What Is The Best Medication For High Diastolic Blood Pressure

High diastolic blood pressure, often referred to as "low pressure high," can be effectively managed with certain types of antihypertensive medications. Angiotensin-converting enzyme (ACE) inhibitors, commonly known as "Pril" drugs, and angiotensin II receptor blockers (ARBs), or "Sartan" drugs, are typically recommended for this condition. These medications are particularly effective at reducing diastolic pressure.

Choosing Between Pril and Sartan Drugs

Pril-type medications tend to offer a stronger blood pressure-lowering effect compared to Sartan drugs. Additionally, they provide added benefits such as preventing left ventricular remodeling and reducing proteinuria. However, some patients may experience persistent dry cough as a side effect, which can be uncomfortable and difficult to manage. In such cases, switching to a Sartan-class medication is often a suitable alternative.

Combination Therapy For Better Control

If monotherapy with Sartan drugs does not bring blood pressure within the target range, combination therapy is often recommended. Commonly prescribed combination medications include irbesartan hydrochlorothiazide tablets or valsartan hydrochlorothiazide tablets. These combine a Sartan drug with a diuretic to enhance the overall blood pressure-lowering effect and improve patient outcomes.

Important Considerations During Treatment

While managing high diastolic blood pressure, it's important not to lower it too aggressively. Ideally, diastolic pressure should be maintained at or above 65 mmHg to ensure adequate organ perfusion and avoid potential complications associated with excessively low diastolic pressure.