Resistant hypertension is a usual diagnose in patients who failed to get their blood pressure to the norm with the help of three different types of medical remedies including a diuretic. To become masters of the situation they have to take four various medications at once. In case of resistant hypertension sometimes this may be the only way out. But first you are strongly recommended to analyze the reason of high blood pressure’s “stubbornness”.

To make your treatment effective and to become closer to your aims and goals, you are welcome to think about the reasons of resistant hypertension (of course, if you do wish to lower your blood pressure). The most obvious thing is your lifestyle. Check if you really follow all the recommendations or ease them up on yourself over and over again. Skipped drug doses due to carelessness or other reasons, deviations from directions for their use, or spontaneous alterations in your treatment course are out of the question. Your concerns about side effects of the drugs that were prescribed can end up with too high a price for your pressure. It is far better to discuss all the pros and contras of your treatment cause with your physician.

If your physician has difficulties with defining the roots of the problem, a doctor specializing at hypertension may come to your help. Please, be aware that some conditions may form a sound base for hypertension resistance, including kidney diseases and sleep apnea. Certain food, supplements and drugs have negative effect on blood pressure or interfere with treatment course. It is a good idea to make a list of all medicines and supplements that you take and to discuss it with the hypertension specialist. Together you will be able to appraise drugs and doses that you are taking along with their possible interaction. Sometimes a single change in the combination can give the desired effect.

One of the key components of high blood pressure treatment is a suitable diuretic. If necessary, it could be changed with a more effective one, with a longer lasting effect. Patients with a diagnosed resistant hypertension often have abnormal levels of the hormone aldosterone, which controls sodium absorbtions and potassium discharge. To cope with the situation, nonthiazide diuretics are used including Aldactone (spironolactone) and Inspra (eplerenone).

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