Yeah, there’s quite a number of options when it comes to blood pressure medications. There are some guidelines on which meds to use where. There’s also considerations based on age, race (ACE-Inhibitors don’t well great in Black people), comorbidities, existing risk factors, drug allergies, other prescribed drugs, side effect sensitivities, interactions with other drugs, genetics/what is effective in your body, etc. At the end of the day there are still a lot of options to choose from even with those considerations in mind.
As a clinical pharmacist part of my job is consulting/educating patients on their condition, meds, lifestyle changes, plus optimizing their drug therapy. Part of promoting food compliance and outcomes in engaging patients in their treatment. I’m not a big fan of the old school model of prescribing without engaging the patient, including them in the decision making process, etc.
I’m not privy to your health status and I’m not your healthcare provider so I can’t really comment on specifics. But I wouldn’t be afraid to consult your doctor further if you have concerns on your mind or perhaps discussing the feasibility of any non-pharmacuetical interventions (though I presume you eat healthy and I know you exercise).
In general I can say the long term effects of hypertension are detrimental and can be serious. The good news is HTN can be managed, you can reduce your risk of cardiovascular events and conditions. Plus the medication is generally very cheap, safe, and well tolerated. If the research reveals treating HTN now at a lower level to profoundly reduce your risk of future CV problems, I think it’s strongly worth considering. The risks associated with. hypertension over time are severe- the cons associated with these drugs is far les severe and if the do present are generally reversible. Emmb iAgain, the guidelines are based off of statistics, so it’s not like they’re just pulling numbers out of their butt.
Since you’re questioning whether or not you should take the meds, maybe you would be more comfortable understanding your prescriber’s decision making process- why he thinks treatment would be beneficial and why he chose the drugs he did. I guess you also have to ask yourself the question why you’re questioning taking the medication and think about the risks and benefits of taking it.
I'll call him and pick his brain...will tell him you told me to, seriously!
Related post: https://forums.macrumors.com/threads/eating-healthy-and-exercise.1871030/page-29#post-26018176
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