Sunday, April 7, 2013

Management of Secondary High Blood Pressure

High blood pressure can be a reflection of a person’s diet, genetics, and stress. Secondary hypertension, however, is high blood pressure that is caused by another medical condition or medications themselves. Such medical conditions include sleep apnea, disorders of the endocrine system, kidney disease, and preeclampsia. Medications than can significantly increase a person’s blood pressure include anti-inflammatory drugs such as corticosteroids (Prednisone), nonsteroidal anti-inflammatory drugs (Aleve, Motrin), decongestants containing pseudoephedrine (Sudafed), weight loss medications (Phentermine), birth control pills, and migraine medications (Imitrex).

Your doctor will need to correct the condition first in order to properly lower your blood pressure; in some of these cases, surgery may be a treatment option. If the cause is a endocrine disorder called hyperaldosteronism, medications referred to as aldosterone antagonists (Spirono- lactone, Eplerenone) are preferred. Angiotensin converting enzyme (ACE) inhibitors (Lisinopril, Enalapril) are best suited to lower blood pressure in most people who have kidney disease. If you are on a medication that will raise your blood pressure, your doctor may choose to reduce the dose or stop the medication all together.








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