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#527: How to Prevent & Treat Hypertension – Dr. Mohammed Alo, DO

Sigma Nutrition Radio

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Optimal Medication Combinations for Blood Pressure Control

Thiazide diuretics primarily function as vasodilators after a few days of acting as a diuretic by eliminating excess salt. For severe hypertension cases, a high dose of lisinopril might suffice, but if not, combining it with a thiazide diuretic can be very effective. Additionally, combining an ARB with a thiazide diuretic or using beta blockers like metoprolol, atenolol, or carvatalol can be beneficial for blood pressure control. Among beta blockers, carvatalol is preferred as it directly reduces blood pressure, unlike metoprolol and atenolol, which mainly lower heart rate and lack strong blood pressure-lowering effects. However, the downside of beta blockers is that they can induce fatigue, tiredness, and reduced motivation due to their inhibition of adrenaline.

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