It may take a lot of persuasion to convince a person who feels well, but who has been told his blood pressure is raised, to take tablets which make him feel ill and which interfere with some normal bodily functions.

This is the reason most people stop treatment, or continue with a reduced dose. Another reason for non-compliance with the doctor’s instructions is that tablets are ordered to be taken three or four times a day and many people, with other things on their minds, simply forget to take them.

We have become more aware of this and so are more inclined to order drugs to be taken once or twice a day.

This will depend on their length of action, but we also accept that it is better to have a lower level in the blood for part of the day with less effect than have the patient taking no medication at all.

Most hypotensive or blood pressure-lowering drugs are better taken in combination.

If drugs with different side effects are combined, there is a cumulative effect on the hypertension and yet the side effects are kept to a minimum because the dose of each drug is kept low.

*442/71/1*

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