First line drugs for mild or borderline hypertensionCreated by:
In some patients with mild or borderline hypertension, I could not avoid but prescribe low dose antihypertensive medications because they could not adhere to lifestyle changes. If the pulse rate of the patient is quite fast, 80 per minute and over, I usually give bisoprolol 2.5 mg, 1 tablet once a day. If at the same time I see that the diastolic blood pressure is 90 and over, I usually add 6.25 mg of hydrochlorothiazide. There are drug preparations which contain the combination of bisoprolol and hydrochlorothiazide. These preparations could very well serve as initial drugs for borderline hypertension with fast heart rate and elevated diastolic pressure. Advise patients to take them after breakfast.