Taking 3 antihypertensive drugs still can't control blood pressure? What to do? Let me explain it clearly at once!

01Optimizing dialysis regimen

Improving the adequacy of dialysis, such as increasing the frequency of dialysis, extending the dialysis time, selecting high-flux hemodiafiltration, hemodialysis combined with hemoperfusion, etc., can better remove toxins and water from the body, reduce volume load, and help control blood pressure.

For kidney patients with refractory hypertension, hemodialysis combined with hemoperfusion therapy 1-2 times every 2 weeks can significantly reduce systolic blood pressure, diastolic blood pressure, plasma renin, angiotensin II and aldosterone levels, and significantly reduce the dosage of antihypertensive drugs.

02Improve your lifestyle

Kidney patients on dialysis should maintain a low-salt, low-fat, and low-sugar diet, strictly control sodium and water intake, and avoid weight gain exceeding 5% of dry body weight between dialysis sessions.

In addition, proper exercise can not only enhance physical fitness, but also help improve blood pressure control. Dialysis patients can choose appropriate exercise according to their own conditions, such as walking, jogging, Tai Chi, etc.

03Rational drug treatment

According to individual conditions, reasonable combination of medications should be used under the guidance of a doctor. Medication should be taken on time, in the prescribed amount, and for a long time. At the same time, blood pressure should be closely monitored at home. If blood pressure control is not ideal, you should communicate with your doctor in time to adjust the medication plan. Remember not to adjust or stop medication at will to avoid excessive fluctuations in blood pressure.