The First Choice Medications for Mild to Moderate Hypertension

When lifestyle modifications alone are not enough to control high blood pressure, medication becomes necessary for patients with mild to moderate hypertension. Choosing the right type of medication depends on the individual's condition, disease progression, and blood pressure levels. Below are commonly recommended treatment options.

Traditional Chinese Medicine Options

For patients with mild hypertension, particularly stage 1, traditional Chinese medicine (TCM) can be a suitable alternative. Herbal remedies such as Songling Xueguankang and Tianma Gouteng Granule are often used to help reduce blood pressure by calming the liver and balancing internal energy. These remedies are known for their blood pressure-lowering effects and are generally well-tolerated.

Western Medicine Options

Angiotensin II Receptor Blockers (ARBs)

Also known as sartans, ARBs are widely used in the treatment of mild to moderate hypertension. These medications are favored for their reliable blood pressure-lowering effects and relatively low risk of side effects. They are particularly effective in managing elevated diastolic pressure, making them a preferred choice for many patients.

Angiotensin-Converting Enzyme (ACE) Inhibitors

Commonly known as ACE inhibitors or "prils," these medications are effective in lowering blood pressure but may cause a persistent dry cough in some individuals. Patients taking ACE inhibitors should monitor themselves closely for this side effect and consult their doctor if it becomes bothersome.

Calcium Channel Blockers (CCBs)

Often referred to as "dihydropyridines" or "nifedipines," calcium channel blockers are known for their fast and long-lasting blood pressure reduction. However, a small percentage of patients may experience mild swelling in the lower legs after starting treatment. This side effect typically subsides once the medication is discontinued.

Personalized Treatment Approach

Managing mild to moderate hypertension effectively requires a personalized approach. Each patient's unique health profile, including their medical history, current blood pressure readings, and response to treatment, should guide the selection of medication. Consulting with a healthcare provider ensures the most appropriate and effective therapy is chosen.