In managing hypertension, it’s crucial for patients to avoid frequently switching their antihypertensive medications. Hypertension is a chronic condition that requires lifelong treatment, and there are several principles to consider regarding medication continuity.

Firstly, we need to assess the effectiveness of the medication. If the antihypertensive drugs a patient is already taking are successfully stabilizing their blood pressure, there’s little reason to change them.

Secondly, we should consider whether there are any adverse reactions after taking the medication. While all medications can have some side effects, serious adverse reactions are very rare. Some individuals might experience mild effects, such as flushing, increased heart rate, or swelling in the legs, but these typically occur within the first few weeks of initiating treatment. Over time, as blood pressure stabilizes, these effects often diminish.

Thirdly, when selecting a medication, it’s important to consider long-acting formulations that can provide more consistent blood pressure control. Rapid or extreme fluctuations in blood pressure can be harmful; it’s essential to maintain a steady level rather than experiencing a “roller coaster” effect.

Thus, choosing antihypertensive medication should prioritize stability, both in the medication and in the patient’s mindset. Adhering to a long-term medication regimen is arguably more critical than the medication itself.

This perspective is reinforced by Dr. Liu Jian, an expert in cardiovascular medicine at Peking University People’s Hospital, who emphasizes the importance of maintaining a balanced approach to hypertension management.

Planning by Wang Ning and Yu Yunxi. Edited by Shi Ci.