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[22] [23] Metoprolol may also cause the hands and feet to feel cold. [24] Due to the high penetration across the blood–brain barrier, lipophilic beta blockers such as propranolol and metoprolol are more likely than other less lipophilic beta blockers to cause sleep disturbances such as insomnia, vivid dreams and nightmares. [25]
As of 2018, the best available evidence favors low-dose thiazide diuretics as the first-line treatment of choice for high blood pressure when drugs are necessary. [5] Although clinical evidence shows calcium channel blockers and thiazide-type diuretics are preferred first-line treatments for most people (from both efficacy and cost points of ...
For most people, recommendations are to reduce blood pressure to less than or equal to somewhere between 140/90 mmHg and 160/100 mmHg. [2] In general, for people with elevated blood pressure, attempting to achieve lower levels of blood pressure than the recommended 140/90 mmHg will create more harm than benefits, [3] in particular for older people. [4]
“Although high blood pressure typically causes no symptoms and people may feel perfectly well, long-term high blood pressure has been conclusively shown to damage internal organs, particularly ...
High blood pressure is caused by the force of blood flow in the arteries being too high. The DASH diet includes heart-healthy foods that lower blood pressure. 21 foods that lower blood pressure ...
The therapy has been very helpful for high-risk patients. [22] Although beta-blockers effectively lower blood pressure, they are not recommended as a first-line agent in the treatment of hypertension, as thiazides diuretics, ACE inhibitors, and calcium channel blockers show greater benefit. [23]
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