Cardiac Electrophysiologist Questions Cardiology

What high blood medications are the safest?

I have high blood pressure and want to take medications. What high blood medications are the safest?

1 Answer

A lot depends on whether you have any other conditions and how old you are. If hypertension is your only problem and it is systolic, diastolic, or both, I would start with a calcium channel blocker like amlodipine or an angiotensin receptor blocker, most likely losartan or valsartan, but there are six others: candesartan, irbesartan, telmisartan, Olmesartan, azilsartan, and eprosartan. Adding a thiazide diuretic would be next, although I might add a thiazide right from the start in some patients. Treating hypertension is one of the arts of medicine. It involves finding a combination of meds that is efficacious and reasonably well-tolerated. It involves trying as much as possible to get the patient to modify their eating habits and lifestyle to minimize stress (very difficult in the USA), and get more exercise and relaxation.