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medication

Lower Blood PressureTypes 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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Lower CholesterolYou 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 HealthHeart 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 CholesterolLower 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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Lower CholesterolCholesterol 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