Which antihypertensive is best for elderly?

Which antihypertensive is best for elderly?

Ca channel blockers, ARBs, angiotensin-converting enzyme (ACE) inhibitors and low-dose diuretics are recommended as first-line antihypertensive drugs in elderly and nonelderly patients.

What are the four classifications of antihypertensive medications?

There are several different classes, or categories, of antihypertensives based on their mechanism of action for lowering blood pressure. The more common drug classifications include ACE inhibitors, ARBs, alpha blockers, beta blockers, calcium channel blockers, and diuretics.

What are the 7 classes of antihypertensive medications?

The classes of blood pressure medications include:

• Diuretics.
• Beta-blockers.
• ACE inhibitors.
• Angiotensin II receptor blockers.
• Calcium channel blockers.
• Alpha blockers.
• Alpha-2 Receptor Agonists.
• Combined alpha and beta-blockers.

How is hypertension treated in the elderly?

There are several classes of medications available for the treatment of hypertension in the elderly, of which alpha-blockers, beta-blockers, CCBs, diuretics, ACE inhibitors, and ARBs are the most commonly prescribed, as well as combination agents.

What is the most common cause of hypertension in elderly?

Statistics from the National Kidney Foundation show that kidney disease is the leading cause of high blood pressure, just behind diabetes.

What is the classification of antihypertensive?

The four major classes of antihypertensive drugs—diuretics, β-blockers, calcium channel blockers, and renin-angiotensin system inhibitors (including angiotensin-converting enzyme inhibitors and angiotensin receptor blockers)—have significant qualitative and quantitative differences in the adverse effects they cause.

Which medication classification is often the first used to treat hypertension?

Generally, ACE inhibitors should remain the initial treatment of choice for hypertension. Angiotensin II receptor antagonists or angiotensin receptor blockers (ARBs) are used for patients who are unable to tolerate ACE inhibitors.

What are the 4 best blood pressure drugs?

Recommended first-choice blood pressure drugs (and their acronyms)

• Thiazide diuretics.
• Calcium channel blockers – CCBs.
• Angiotensin-converting enzyme inhibitors -ACEIs.
• Angiotensin receptor blockers – ARBs.

How is antihypertensive therapy used in older patients?

Article Sections. Antihypertensive therapy has been shown to reduce morbidity and mortality in older patients with elevated systolic or diastolic blood pressures. This benefit appears to persist in patients older than 80 years, but less than one third of older patients have adequate blood pressure control.

Which is the best medication for older patients?

Low-dose thiazide diuretics remain first-line therapy for older patients. Beta blockers, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, and calcium channel blockers are second-line medications that should be selected based on comorbidities and risk factors.

When to consider resistant hypertension in a patient?

This should be considered in patients with resistant hypertension (i.e., patients with inadequate blood pressure control despite treatment with an appropriate three-drug regimen), especially if these patients have symptoms of orthostatic hypotension. 6

What should your blood pressure be in an older person?

Isolated systolic blood pressure should be the primary target for diagnosis and management in older persons. The recommended blood pressure goal in older persons is less than 140/90 mm Hg. The recommended blood pressure goal in persons with diabetes or chronic kidney disease is less than 130/80 mm Hg.