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What are the first-line antihypertensive medications for controlling high blood pressure?

Dr. Dr. Maya Benitez, MD,  - general practice specialist at 700 S Flower StLos Angeles, CA 90017
Dr. Maya Benitez, MD

700 S Flower StLos Angeles, CA 90017 general practice

Expert Medical Information

The first-line antihypertensive drugs for controlling high blood pressure are typically divided into five major categories: 1. Calcium channel blockers: These include dihydropyridines such as the commonly used nifedipine, amlodipine, felodipine, and lacidipine, which primarily act on arterial vessels and have a good antihypertensive effect; another category is non-dihydropyridines like diltiazem and verapamil, which can serve as alternatives for patients intolerant to beta-blockers. 2. Angiotensin-converting enzyme inhibitors (ACE inhibitors): Examples include captopril, enalapril, benazepril, and fosinopril. 3. Angiotensin II receptor blockers (ARBs): Such as valsartan, losartan, and candesartan. 4. Beta-blockers: Including propranolol, metoprolol, atenolol, and carvedilol. 5. Diuretics: Such as hydrochlorothiazide, indapamide, furosemide, triamterene, and spironolactone. Other medications include reserpine, clonidine, methyldopa, and rilmenidine. These various classes of antihypertensive drugs can be used alone or in combination with other types of medications.

Common symptoms include fever, fatigue, and discomfort in the affected area. Always consult with a healthcare professional for an accurate diagnosis.
Diagnosis typically involves a physical examination, medical history review, and possibly laboratory tests or imaging studies depending on the suspected cause.
Treatment options vary based on the specific condition, severity, and individual health factors. They may include medication, lifestyle changes, physical therapy, or in some cases, surgical intervention.
Seek immediate medical attention if you experience severe symptoms, rapid worsening of condition, or if self-care measures aren't providing relief within a reasonable timeframe.