What medicine should people with high blood pressure take?

Question
Hello doctor,
My mother is 90 years old this year and is currently taking prescription blood pressure medicine: 1v Stadovas 5mg in the morning, 1v Pyzacar in the afternoon, but her blood pressure is still at 150/100. So what medicine should a doctor take for high blood pressure? Can my mother change to 1v COVERSYL 5mg in the morning and 1v PYZACAR 2.5mg in the afternoon? Ask your doctor for advice. Thank you very much doctor.
Xuan Anh (1970)
Answer
Answered by Specialist Doctor II Nguyen Quoc Viet - Interventional Cardiologist - Department of Medical Examination & Internal Medicine - Vinmec Danang International Hospital.
Hello,
With the question "What medicine should people with high blood pressure take?" , the doctor would like to answer as follows:
Blood pressure is called high when the systolic blood pressure is > 140 mmHg and the diastolic blood pressure is > 90 mmHg. And hypertension can only increase systolic blood pressure or only diastolic blood pressure, or increase both. And the only way to know if your blood pressure is going up or down is to measure your blood pressure and monitor it.
The treatment of hypertension, in addition to non-drug measures such as diet regimen, exercise,... the use of drugs is regular, continuous and controlled. The drug treatment should achieve the target blood pressure (maximum blood pressure - upper number - 120 - 130 mmHg, diastolic blood pressure - lower number - 78 - 80 mmHg).
The combination of drugs in the old woman is okay, but the target blood pressure has not been achieved. The combination of "switching to 1v COVERSYL 5mg in the morning, and 1v PYZACAR in the afternoon" is not correct because these two drug classes are almost similar. In the case of the old lady, you can combine "use 1v COVERSYL 5mg, and 1v stadovas 5mg (both types can be used once or separately)" if you can't go to the doctor, or it's best for you to Take him to a clinic/hospital with a specialty in Cardiology for specific instructions.
If you still have questions about high blood pressure, you can take the old woman 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!