The age for the treatment of high blood pressure in older people are participating in this treatment more difficult and more in this age group counterparts antihypertensive drugs have side effects than younger ones?
In general, people between 70 and no longer tolerate the drugs less well all the young people because their kidneys and liver to eliminate drugs less effective and their bodies should be tolerated in general, less capable of great changes, including changes > Blood pressure. Other concerns are that some older people can reduce the likelihood of errors in the memory of his pills to be taken, as required, and many other drugs have other health problems are the complex interactions between different drugs can do things.
On the other hand, the elderly generally respond to antihypertensive drugs, and younger, maybe a bit 'more. Often fall into a good> Blood pressure with small doses of antihypertensive medications, as required by middle-aged people.
The commonly used blood pressure-lowering drugs appear to be relatively more easy and effective for the elderly, especially thiazide-type diuretics at low doses which is almost always the best choice in this age group than for younger ones. The theoretical disadvantage is that they tend to make the basic chemistry of the bodydiabetes worse, but also for older people who already have diabetes, the benefits far outweigh the negative effects. ACE-inhibitors (ACE inhibitors) appear to be effective, and (so far - seen in drug development, are still fairly new) without problems, if not to provoke a cough in about a quarter of people who are not with asthma or heart failure.
Drugs that are best avoided, the alpha-adrenergic receptor blockers (alpha blockers), theCause impotence in the elderly and the drugs work primarily on the brainstem - methyldopa and clonidine. Older people from blood pressure lowering drugs for the first time, it is unlikely that they are prescribed medications act primarily on the thesis the brain stem, but be swallowed what was on medication for several years, perhaps because they were the best drugs for as they too began their treatment.
Methyldopa often leads to liver damage in elderly patientsPeople often severe jaundice pretty bad. It makes them sick, can be very difficult to clarify the diagnosis, because blood levels are similar in this state, which for other common causes of jaundice such as gallstones, viral infection of the liver and side effects of other drugs. Should be avoided but problems in older people and in contrast to other antihypertensive drugs, even those that took many years should have beenlikely to switch to an alternative less risky in their late 60s.
Clonidine often leads to depression. Since the elderly are more likely to develop depression than young people and often do go unnoticed, this drug should be avoided if the drugs are started for the first time in this age group. The people who took clonidine for years, staring at middle age, it is reasonable to continue as they age, provided they have no problems.
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