How to Treat Fluctuating Blood Pressure

We all know that hypertensive nephropathy is renal damages due to long term high blood pressure; therefore the first step for treating hypertensive nephropathy is to bring the blood pressure down and maintain it at a stable value to avoid further renal damages and other complications.

The blood pressure is very hard to control and it fluctuates a lot. Fluctuating blood pressure is even more dangerous than persistent high level of blood pressure; therefore it is very important to have timely and effective treatments for fluctuating blood pressure.

While choosing anti-hypertension medicines, patients should take into account the protection of kidney function and avoidance of any renal toxicity medicines weather hypertension has developed renal damages or not. Researches have found that angiotensin converting enzyme inhibitors, angiotensin receptor antagonist, calcium channel blockers and beta-blocker can all have the function of protecting kidneys at the same time of lowering blood pressure. They can not only reduce the glomerular pressure and kidneys’ burdens but also have the functions of anti-inflammation and anti-fibrosis so as to protect the kidneys and slow down its progress into kidney failure. However, there should be close monitoring of the levels of serum creatinine and potassium while using these medicines.

The combination of several anti-hypertension medicines can reduce the dosage of each medicines and this can help reduce the side effects of each medicines and it has especially good effects on some refractory cases. Short-acting medines are very effective if the blood pressure only has occasional fluctuations. However, long term intake of short-acting medicines will cause many side effects such as increase of blood urea nitrogen or even electrolyte disorder.

The effects will be much better if these anti-hypertension can be combined with Chinese medicines that have the functions of regulating blood pressure and protecting liver and kidney functions.