Abstract: . . .  avoided in the presence of asthma because they may worsen wheezing and breathing problems. < Angiotensin Converting Enzyme Inhibitors - or ACE inhibitors - are particularly effective when used in diabetics to help slow the progression of kidney damage. ACE inhibitors are also used with congestive heart failure and to decrease the development of heart failure. < Calcium Channel Blockers are often used in the presence of angina, rapid heart rate, and erratic heart rate. Page 26 Federal Bureau of Prisons Hypertension Clinical Practice Guidelines June, 2004 23 Appendix 5. Patient Education - Hypertension (page 5) Drug Interactions Certain medications can raise blood pressure. These include: < Decongestants or cold preparations containing pseudoephedrine or phenylpropanolamine. < Nonsteroidal anti-inflammatory drugs (NSAIDs) including ibuprofen (Motrin), naproxen (Anaprox), sulindac (Clinoril), piroxicam (Feldene), indomethacin (Indocin) and others can also cause problems. < Steroids, antidepressants, birth control pills, and many illegal drugs such as cocaine, PCP, and all drugs similar to amphetamines can cause dangerous increases in your blood pressure. Summary There are three very important concepts to remember related to hypertension : < Controlling blood pressure is something that will be ongoing for a lifetime. Control of high blood pressure can be assisted by eating sensibly, exercising regularly, and quitting smoking. < If medication is needed to control blood pressure, it should be taken every day, and at the same time every day. Remember that certain drugs may cause blood pressure to go up, or may interact with blood pressure medication. < Controlling blood pressure may help you avoid several very serious conditions - heart attack, stroke, kidney failure, and blindness. Be aware of side effects that might be related to the medications being taken. Seek medical attention if you develop any symptoms of dangerously high blood pressure, such as: severe headache, confusion, or dizziness; severe chest or back pain; severe shortness of br . . .
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