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What Smoking cessation preparations are suitable for people with high blood pressure?
High blood pressure (arterial hypertension) represents a major contra-indication or restriction in the selection of drugs for Smoking cessation. Because nicotine increases the blood pressure values and blood vessels narrowed, must be weighed in patients with existing hypertension particularly carefully, what are the treatment options in question.
1. Nicotine replacement therapy (NRT)
Products for nicotine replacement therapy such as patches, gum, lozenges, nasal sprays or inhalers deliver a controlled low levels of nicotine without the other harmful substances in the cigarette smoke to be incorporated.
Advantages: The NRT reduces withdrawal symptoms and allows for a gradual phase-out of nicotine addiction.
Concerns in hypertension: Since nicotine itself acts increasing blood pressure, can be applied to the NRT in the case of uncontrolled hypertension, or recent history of heart attack/stroke with caution.
Recommendation: In case of a stable blood pressure, and medical Supervision is admitted to the NRT in the rule. The dose should be low and gradually reduced.
2. Bupropion (Antidepressant)
Bupropion acts as an inhibitor of the reuptake process of dopamine and norepinephrine, thus reducing the Craving for nicotine.
Counter display in hypertension: Bupropion may increase the blood pressure and is therefore in the case of untreated or poorly controlled hypertension is not recommended.
Criteria for use: use Only with stable blood pressure, and after careful consideration of risk and Benefit in consideration can be drawn. Regular blood pressure checks are obligatory.
3. Varenicline (Champix®)
Varenicline binds to the nicotinic acetylcholine receptors in the brain and has a double effect: It reduces the withdrawal symptoms and reduces the enjoyment of Smoking.
Study location: Clinical studies show that varenicline in patients with hypertension, in General, well tolerated, if the blood pressure medication is well set.
Observation duty: Nevertheless, patients should be periodically during therapy the blood pressure measure, because sometimes the blood pressure-increasing effects were observed.
Summary and recommendations
For smokers with hypertension, the following options are available, but always an individual medical evaluation is required:
With a stable, well-adjusted blood pressure:
Varenicline (as may be the most effective Option)
Nicotine replacement therapy with continuous blood pressure monitoring
In the case of uncontrolled hypertension:
Primarily non-pharmacological measures: behavioural therapy, counselling, self-help groups
Drugs drag only after optimization of blood pressure therapy considered
Absolute Exclusions:
Bupropion in the case of poorly controlled hypertension
NRT immediately after a heart attack or stroke
Conclusion
Smoking cessation in hypertension is possible and useful, however, requires a close cooperation between the Patient and the doctor. The choice of the drug depends on the individual blood pressure control, the General state of health and the Presence of other risk factors. A combined treatment of medication and psychosocial counselling shows the highest success rates.
Isang malawak na pagpipilian ng mga gamot mismo pati na rin ng mga pamamaraan para sa pagbawas ng gamot mula sa mataas na presyon ang nagbibigay-daan sa iyo na pumili ng pinaka-komportableng programa ng paggamot – ang abot-kaya sa gastos, na may minimal na pagpapakita ng mga side effect, at isinasaalang-alang ang ibang kasamang sakit. Kapag matagal ang pag-inom ng tabletas at binabago ng doktor ang gamot, ito ay dahil ang ilang gamot ay may katangian na magdulot ng pagkagumon, na nagreresulta sa kaunting pagbaba ng bisa nito. Bukod dito, hindi lahat ng grupo ng gamot ay angkop para sa mga pasyente sa iba't ibang edad, at may mga limitasyon din sa pagiging compatible nito sa ibang uri ng gamot.
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Madalas nagtatanong ang mga tao sa mga botika tungkol sa mga gamot laban sa presyon ng bagong henerasyon na walang side effects. Pero sa totoong buhay, hindi ito nangyayari. Lahat ng epektibong gamot ay may kanya-kanyang side effects. Kailangan mong maglaan ng maraming oras kasama ang iyong doktor para piliin ang tamang grupo ng gamot laban sa high blood pressure para sa'yo. Madalas nagtatanong ang mga tao sa mga botika tungkol sa mga gamot laban sa presyon ng bagong henerasyon na walang side effects. Pero sa totoong buhay, hindi ito nangyayari. Lahat ng epektibong gamot ay may kanya-kanyang side effects. Kailangan mong maglaan ng maraming oras kasama ang iyong doktor para piliin ang tamang grupo ng gamot laban sa high blood pressure para sa'yo.