抗高血壓藥(antihypertensive)簡稱降壓藥,是能使高的血壓下降至正常的藥物。
作用機理
- 中樞性抗高血壓藥
- 腎上腺素受體阻滯藥(β受體阻滯藥、α受體阻滯藥、α和β受體阻滯藥):降低周邊血管阻力、抑制心臟功能、增加容量血管中的靜脈血鬱積(後兩者會降低心輸出)
- 影響交感神經遞質的藥物
- 神經節阻滯藥
- 鈣拮抗劑
- 周圍血管擴張藥:使血管平滑肌放鬆,因此降低血管阻力與增加容量
- 血管緊張素轉換酶抑制劑
- 血管緊張素Ⅱ受體阻滯藥
- 鉀離子通道開放劑
- 利尿藥
- 利尿劑:透過排除體內鈉離子與降低血液體積或其他機制來降低血壓
代表藥物
參見
- 氨氯地平(脈優/Norvasc)
- 通道阻滯劑
參考文獻
- Chobanian AV et al.(2003)"The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report." JAMA. 289,2560-72. PMID 12748199
- ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group(2002)"Major outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor or calcium channel blocker vs diuretic: The Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)." JAMA. 288,2981-97. PMID 12479763
- Bangalore S, Kamalakkannan G, Parkar S and Messerli FH.(2007)"Fixed-dose combinations improve medication compliance: a meta-analysis."Am.J.Med. 120, 713-9. PMID 17679131
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