Medications and combination drugs for high blood pressure for the elderly

High blood pressure today is one of the most common diseases, the first symptoms of which appear even at a young age. And if previously hypertension was considered the lot of the elderly, now such a pathology is not uncommon among the young population. All people have a different attitude to this disease.

Some old people are afraid to take medicines that lower blood pressure, as often there is a greater likelihood of side effects and the emergence of new diseases. But you can immediately say that it is absolutely impossible to deal with high blood pressure on your own without paying proper attention to it, because it is not for nothing that hypertension is called the “silent killer”.

A list of antihypertensive drugs has been compiled, ranging from the most effective with a minimum of undesirable effects to drugs with more frequent side effects. Although in this regard everything is individual, it is not in vain that one has to carefully select and, if necessary, adjust antihypertensive therapy.

Detonic – a unique medicine that helps fight hypertension at all stages of its development.

Detonic for pressure normalization

The complex effect of plant components of the drug Detonic on the walls of blood vessels and the autonomic nervous system contribute to a rapid decrease in blood pressure. In addition, this drug prevents the development of atherosclerosis, thanks to the unique components that are involved in the synthesis of lecithin, an amino acid that regulates cholesterol metabolism and prevents the formation of atherosclerotic plaques.

Detonic not addictive and withdrawal syndrome, since all components of the product are natural.

Detailed information about Detonic is located on the manufacturer’s page


The drug from the sartans group. The mechanism of action is to prevent the powerful vasoconstrictor action of angiotensin II on the body. This substance with high activity is obtained by transformations from renin produced by the kidneys. The drug blocks the AT1 subtype receptors, thereby preventing vasoconstriction.

Systolic and diastolic A/D decreases after the first oral administration of Losartan, the largest after 6 hours. The effect persists for a day, after which it is required to take the next dose. A stable pressure stabilization should be expected after 3-6 weeks from the start of administration. The drug is suitable for the treatment of hypertension in diabetics with diabetic nephropathy – damage to blood vessels, glomeruli, and tubules of the kidneys due to metabolic disorders provoked by diabetes.

Valsartan, Eprosartan, Telmisartan – drugs from the same group, but Losartan and its analogues are more productive. Clinical experience has shown its high efficiency in eliminating elevated A/D, even in patients with a complicated form of arterial hypertension.


It belongs to the group of ACE inhibitors. The antihypertensive effect is observed already 1 hour after taking the desired dose, increases in the next 6 hours to a maximum and lasts a day. This is a drug with a long cumulative effect. The daily dosage is from 5 to 40 mg, take 1 time per day in the morning.

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Renipril GT

This is an effective combination drug consisting of enalapril maleate and hydrochlorothiazide. In combination, these components have a more pronounced antihypertensive effect than each individually. Pressure decreases gently and without loss of potassium by the body.


Perhaps the most common drug from the group of ACE inhibitors. Designed for emergency care in order to stop the hypertensive crisis. For long-term treatment is undesirable, especially in older people with cerebral arteriosclerosis, because it can provoke a sharp decrease in pressure with loss of consciousness. It can be prescribed together with other hypertensive and nootropic drugs, but under strict control of A/D.

  • Kopoten
  • Kaptopres,
  • Alcadil
  • Catopil,
  • Blockordil
  • Captopril AKOS,
  • Angiopril
  • Rilcapton,
  • Kapofarm.

Diuretic and antihypertensive agent from the group of sulfonamide derivatives. In complex therapy for the treatment of arterial hypertension, it is used in minimal doses, which do not have a pronounced diuretic effect, but stabilize the pressure during the day. Therefore, when taking it, you should not wait for an increase in diuresis, it is prescribed in order to lower the pressure.


Potassium-sparing diuretic. Take from 1 to 4 times a day in courses. It has a pronounced diuretic effect, but does not remove potassium from the body, which is important for the normal functioning of the heart. Applied only in combination therapy for the treatment of arterial hypertension. Subject to the dose prescribed by the doctor, it does not cause side effects, with rare exceptions. Long-term treatment in large doses (more than 100 mg/day) can lead to hormonal disorders in women and impotence in men.

The provoking factors of hypertension in elderly patients

Despite the fact that the treatment of hypertension involves an effect on elevated blood pressure, therapeutic measures are aimed at solving several problems at the same time.

Pressure medications for the elderly should not only normalize the pressure, but also prevent complications and be compatible with other medicines aimed at treating concomitant pathologies, and also have a minimal amount of side effects.

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When determining the direction of therapeutic measures, the attending physician should proceed from a number of specific reasons for the development of hypertension in old age, namely:

  1. Atherosclerotic lesions of the vascular system, provoking an excessive increase in the tone of the vascular walls.
  2. An age-related change in the vascular system, which consists in reducing the lumen of the vessels.
  3. Loss of elasticity, elasticity of the vascular walls. Violation of the structure of blood vessels leads to a significant decrease in their functionality, which entails an increase in fragility and an increased risk of hemorrhage.
  4. Adrenal dysfunction. Excessive production of hormones by the adrenal glands provokes the accumulation of sodium, which contributes to the development of swelling. Fluid retention in tissues is known to be one of the main causes of high blood pressure.

The treatment of hypertension in elderly patients, due to the presence of specific causes of the development of pathology and the presence of concomitant diseases, requires a special approach.

Can hypertension be cured forever

A patient with diagnosed hypertension is usually treated, the doctor monitors his condition for a long time. But often people, especially the elderly, independently under the influence of advertising, reviews of acquaintances buy over-the-counter medicines, various additional funds that they use without consulting a doctor. This behavior is not without risk.

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Prolonged use of NSAIDs (with the exception of daily intake of low doses of Aspirin as a means of preventing cardiovascular disease) causes an increase in blood pressure in normotensive patients and hypertensive patients who are not receiving treatment. Clinical data show that NSAIDs counteracts the effect of diuretics, β-and α-blockers, ACE inhibitors. Most older people take NSAIDs as painkillers and antipyretic drugs.

Some knowingly prefer Paracetamol (Acetaminophen), mainly because it is “safer for the stomach.” But few people know that Paracetamol is the safest for blood pressure. To suppress pain and fever, doctors recommend elderly patients with hypertension exactly Paracetamol, which is more suitable than Aspirin, Ibuprofen or other NSAIDs.

The protective layer of coated tablets (Aspirin, Erythromycin, etc.) with the active substance intended for absorption in the intestine dissolves at alkaline pH. But when the patient takes calcium supplements or antacids at the same time, prematurely released medication can cause irritation of the gastric mucosa.

Consequently, calcium supplements and antacids should be taken at least 2 hours before ingestion or 2 hours after the use of other drugs, food (more than 67% of the elderly interviewed unconsciously violate this rule). When using both tools together, there is a significant risk of unwanted interactions.

Alcohol and medicines

Alcohol consumption by the elderly is a frequent occurrence that can do without consequences, but a large daily dose of alcohol causes an increase in blood pressure. Therefore, when measuring blood pressure and assessing potential hypertension, this circumstance should be paid attention to.

Another aspect is the temporary relationship between alcohol consumption and medication. If the interval between alcohol and a drug from the NSAID group is at least 1 hour, the risk of bleeding in the digestive tract increases. But more than half of patients drink alcohol at the same time as taking medication.

For decades, medical experts have been convinced that older patients should not be treated for hypertension. They explained their point of view very simply. In their opinion, antihypertensive drugs for such people are simply prohibited due to the high likelihood of side effects and serious complications. Therefore, doctors could only observe the state of hypertensive patients, without interfering in any way during the illness.

Those days are behind us. Today, even older hypertensive patients have a chance of recovery. Numerous studies show that with adequate treatment, about 40% of patients manage to avoid strokes and other heart complications.

To normalize the pressure in the elderly, a complete examination of their body is required. The doctor must understand the state of their vascular system. This information will allow him to choose the best therapy. Also, the specialist should be familiar with other diseases in advance from which the patient suffers. They should not be included in the list of contraindications of the drug that was selected hypertension.

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In order for therapy to be as useful as possible for a patient in old age, it should be based on a number of principles:

  1. You can not sharply lower blood pressure. Decreasing values ​​should occur within a few weeks;
  2. To prevent renal or cerebral insufficiency, it is required to lower systolic pressure to a maximum of 30% of the current value;
  3. Do not lower the blood pressure to normal in the presence of coronary heart disease;
  4. When selecting medicines, other diseases that are diagnosed in the patient are necessarily taken into account;
  5. It is necessary to regularly carry out control measurements. The patient should be placed in a lying position and standing.

Despite a significant breakthrough in science and medicine, many people still believe that the treatment of hypertension in old age will invariably lead not to improvement, but to deterioration of the general condition.

Such concerns were raised due to the lack of drugs for high blood pressure for elderly patients who would have a minimal list of side effects. As a rule, the main event was not treating the patient, but monitoring him.

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However, the treatment of elderly patients has a number of features that must be considered by the attending physician.

The individual selection of medications and their dosages is affected by:

  • general condition of the patient;
  • the presence of concomitant pathologies;
  • blood pressure level.

Given these parameters, the doctor will be able to significantly improve the situation and alleviate the patient’s condition.

Hypertension is an insidious disease, as it develops slowly and almost asymptomatically, because of which a person for a long time does not realize the existence of a problem. And when the disease is diagnosed, then often it can be dealt with only with the help of complex treatment, consisting of drug therapy, diet, and lifestyle changes.

Arterial hypertension affects men and women of various ages, but is most often observed in old people. A few decades ago, doctors believed that there was no reason for older people to start drug treatment of hypertension. This was explained by the fact that at this age there is a high probability that taking any antihypertensive drug will result in the development of side effects or complications.

Therefore, doctors simply prescribed a diet and monitored the patient’s condition. But years have passed, medicine has advanced far ahead, so today even representatives of the oldest age category can be cured of hypertension. Multiple scientific studies have proven that drug treatment of hypertension can be not only effective, but also sparing.

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And almost 40% of elderly patients manage to avoid a heart attack, stroke, or other serious complications. Today, doctors prescribe drug therapy regardless of when the problem was diagnosed – at an early age or after 60 years. But the selection of antihypertensive drugs is carried out only after a thorough examination and a history of the patient.

Most people over the age of 60 do not trust modern medications and prefer drugs that have long been forgotten: Clonidine, Adelfan. In the medicine cabinet, many old people can find Corvalol, Valerian, Citramon, Validol, as well as an old ointment for joints. All these drugs of the old guard have been trying not to prescribe for hypertension for a long time, since Klofelin and Adelfan not only have a large list of side effects and negatively affect the state of the body, but also are addictive. Today, when many new safe antihypertensive drugs are being released, they are trying not to recall the drugs of the old guard.

Another common mistake in the treatment of hypertension, which the elderly make, is the misuse of the medicine. Most older people believe that it is enough to drink a pill only during a strong increase in blood pressure, and the rest of the time there is no need to poison your body with chemistry.

But this is fundamentally wrong, since medications prescribed by a doctor should be taken regularly for a long time. Otherwise, pressure normalization will not occur, and serious complications can also occur. Treatment with alternative methods can also greatly undermine health.

Homemade recipes to prevent high blood pressure are common. Traditional healers are cunning, saying that their medicines have no side effects and are absolutely safe.

Any herbs, decoctions and infusions of them can provoke the development of spontaneous allergic reactions, leading to various manifestations – from rashes on the skin to the development of Quincke’s edema. Without consulting a specialist, all means are strictly prohibited.

As safe sources of health, it is better to use natural juices that have a hypotensive effect:

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Drinks will enrich the body with vitamins and nutrients, help lower blood pressure.

This question is asked by all patients who are first diagnosed with arterial hypertension. When calculating a possible recovery, it is necessary to consider:

  • the degree and stage of development of the pathological process;
  • existing concomitant diseases with a chronic course;
  • genetic predisposition;
  • individual characteristics of the body;
  • the root causes of the formation of hypertension.

Therapeutic features

An increased risk of SSR in older hypertensive patients necessitates the use of modern antihypertensive therapeutic methods and effective pressure drugs for older people, whose goal is to reduce morbidity and mortality. In particular, lowering the upper arterial pressure by 10 mmHg. Art. in these patients, the risk of stroke is reduced by 30%.

As is the case with younger people, most elderly patients are diagnosed with essential hypertension that responds well to therapy. Suspicion of a secondary form of hypertension occurs with resistance to treatment, a recently discovered disease with blood pressure

Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.