Lao Zhang has been suffering from high blood pressure for several years. This time, his daughter brought back some antihypertensive drugs from outside. This antihypertensive drug was bought from overseas by my daughter, and I heard that it works very well.

But Lao Zhang said. “Don’t buy it again next time. Aunt Wang next door said that high blood pressure can take vitamin B2, which is cheap and easy to use. Aunt Wang next door has been taking it for a long time, and I have been taking it for a week, and it feels okay.”

“Vitamins are not antihypertensive drugs, can they help?” My daughter was a little angry, isn’t this nonsense, “And I haven’t heard any doctor say, just take vitamin B2. Ah.”

So does vitamin B2 really have such a big effect? Is it true or false for the treatment of high blood pressure? There are more and more people with high blood pressure. Who is the culprit?

1. What happens to one tablet of vitamin B2 every day?

Vitamin B2 is a B vitamin called riboflavin. As a water-soluble vitamin, it has three functions:

• Constitutes coenzymes and participates in the metabolism of fatty acids, amino acids and carbohydrates.
• An important substance that makes up red blood cells.
• It is involved in the normal growth of human cells and the metabolism of the body.

If the human body lacks vitamin B2, it may cause angular stomatitis, glossitis, keratitis, seborrheic dermatitis, scrotal itching and other discomforts.

actually we the human body is very sensitive to vitamin B2 The demand is not particularly high, usually 1.5mg per day is enough, and fish, pork, milk, green leafy vegetables and other foods in the daily diet can help us obtain vitamins B2, Under normal circumstances, it does not need to be added deliberately.

For some people with vitamin B2 deficiency, at this time, symptomatic vitamin B2 supplementation can be considered under the guidance of a doctor.But Not recommended for long-term use.

Cardiovascular Dr. Wang explained that after taking vitamin B2 according to the dose, if the related symptoms are relieved, it is recommended to stop the drug and supplement it with food. Because its side effects are not known, it is known to cause yellow urine.

If the symptoms have not improved, or even show signs of aggravation, you should go to the hospital for examination and adjustment.

Second, is vitamin B2 reliable for treating hypertension?

Scholars from Nanfang Hospital of Southern Medical University studied the relationship between vitamin B2 and hypertension, and conducted a follow-up survey on 12,245 participants.

Scholars found that compared with those with the lowest vitamin B2 intake, a higher intake of vitamin B2 was associated with a new Associated with a 26% lower risk of high blood pressure, especially in subjects with low sodium/potassium intake ratios, the effect of vitamin B2 supplementation was greater, meaning lower salt intake The benefit of vitamin B2 supplementation was greater in people with high potassium intake.

Is vitamin B2 really the “nemesis” of high blood pressure? Actually, the mechanism by which vitamin B2 helps control blood pressure in the body remains unknown.

Because of the low price of vitamin B2 and the name of “nemesis” of high blood pressure, many hypertensive patients recognize vitamin B2. And rely on it to lower blood pressure, but in fact this approach is very wrong.

It’s true that vitamin B2 can help us control blood pressure, butit doesn’t replace blood pressure medication, in many cases vitamin B2 is more like an auxiliary “offensive” drug, it cannot become the “main force” of blood pressure.

Third, in this case, how should hypertensive patients choose antihypertensive drugs?

1.Basic principle: choose medicine according to the condition

• Patients with mild hypertension in Africa If a good antihypertensive effect cannot be obtained under drug therapy, one kind of antihypertensive drug can be considered for treatment; patients with moderate and severe hypertension generally need to choose two kinds of antihypertensive drugs;
• In elderly patients with isolated systolic hypertension, antihypertensive drugs such as this channel blocker should be used instead of central nervous system antihypertensive drugs;
• Patients with persistent (circadian) elevated blood pressure should choose antihypertensive drugs such as angiotensin-converting enzyme inhibitors;

2. Also Considering individual differences and complications

• The preferred antihypertensive drug for young and middle-aged hypertensive patients is β-blocker;< /li>
• The preferred antihypertensive drugs for elderly hypertensive patients are calcium channel blockers and diuretics, not beta-blockers;
• The preferred antihypertensive drug for obese hypertensive patients isAngiotensin-converting enzyme inhibitor;
• The first choice of antihypertensive drug for hypertensive patients with rapid pulse rate is beta-blocker;
• Hypertensive patients with slow pulse rate can choose antihypertensive drugs such as calcium channel blockers (which can increase heart rate);

3. Complementary effects through combination therapy

usually primary In the selection of antihypertensive drugs, the pharmacological effects of antihypertensive drugs should be considered in the selection of antihypertensive drugs.

4. Don’t just focus on the antihypertensive effect

Most hypertensive patients also Combined with other diseases, complications should be paid special attention to when taking medication. For example, hypertension complicated with ulcer disease, reserpine should not be used to lower blood pressure, hypertension complicated with heart failure, asthma, emphysema and other diseases, non-selective β-blockers are prohibited.

In addition, most hypertensive patients need to take antihypertensive drugs for life to stabilize blood pressure. At this time, it is not simply to look at the antihypertensive effect, but more attention should be paidWhether it can stabilize and lasting blood pressure, reduce or reverse complications, Whether it can reduce morbidity or mortality, etc..

Of course, due to the long-term use of antihypertensive drugs, the choice should also be consideredEasy to useThis principle, among which long-acting, sustained-release or controlled-release oral antihypertensive drugs are mainly used, and the low price can also reduce the economic burden brought by long-term medication.

Fourth, what causes the high incidence of high blood pressure, is the bane “salt?”

Hypertension, as a common chronic disease, is known as the “silent killer”, and many people are deeply troubled by it. What is the “culprit” of high blood pressure, is it salt?

Actuallyit’s not salt that induces hypertension, but the “sodium” in salt.

After ingesting sodium in food, the excess sodium will eventually be excreted through urine. However, in the case of excessive sodium intake, it is easy to cause A large amount of sodium ions remain in the body.

Sodium ions participate in the regulation of extracellular osmotic pressure in the body. In this case, the water between the tissues will enter the blood through the blood vessel wall, which will increase the blood volume and increase the blood pressure.

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Some foods are not salty, but they are high in sodium, so in addition to eating less salt, you should also control your sodium intake, especially The following three types of food should be paid more attention to in daily life:

• Condiments:Except Salt, as well as chili sauce, peanut butter, bean paste, soy sauce, etc.
• Processed foods: Ham, bacon, sausage, pickles, salted eggs, etc.
• Those “invisible” salts: potato chips, instant noodles, seaweed, roasted seeds and nuts, plum, etc.

Vitamin B2 is called the “nemesis” of high blood pressure, but it does not mean that it can replace antihypertensive drugs. Under the guidance of taking antihypertensive drugs to control blood pressure, and on the basis of taking drugs, you should also pay attention to your daily diet, and you should control sodium while controlling salt!

References:

[1]”It’s all wrong! The “culprit” of high blood pressure is not salt, but it! No wonder the blood pressure can’t be lowered”. Popular Science China. 2021-05-17

[2] “The doctor admits that vitamin B2 is the “nemesis” of high blood pressure! Too bad so few people know about it. The culprit of high blood pressure is not salt, but it! It’s too late if you don’t stop eating! “. Precision Medicine. 2022-03-24

[3]”Can vitamin B2 really cure oral ulcers? “. Dietitian Gu Zhongyi. 2018-11-27

[4] “Vitamin B2 can reduce the risk of hypertension, remember the four-character motto on diet! “. China Medical Tribune. 2020-11-24

[5] “Friends newly diagnosed with hypertension see here, 6 basic principles for taking antihypertensive drugs”. People’s Health. 2020-03-04

[6] “What are the benefits of taking vitamin B2 every day? Do you want to eat it for a long time? “. Cardiovascular Doctor Wang.2021-07-25

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