High Blood Pressure
High blood pressure is a condition where the heart and arteries have to work harder than normal to pump blood around the body.
- Doesn’t present immediate symptoms
- May lead to cardiovascular illness
- Can be managed with tablet treatment
You can renew your prescription for high blood pressure treatment online with our private consultation service. Take our questionnaire to begin your consultation. When your request is approved, your medicine will be dispensed at our UK pharmacy and shipped to you by next-day parcel.
3 treatment(s) for High Blood Pressure
- Reduces tension in blood vessels
- Increases oxygen supply to the heart
- Not available on our website
- Effective at lowering blood pressure
- Reduces risk of associated illness
- Simple one a day dose
- Helps reduce high blood pressure
- Combination drug, added effectiveness
- Easy to administer oral tablet
- ACE inhibitor for high blood pressure
- Reduces risk of associated illness
- Easily to take oral tablet
- Helps to lower blood pressure
- Easy to swallow capsule
- Same active agent as the branded version
High blood pressure, also referred to as hypertension, is present when the heart has to beat with more force and exertion than is normal to get blood around the body. The effects are also felt on the arteries, which may become stiff and inflexible, and have to cope with increased tension when blood pressure is high.
The condition isn’t one which causes direct outwardly symptoms. For this reason, many people who do have hypertension will not realise that they do. The NHS estimates that as many as 30 per cent of the UK population has high blood pressure to some extent. Even though it does not cause any immediate symptoms, hypertension should still be treated. If it isn’t, it can lead to various cardiovascular issues, including heart disease, and stroke.
Blood pressure is measured by a device, which traditionally used a mercury-driven gauge; most devices now have a digital display. The device gives a two-figure reading in millimetres of mercury (mmHg) for systolic pressure, and diastolic pressure. The first of these is the force with which the heart beats blood out; and the second measures the pressure resident in the arteries between beats. So, an example of a blood pressure reading may be 120 (systolic) over 80 (diastolic). High blood pressure is said to be present in cases where the this reading is 140 over 90 or above.
The risk of hypertension can increase due to a number of factors. Those who are aged 65 and over are more likely to encounter the illness, as are those who are overweight, consume a lot of alcohol, smoke, or have a lot of salt in their diet.
When treating hypertension, a doctor will first suggest taking measures to curb the effect of any controllable variables which might be causing it. For instance, they may advise the patient to undertake a programme of light exercise, instruct them to lower the amount of salt in their diet, or suggest cutting down their alcohol intake.
But these approaches will not always have an effect sufficient enough to satisfactorily lower blood pressure; making prescription treatment necessary. Usually issued as a tablet, there are a number of different products available, which work in different ways.
ACE inhibitors, such as Zestril and Ramipril, work by preventing the conversion of a hormone into a latter-stage hormone, which causes blood pressure to increase. These are in some cases issued alone but sometimes form part of a combination medicine, also including a diuretic. The way diuretics work in products such as Zestoretic and Lisinopril/Hydrochlorothiazide is by increasing the amount of salt the kidneys draw out of the blood. This salt, through extraction, also pulls water from the blood with it; thereby reducing the amount of water in the blood and causing pressure to fall.
Prestim contains a diuretic and a type of drug called a beta-blocker. By inhibiting the effects of adrenaline on the heart, beta-blockers cause the heart to beat with less rigour, and this also assists in the dropping of blood pressure.
Which medication you use for high blood pressure will be decided during consultation with your doctor or specialist. They will take into account your medical profile and the type of medication most likely to be beneficial, as well as monitoring your blood pressure regularly.
If you have already been prescribed treatment for high blood pressure by your own GP or specialist, you can renew your prescription using our private consultation facility. Take our questionnaire, and your answers will be reviewed by one of our GMC-registered doctors. They will issue a prescription and send this to our pharmacy on approval. Medicines are shipped from our UK pharmacy by next-day courier.
Types of Treatment
For those experiencing high blood pressure, treatment usually starts with identifying any contributing lifestyle factors, and taking measures to limit the effects of these. This might involve lowering a person’s salt, alcohol or caffeine consumption, introducing a programme of light exercise, or stopping smoking.
These approaches are not always sufficient in lowering blood pressure however, and in some instances, prescription treatment may be necessary. This is available in a variety of forms, including: ACE inhibitors, such as Ramipril, Zestril or the generic, Lisinopril; or combination drugs, such as Zestoretic, Prestim, or Lisinopril/Hydrochlorothiazide.
At present, only ACE inhibitors are available from our online pharmacy.
How do they work?
ACE inhibitors work by preventing the activity of an enzyme. Known as the angiotensin converting enzyme, or ACE, this agent acts as a catalyst in turning the angiotensin hormone into angiotensin II. A high presence of this evolved hormone causes high blood pressure. Treatments such as Zestril thereby work by stopping this hormonal conversion, and lowering blood pressure.
The function of combination drugs varies, as they contain different active ingredients which reduce blood pressure in different ways.
Zestoretic contains an ACE inhibitor, and another type of medication, called a diuretic. The way diuretics function is by increasing the amount of salt the kidneys take out of the blood. When this salt is extracted, it draws water from the blood with it; thus decreasing blood pressure.
Prestim meanwhile, contains a diuretic and a beta-blocker. The latter of these works by limiting the effects of adrenaline in the body, which helps to reduce heart rate and in turn blood pressure.
What are the side effects?
The side effects associated with these products may vary as they contain different ingredients, but among the more common are headache, dizziness, and diarrhoea. Refer to the respective product pages to find out more.
Can I take them with other medications?
It largely depends on which other treatments you are using. These tablets may interact with painkillers, antibiotics, antidepressants and a range of other products. Let your prescriber know during consultation if you are currently treating any other conditions.
What’s the difference between the medications?
The main difference is their mechanism of action. They are all administered in a very similar way, as a one a day tablet. Because some have a slightly different way of working than others, they may be more or less suitable for some people with certain medical conditions.
Should I take ACE inhibitors, or combination treatment?
It depends on which is better suited for you, and which stage of treatment you are currently at. For instance, ACE inhibitors may be used as an initial medicinal approach; and if this is not effective, a combination product also containing a diuretic may be prescribed.
Your GP will decide on the most suitable option during your regular blood pressure review, and initiate a prescription.
Are there different side effects?
Yes, although those more common side effects across these items are quite similar, and include headache, dizziness, and tiredness. Find out more by consulting the relevant page for each product, or referring to the patient information leaflet.
Is it right for me?
The hypertension treatment you use will be determined during a face-to-face consultation with your GP. They will initiate a prescription for the most suitable medication.
Patients looking to renew their prescription for ACE inhibitor treatment can do so using our online pharmacy facility. We work with GMC-registered doctors, who will review your request when you place your order. When approved by them, they will generate a prescription for you, and send this to our UK pharmacy to be fulfilled. Medications are shipped by special courier, so in most cases you can expect to receive your treatment in one working day.
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