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Essential Hypertension

Essential hypertension is sustained high blood pressure arising from multiple genetic, age and lifestyle influences rather than one secondary disease.

Avapro

Irbesartan

150 · 300mg

Indicated to mitigate high blood pressure, formulated to support renal protection in diabetic patients and target angiotensin receptor pathways.

From$1.06/ tabletView

Micardis

Telmisartan

20 · 40 · 80mg

Indicated to manage hypertension, designed to target blood pressure elevation.

From$0.75/ tabletView

Key takeaways

  • Diagnosis usually requires repeated accurate readings outside a single stressful clinic visit unless pressure is severely elevated with organ injury.
  • Treatment benefit follows absolute cardiovascular risk, pressure level and organ damage, not symptoms because hypertension is often silent.
  • Most people needing medicine eventually use more than one complementary class at modest doses.

The listings below are not a universal regimen; age, pregnancy, kidney function, potassium and comorbidities guide selection and targets.

Confirming pressure and causes

Correct cuff size, seated rest and repeated home or ambulatory readings reduce misclassification. Evaluation checks kidney function, urine, glucose, lipids and ECG, with targeted testing for secondary causes when onset, severity or laboratory findings are atypical.

Reducing long-term risk

Lower sodium intake, regular activity, weight management, moderated alcohol and smoking cessation support treatment. ACE inhibitors or ARBs, calcium-channel blockers and thiazide-like diuretics have complementary roles and different monitoring needs. Adherence and side effects should be reviewed before escalation.

When to seek urgent care

Call emergency services for very high blood pressure with chest pain, severe breathlessness, confusion, seizure, sudden weakness or speech difficulty, vision loss or severe pregnancy-related headache.