Treating essential hypertension

Written by: Dr. Rowena | Posted: Oct 21 2009

Q: The treatment of “Essential” Hypertension by doctors appears to be a shotgun prescription of various drugs, until one of them works to lower blood pressure. A neighbor of mine was given medication to take, and when he got up at night, he would pass out (presumably, from an extremely low blood pressure). Are doctors unaware of this type of consequence? And why can’t they take the time to figure out what’s really causing the hypertension? And treat that, instead of prescribing inappropriate medications?

A: Most people suffer from essential hypertension. It is called essential hypertension because no cause can be found. Hypertension related to a specific abnormality is called secondary hypertension. At the time high blood pressure is discovered, testing is done to determine if you have essential or secondary hypertension. Doctors know how drugs work and the effects they can have. Not everyone responds to drugs in the same way. Until you are tried on a drug, it is impossible to know for sure how you will react.

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