什么情况下高血压患者可以停药？ 王晓楠 浙江大学医学院附属杭州市第一人民医院

什么情况下高血压患者可以停药？ 王晓楠 浙江大学医学院附属杭州市第一人民医院
其实高血压患者一般情况下，没有医生的指导你是不能随意想停就停的，因为高血压不是一个治愈性的疾病，需要你长期去观测，然后这个药物的调整，所以轻易没有医生指导不能来停药。那么哪些情况下你需要停药，比如说高血压的病人出现了这种血压的降低，降低到什么程度，这个没有一个很明确的一个数值，但是我们在临床过程中，如果你这个血压低于100了，或者是在正常的低值了90几，当然我说的就是收缩压，收缩压这种情况。那么舒张压你可能只有304050，低到这种程度你可能要考虑这个降压药减量或者是停掉了。因为在血压偏低的时候会影响到许多脏器的供血，比如说脑血管的供血会影响到，那么会出现一些头晕，乏力或者是突然摔倒，或者是眼前发黑，这些症状有可能会出现。所以当血压偏低的时候你需要在医生的指导下来停药。

Under what circumstances can hypertensive patients stop taking drugs?
In fact, in general, patients with hypertension, You can't stop without the doctor's guidance, Because hypertension is not a cure, You need to observe it for a long time, And then the adjustment of the drug, So it's not easy to stop without doctor's guidance. When do you need to stop, People with high blood pressure, for example, have a drop in their blood pressure, To what extent, There is no clear value for this, But in the clinical process, If your blood pressure is below 100, Or in the normal low value of more than 90, Of course, I'm talking about systolic pressure, Systolic pressure. So diastolic blood pressure, you may only have 304050, At this low level, you may want to consider reducing or stopping the antihypertensive drug. Because when the blood pressure is low, it will affect the blood supply of many organs, For example, the blood supply to the brain vessels will affect, Then there will be some dizziness, Fatigue or a sudden fall, Or black in front of you, These symptoms may occur. So when your blood pressure is low, you need to stop taking medicine under the guidance of your doctor.