The General Treatment Significance Of Stages In Drug Therapy In Cardiovascular Ailments

Funom Makama By Funom Makama, 20th Mar 2014 | Follow this author | RSS Feed
Posted in Wikinut>Health>General Health>Diseases & Infections

The treatment of cardiovascular ailments significantly dwells on combined drug therapy. When applying this some steps should be considered greatly which are: drug initiation, stabilization and follow up.

Stages Of Drug Therapy

Drug initiation: Drug initiation threshold is the persistent blood pressure when the doctor decides to place the patient on medication. Having decided on which drug to use, treatment is started at the lowest recommended dose.

Stabilization: Quite often, people respond differently to various drugs. So most patients must go through a trial period to find out which medications work best with the fewest side effects. The dose is gradually titrated upwards until the blood pressure is reduced to target pressure. Most patients need only a very gradual reduction in blood pressure.

Sometimes, several medications need to be tried before you find the drug or combination of drugs that controls blood pressure well and that you are able to take regularly without bothersome side effects. Finding the drug that controls the blood pressure with fewest side effects can take some time. It may take weeks for the body to adjust to a certain medication.

Follow Up: When the patient is stabilized, on drug regimen, regular follow up is needed to ensure that the target blood pressure are maintained, to monitor for drug side effects and to assess patient compliance with drug treatment and lifestyle measures. The frequency of this follow up should be determined individually taking into accounts factors such as severity of the hypertension, overall cardiovascular risk, variability of blood pressure and patient compliance with drug and lifestyle changes. Often the best medication or combination of medication is one the person is able to take regularly and correctly that most consistently lowers blood pressure.

Review every 3 months is sufficient when treatment and blood pressure are stable, especially with patients using home blood pressure kits. Follow up is still important in the management of the patient with mild hypertensive for whom drug treatment has not been deemed necessary. During routine follow up visit, measure blood pressure and weight; reinforce non-pharmacological advice; review the home BP check records; and test urine for proteinuria.

Patient Education And Compliance With Therapy

It is important to note that antihypertensive therapy is generally for life, provided diagnosis was right. Hypertension has no cure. Cessation of therapy by patients who have been correctly diagnosed as hypertensive is usually followed sooner or later, by the return of blood pressure to pre-treatment level. It is therefore, essential that the doctor establishes a good relationship with the patient. Good information about blood pressure and high blood pressure, about risks and prognosis, about expected benefits of treatment will be essential for satisfactory lifelong control of hypertension. In particular patients should be advised not to stop, increase or reduce their medication and to seek the doctor’s opinion for any contemplated alternation in the dosage regimen.

Compliance with drug therapy may be limited by inconvenience, side effects and cost of these drugs. Non compliance with medication means not taking medicine as required. Treatment of hypertension is a partnership between the doctor and the patient and requires ongoing evaluation and communication.

Patients also have a responsibility to their physician to reveal their concerns (such as cost) and any side effects from the medications they are taking. Once daily, medications are much more convenient to take and should be used whenever possible. However, a very small number of patients have truly “resistant hypertension” which may require a hypertension specialist for further treatment and evaluation.

For more interesting and very important health related and medical articles, click on the links below
1. General Considerations, Clinical And Medical Classifications Of Anemia
2. Heart Failure: Definition, Detailed Causes And Precipitating Factors Of Cardiac Failure
3. Special Investigations In Cardiology II: The Significance Of Echocardiography
4. Clinical Significance And Health Importance On The Actions Of Adrenocorticotropic Hormone (ACTH) On The Adrenal Cortex

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