Can patients with chronic kidney disease stop taking antihypertensive drugs if their blood pressure is normal?

Hypertension in patients with chronic kidney disease is the result of impaired kidney function, and the pathological changes of chronic kidney disease are generally not completely reversed. Therefore, hypertension will accompany the entire course of chronic kidney disease and gradually worsen as the disease progresses. Hypertension is an important contributing factor to the progression of chronic kidney disease and an important cause of cardiovascular and cerebrovascular complications and death. Therefore, it is very important to continuously, stably and effectively control blood pressure. When blood pressure becomes normal during antihypertensive treatment, several situations should be noted:

0 1 The time and method of measuring blood pressure are inappropriate. If the blood pressure is normal in the afternoon after antihypertensive treatment, it is considered that the blood pressure is under control. However, if the blood pressure is measured in the early morning, it may be elevated, forming the so-called "hidden" hypertension, leading to misjudgment of blood pressure. This type of hypertension is a common type in patients with chronic kidney disease, that is, non-spoon-shaped or reverse-spoon-shaped hypertension, which has a more adverse effect on patients. At this time, not only should the antihypertensive drugs not be discontinued, but the medication method should also be further adjusted to achieve a 24-hour stable blood pressure reduction.

0 2 After antihypertensive treatment, blood pressure has indeed dropped to normal, but the normalization of blood pressure is under the effect of antihypertensive drugs. Therefore, after stopping the drug, blood pressure may rise and return to the state of hypertension before treatment. In this case, you should continue to take antihypertensive drugs, but adjust the use of antihypertensive drugs according to the changes in blood pressure.

0 3 Changes in blood pressure are also affected by the seasons. Usually, blood pressure rises in autumn and winter, and may drop in spring and summer. In winter, the weather is cold, and the body reduces sweating, blood vessels contract, and the intake of food (including salt) is too much to keep warm, which may increase blood pressure; in summer, the weather is hot, and the body increases sweating, blood vessels dilate, and the intake of food is reduced to dissipate heat, which may reduce blood pressure. At this time, the main cause of hypertension in patients with chronic kidney disease has not disappeared. Therefore, in the regular antihypertensive treatment process, with the change of seasons, blood pressure tends to be normal. At this time, the dosage of medication can be reduced as appropriate, and the medication should not be stopped. As the climate turns cooler and blood pressure rises, the medication should be adjusted to keep blood pressure control continuous and stable.