3) Stage 2 hypertension
Hypertension stage 2 (140/90mm Hg or higher):
At this stage, doctors should put up with a treatment plan consisting of a healthy lifestyle, diuretic medication, and another anti-hypertensive drug. Your doctor may need to include an additional anti-hypertensive medication depending on your status.
Several antihypertensive drugs other than diuretics may be useful at this stage:
- Angiotensin-converting enzyme inhibitors (ACE inhibitors) – Such as captopril (Capoten) and lisinopril (Prinivil), as they prevent the formation of a vasoconstriction-producing substance called angiotensin II.
- Angiotensin receptors blockers (ARBs) – Such as Losartan (Cozaar) and Valsartan (Diovan), as they block the action of the vasoconstriction-producing substance “angiotensin II.”
- Calcium channels blockers (CCB) – Such as Amlodipine (Norvasc) and diltiazem (Cardizem), which prevent vasoconstriction and slow the heart rate. This reduces the pressure in your arteries.
At this stage, doctors should check your blood pressure every month to detect any change and make decisions accordingly.
Other factors may affect the treatment plan at this stage:
- African-American people are more susceptible to hypertension complications and need a stronger treatment plan to control their blood pressure.
- Other diseases, like kidney diseases, diabetes, or heart failure should be considered in your treatment plan.
Previous stages are usually asymptomatic, but you may experience rare symptoms that include headaches, epistaxis, nausea, vomiting, dizziness, and difficulty breathing. Thus, you should check your blood pressure regularly to avoid a hypertensive crisis that may lead to multi-organ damage.