medication

Types of Blood Pressure Medications

PillsAndTabletsMany high blood pressure medications are available. Most options fall within these eight categories.

Diuretics

You may also hear diuretics called “water pills”. They increase the elimination of sodium and water by the kidneys. This decreases blood vessel fluid volume, which reduces pressure against artery walls, thereby lowering blood pressure.

The three classes of diuretic drugs include thiazide, loop, and potassium-sparing.

Examples of diuretics include:

  • Chlorothiazide (Diuril)
  • Hydrochlorothiazide (Microzide)
  • Furosemide (Lasix)
  • Bumetanide
  • Amiloride
  • Eplerenone (Inspra)

Beta-blockers

This drug category may also be called beta-adrenergic blocking agents. Beta-blockers inhibit the effects of the hormone epinephrine (aka adrenaline), resulting in a slower, less forceful heartbeat. Beta-blockers can also promote vasodilation (i.e. widening of the blood vessels). These two actions results in reduced blood pressure.

Examples of beta-blockers include:

  • Acebutol (Sectral)
  • Atenolol (Tenormin)
  • Metoprolol (Lopressor, Toprol-XL)

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You Need More Than Medication to Lower Cholesterol

Cholesterol lowering drugs, such as statin medications, are commonly prescribed to lower cholesterol and are many times effective.

HOWEVER, it takes more than a medication alone to improve overall health and control cholesterol. Lifestyle changes are necessary.

Other risks to consider

Individuals with high cholesterol are often overweight. If you simply pop a pill to correct the cholesterol problem and do nothing to address being overweight you leave yourself at risk for other weight related health conditions, such as diabetes, joint problems, high blood pressure, and certain cancers.

Unknown risks

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Heart Failure and Statin Drugs

The type of heart failure you have may determine the effectiveness of a statin medication.

Types of Heart Failure

Systolic heart failure is when the heart does not contract forcefully enough to pump blood out of the aorta and into circulation.

Diastolic heart failure is when the heart does not relax properly to allow an adequate volume of blood to fill the left ventricle.

Statin Drug Treatment and Potential Complications

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Lower Cholesterol Effectively – Zetia Versus Niacin

It often feels like pharmaceutical companies often get wrapped up in dollar signs and forget the bottom-line reason for manufacturing the medication – improving your health. A study compared the effectiveness of Niacin versus Zetia.

The study

The study was published in the New England Journal of Medicine this past November 2009. Researchers analyzed the effect of extended-release niacin and ezetimibe (Zetia) on LDL cholesterol and HDL cholesterol levels.

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Dr. Houston Answers Your Top Heart Health Questions – Part 3

Here’s another four questions with answers from my interview with Dr. Mark Houston in February 2010.

Lisa Nelson RD: If someone has been on blood pressure medication for many years and they take steps to lose weight and improve their diet is it likely they’ll be able to discontinue their medication or will they be on medications for life?

Dr. Houston: About a 60% of patients that follow the guidelines in the book that I wrote on What Your Doctor May Not Tell You About Hypertension can stop meds over 6-12 months if they do everything correct as outlined.

Lisa Nelson RD: If someone is newly diagnosed with high blood pressure, how much time should be allowed if the individual prefers to make diet and lifestyle changes to lower the blood pressure before turning to medication?

Dr. Houston: I recommend getting the blood pressure down soon with both meds and lifestyle changes to protect the arteries and reduce cardiovascular disease based on some recent studies. Later on, if blood pressure is controlled then you can taper the medications.

Lisa Nelson RD: Do any of the over-the-counter meds for high blood pressure and high cholesterol work – or are they just snake oil ads?

Dr. Houston: There are some good supplements that work for blood pressure and cholesterol, but most over the counter are not good. The best source is BIOTICS RESEARCH at 1-800-231-5777. For blood pressure use VASCULOSIRT. Also for blood pressure is CARDIOSIRT BP (this one will be out in the spring). These will reduce blood pressure well along with the lifestyle changes recommended in the book above. The best for cholesterols is LIPIDSIRT. It can be used with the new niacin and red yeast rice from BIOTICS if needed. This may decrease cholesterol with the combination by 40-50%.

Lisa Nelson RD: How effective do you feel the supplements l-arginine, coQ10, and omega 3 are at preventing cardiac problems?

Dr. Houston: I would use omega 3 fatty acids in almost everyone to reduce heart attack, stroke, blood pressure, improve triglycerides and improve memory. The best omega 3 fatty acid on the market is EFA-SIRT SUPREME from BIOTICS research at 1800-231-5777. The CoQ10 is excellent as well. Doses of about 100 to 200 mg of a good quality CoQ10 will lower systolic blood pressure about 15 mm Hg and diastolic blood pressure about 10 mm Hg in 50% of patients. The CoQ10 is in both the VASCULOSIRT AND THE CARDIOSIRT BP from BIOTICS at 1-800-231-5777.

Part 1 – Top Heart Health Questions Answered By Dr. Houston
Part 2- Top Heart Health Questions Answered By Dr. Houston

There will be one final part to this Q&A. Sign-up for the e-course 7 Natural Ways to Lower Blood Pressure and you’ll also be notified when the final part is posted.

All the best,
Lisa Nelson RD
http://www.lowerbloodpressurewithlisa.com

Cholesterol Medication, Grapefruit, and Fungi

Currently there are cholesterol medications that interact with grapefruit meaning individuals that are prescribed these medications need to avoid grapefruit and grapefruit juice. There’s a component in grapefruit called furanocomarins (FCs) that interfere with the enzyme activity that metabolizes (breaksdown) certain medications. Therefore grapefruit can inhibit the medication from entering the bloodstream.

The USDA Agricultural Research Service found a fungus (Aspergillus niger) that will bind with FCs causing the component to be inactive. This may mean avoiding grapefruit may not be necessary in the future for individuals taking certain medications.

I’m curious to know your thoughts. I’m not so sure I like the idea of altering the FCs in grapefruit. Who knows if there is a benefit we haven’t learned yet related to FCs? Also, what if inhibiting FCs causing a new problem? Share your thoughts below!

All the best,
Lisa Nelson RD
How to Lower Cholesterol in 8 Simple Steps
http://www.lowercholesterolwithlisa.com