Which should take precedence, health supplements or medications?
Dear Doctor: If there is a problem with high blood pressure and the blood pressure medication causes low blood pressure after taking it, and the doctor has already adjusted it to the lowest dosage, in addition to taking blood pressure medication, I also take fish oil and other health supplements for vascular health.
However, in recent months, I have been experiencing dizziness upon standing due to low blood pressure.
Should I discontinue the medication or health supplements?
Xiao Jun, 50~59 year old female. Ask Date: 2019/10/19
Dr. Huang Xunying reply Family Medicine
It is recommended to return to the outpatient clinic to adjust the blood pressure medication for safety.
Reply Date: 2019/10/19
More Info
When managing high blood pressure (hypertension), the question of whether to rely on supplements or medications is a common concern among patients. It’s essential to understand that while both can play a role in managing blood pressure, they serve different purposes and should be approached with caution.
First, let’s discuss the role of medications. Antihypertensive medications are prescribed based on individual health needs and are typically the first line of defense against high blood pressure. These medications work through various mechanisms to lower blood pressure effectively. For instance, beta-blockers like Bisoprolol reduce heart rate and the heart's workload, while calcium channel blockers like Amlodipine help relax blood vessels. If you experience low blood pressure or symptoms like dizziness upon standing, it’s crucial to communicate this with your healthcare provider. They may need to adjust your medication dosage or explore alternative treatments. Stopping medications without professional guidance can lead to uncontrolled hypertension, which poses significant health risks, including heart attack and stroke.
On the other hand, dietary supplements, such as fish oil or potassium, can support cardiovascular health but should not replace prescribed medications. Fish oil, rich in omega-3 fatty acids, has been shown to have some benefits for heart health, including potentially lowering blood pressure. However, the effects are generally modest compared to prescription medications. Additionally, potassium can help balance sodium levels in the body, which is beneficial for blood pressure control. However, excessive potassium intake, especially from supplements, can lead to hyperkalemia (high potassium levels), which can be dangerous, particularly for individuals with kidney issues or those taking certain medications.
If you are experiencing symptoms of low blood pressure, such as dizziness or fainting, it’s vital to assess your overall health and medication regimen with your doctor. They may recommend lifestyle changes, such as increasing fluid and salt intake (if not contraindicated), adjusting your medication, or incorporating more physical activity. It’s also essential to monitor your blood pressure regularly to ensure it remains within a safe range.
In conclusion, while supplements can complement your treatment plan, they should not replace prescribed medications for hypertension. Always consult with your healthcare provider before making any changes to your medication or supplement regimen. They can help you find the right balance to manage your blood pressure effectively while minimizing side effects. Remember, managing high blood pressure is a long-term commitment that involves a combination of medication, lifestyle changes, and regular monitoring.
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