
Anonymous customer
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Hello,
To the question “What should I do to treat high blood pressure for 4 years but the indicators decrease little? ", the doctor would like to answer as follows:
Patients who have been on treatment for high blood pressure for 4 years but their indicators have decreased slightly, they should have a cardiology examination to change their medication or increase the appropriate dose.
Effective antihypertensive drugs have many groups suitable for each disease. For your relatives with increased uric acid and kidney failure, it is necessary to avoid hypothiazide diuretics that cause increased uric acid, choose blood pressure drugs belonging to the group of ACE inhibitors or Angiotensin receptor blockers that have a protective effect on the kidneys. Adding a group of calcium channel blockers does not cause kidney failure but has good antihypertensive effect. These options require a specialist to prescribe and continuously monitor the response to treatment, so the patient needs to go to the doctor directly.
In addition to taking antihypertensive drugs, to improve high blood pressure, patients need to follow a light diet, reduce sodium salt, should not eat canned foods, pickles, salted foods, exercise daily. days depending on the ability to exert themselves, have a moderate lifestyle, avoid psychological stress, and sudden environmental changes.
If you still have questions about the 4-year treatment for high blood pressure but the index has decreased slightly, you can go to a 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!

Answered by Master, Doctor Dao Kim Phuong - Cardiologist and Echocardiographer - Department of Examination, Vinmec Times City International Hospital.