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Self-treatment can be more risky in hypertensive patients



Auto-treatment is a custom that is deeply rooted in our society. However, due to lack of knowledge about risks, it can cause complications, especially on hypertensive people, because there are drugs that due to their active ingredients can increase blood pressure (BP or PA) or interfere with the action of antihypertensive drugs. Specialists warn that in this context 5% of patients are hospitalized.

These are active ingredients that are found in frequently used products, and even among the best sellers as analgesics, decongestants and corticosteroids. The picture is difficult if you consider this 4 out of 10 people They do not know they are hypertensive because it is a pathology that usually appears as asymptomatic.

"When a hypertensive patient faces an easy health problem, such as cold or headache, he does the same thing as the general population: He consumes what is at home or recommends another non-medical person and expects to be relieved. But self-treatment in hypertensive patients is not without risk. In fact, 5% end up being hospitalized, equivalent to 162 thousand patients a year in Argentina. From that total, 10% suffer from adverse reactions to the drug and isl 1% of those who are hospitalized for drug-related problems are dying ", explained Dr. Nicholas Rehn, a member of the Argentine Society for Arterial Hypertension.

Juan (78) Take hypertensive and eventually analgesic with diclofenac. She was recommended by a pharmacist and said she had more confidence in her than her doctor.
Daniel (43), who also has a diagnosis of hypertension, admits that he also appeals to some pills from time to time without going through medical consultations. "When I have a headache, I take acetaminophen and ibuprofen 600 if my knee hurts a lot."

The question is this hypertension occurs in younger people and those who present it may be the usual consumers of this type of medication. This is the case with anti-inflammatory infections that tend to be associated with corticosteroids and that the elderly are commonly used to reduce pain.

Pharmacist Juan Mota commented Los Andes it's common for people to go without a prescription to buy these drugs. "In these cases we have a habit of asking to know if you have a risk and if you can download what they are looking for," he explained.

What are they?

Decongestants. They are commonly used and part of the composition of antihypera and antialergicos. Pseudoephedrine is one that can have this hypertensive effect.

Analgesics and inflammation. It is one of the best-selling pharmacologic products, most installed on the market over the counter or with a self-healing habit, but also have important advertising support that in no way warns of this risk.

Most points ibuprofen, diclofenac and to a lesser extent paracetamol.

However, cardiologist Alejandro Saraco, from the Cardiovascular Prevention Program He pointed out that somehow everyone has this property. He added that some are associated with corticosteroids that keep fluid, although they are small doses, but if used incorrectly, it can bring complications.

Tablets and noisy envelopes. It is known that the consumption of salt (sodium) is the first thing that is limited when there is high pressure. The impact of an increase in MT when swallowed is greater in people over 60 years of age, the cardiologist Milden del Suldo of the Argentinean Society of Arterial Hypertension explained.

"Most of the presentations in envelopes or noisy tablets contain sodium in their composition in order to increase their solubility and often consume sachet or nocturnal tablets of acetaminophen, acetylsalicylic acid (aspirin), ibuprofen, anti-influenza or antacids." detailed

Antacids and corticoids. The first may interfere with the exact absorption of the antihypertensive agent. This time of the year may be useful to use its benefits for the rich meals of parties and meetings, to which Sarakun clarified that taking a single dose will not be complicated. What you need to avoid is its continued use.

Take into account

There is self-treatment in three different cases, according to cardiologist Milden del Suldo:

* When medicines are consumed without being prescribed by a doctor.

* when he continues to take medication that can be prescribed by a doctor several years ago without periodic controls.

* when the dose is different or how often it was originally prescribed.

Recommendations

Dr Alejandro Saraco noted that it is important that patients who already have a diagnosis of hypertension consult with their doctor when they need to include drugs, as a professional who knows his mass will be able to recommend the best active principle and at the appropriate dose.

On the other hand, he proposed it Any person over the age of 35 who starts taking this type of medicine should first check their blood pressure.

Of course clarified that if taking is only once and possibly there should be no consequences.


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