When should I stop my anti-hypertensive drugs?
Before I answer this question, let me give you a little background on hypertension. Hypertension is divided into two major groups based on the causative factors. The first is essential or primary hypertension while the second is secondary hypertension. For secondary hypertension we can identify a specific factor causing hypertension and removal of the cause (when possible) will lead to the resolution of hypertension. On the other hand, no single factor can be blamed for the development of essential hypertension. Although, we know an interaction between genetics and environmental factors play a role in the development of essential hypertension. So because there is no single definitive cause, we cannot totally eliminate all these factors. As long as we can’t remove all the factors, hypertension will remain. So once the blood pressure is high enough to require drugs you will need to continue taking your drugs. However, there may be a need to readjust your medications from time to time.

I am worried about the adverse effects that could occur as a result of taking anti-hypertensive drugs!
It is true that anti-hypertensive drugs could cause adverse effects just like any other drug. It is advisable to discuss with your doctor if you experience any adverse effects. Some adverse effects can be handled by reducing the dose of your drugs or totally changing the medication. Anti-hypertensive drugs are relatively safe with prolonged use, unlike some other drugs that can only be used for a short period of time. I will emphasize that if you experience any unwanted effects please see your doctor, there are a million and one anti-hypertensive drugs out there in the market.

My blood pressure is still above 140/90mmHg and I take my drugs regularly, what do I do?
If this occurs, it could be that the dose of your antihypertensive drugs is not adequate. The dose or number of your drugs may need to be adjusted. On the other hand, there could be other conditions responsible for this. Please discuss with your doctor.

I take my antihypertensive drugs regularly, my blood pressure is only high in the hospital but it is usually well controlled at home.
If this happens, please take your blood pressure monitor/sphygmomanometer to the hospital and compare with the readings in the hospital to validate. If the readings are different in the hospital then the problem is likely with your sphygmomanometer/ blood pressure monitor. You will need to change your monitor.

However, if the readings are the same then you probably have white coat hypertension. This is when the blood pressure is high only in the hospital setting due to the anxiety of being in a hospital environment. Please let your doctor know about this if you are having such an experience.

source: http://medicalinfosblog..com.ng/2016/11/questions-and-answers-on-hypertension-2.html

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A stroke is damage to the brain due to an interruption in blood flow. The interruption may be caused by a blood clot (see Embolism; Thrombosis), constriction of a blood vessel, or rupture of a vessel accompanied by bleeding. A pouchlike expansion of the wall of a blood vessel, called an aneurysm, may weaken and burst, for example, because of high blood pressure.
Sufficient quantities of glucose and oxygen, transported through the bloodstream, are needed
The human brain has three major structural components: the large dome-shaped cerebrum (top), the smaller somewhat spherical cerebellum (lower right), and the brainstem (center). Prominent in the brainstem are the medulla oblongata (the egg-shaped enlargement at center) and the thalamus (between the medulla and the cerebrum). The cerebrum is responsible for intelligence and reasoning. The cerebellum helps to maintain balance and posture. The medulla is involved in maintaining involuntary functions such as respiration, and the thalamus acts as a relay center for electrical impulses traveling to and from the cerebral cortex.
Stroke – The brain need a constant supply of blood, which carries oxygen and nutrients it needs to function.
- Blood vessels that carry blood to the brain from the heart are called arteries
- Each arteries supplies blood to specific areas of the brain
- A stroke also known as Cerebro-Vascular Accident occurs when one of these arteries to the brain either is blocked or bursts. As a result, part of the brain does not get the blood it needs, so it starts to die
STROKE DAMAGE
Types
1. An Ischemic stroke
An Ischemic (or dot) stroke occurs when a blood clot obstructs blood flow to a portion of the brain causing severely reduced blood flow (Ischemia) The most common ischemia strokes include
- Thrombotic Stroke – occurs when blood dot (thrombus) forms in one arteries that supply blood to the brain. A dot often may be caused by fatty deposits (plaque) that build up in arteries and cause reduced blood flow or other artery damage.
Type 2 Cerebral Bleeding (Hemorrhagic stroke)
Hemorrhagic stroke occurs when blood vessels in the brain leaks or ruptures.
Mini stroke (Transient Ischemic Attack) (TIA) – also called mini stroke-is a brief episode of symptoms similar to those of a stroke caused by temporary decrease in blood supply to part of brain.
Symptoms of Stroke
- Sudden weakness or numbness in the face, arm, leg or one side of the body. Abrupt of vision, strength, coordination, sensation, speech or the ability to understand speech. These symptoms may become worse over time.
- Sudden dimness of vision, especially in one eye
- Sudden loss of balance, possibly accompanied by vomiting, nausea, fever, hi-ccups or trouble with swallowing
- Sudden and severe headache with no other cause followed rapidly by loss of consciousness, indication of a stroke due to bleeding.
- Brief loss of Consciousness
- Unexplained dizziness or sudden fall
- If the symptoms pass quickly, this may indicate Ischemia attack.
Risk factors
- High blood Pressure
- Cigarettes smoking or exposure to second hand smoke
- High cholesterol
- Diabetes
- Being over weight or obese
- Physical inactivity
- Obstructive sleep apnea
- Cardiovascular disease
- Use of some birth control pills or hormone therapies that include estrogen
- Alcohol abuse
- Use of illicit drugs such as cocaine
Factors that cannot be control
- Age
- Race African American
- Gender – More in men
- Family history
Complication
- Temporary or permanent disabilities
- Paralysis or loss of muscle movement
- Difficulty talking or swallowing
- Memory loss or thinking difficulties
- Emotion problems
- Pain
- Change in self-care
Recovery from stroke depends on the extent and location of brain damage. Although about 25% of patients die within the first year of having their stroke, some stroke victims recover fully. But in the vast majority of cases, there is lasting physical or mental disability
Hospital Diagnosis of Stroke
1 Physical examination
Face Ask the person to smile. Does one side face drop
Arms. Ask the person to raise both arms. Does one arm drift downward?
Speech Ask the person to repeat a simple sentence. Are the words slurred?
TIME If any time is important.
2. Computed tomography (CT) scan of the brain to know whether is ischemic or hemorrhagic
3. Magnetic resonance Imaging (MRI) Done to find out the amount of damage to the brain and help predict recovery
Other initial recommended for ischemic include
Electro cardiogram (ECG, EKG) and Electrocardiography, in medicine, procedure by which a physician obtains a tracing of the electrical activity of the heart.
1) Electro cardiogram to check for heart including arrythmias . Electro cardiography or EKG detects electrical impulses in the heart and produces real-time record of the activity. An echocardiogram uses ultra sound to construct a visual image of the heart.
2) Blood tests such as complete blood count (CBC) blood sugar, electrolytes, liver and kidney functions and prothrombin (plasma protein: a plasma protein that is converted to thrombin during blood clotting)
3) Carotid ultrasound
4) Cerebral angiogram
Steps against recurrent stroke
- Suppliments
- Control High Blood Pressure
- Quit tobacco
- Maintain a healthy Body weight
- Eat fruits and vegetables
- Exercise regularly
- Avoid alcoholic drinks
- Treat obstructive apnea
- Avoid illicit drugs
- Learn stress management techniques
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lekside11:
When should I stop my anti-hypertensive drugs?
Before I answer this question, let me give you a little background on hypertension. Hypertension is divided into two major groups based on the causative factors. The first is essential or primary hypertension while the second is secondary hypertension. For secondary hypertension we can identify a specific factor causing hypertension and removal of the cause (when possible) will lead to the resolution of hypertension. On the other hand, no single factor can be blamed for the development of essential hypertension. Although, we know an interaction between genetics and environmental factors play a role in the development of essential hypertension. So because there is no single definitive cause, we cannot totally eliminate all these factors. As long as we can’t remove all the factors, hypertension will remain. So once the blood pressure is high enough to require drugs you will need to continue taking your drugs. However, there may be a need to readjust your medications from time to time.

I am worried about the adverse effects that could occur as a result of taking anti-hypertensive drugs!
It is true that anti-hypertensive drugs could cause adverse effects just like any other drug. It is advisable to discuss with your doctor if you experience any adverse effects. Some adverse effects can be handled by reducing the dose of your drugs or totally changing the medication. Anti-hypertensive drugs are relatively safe with prolonged use, unlike some other drugs that can only be used for a short period of time. I will emphasize that if you experience any unwanted effects please see your doctor, there are a million and one anti-hypertensive drugs out there in the market.