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How long does it take for high BP to damage kidneys?

Severe high blood pressure can harm kidney function over a relatively short period of time. Even mild forms of high blood pressure can damage kidneys over several years.

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Blood pressure is the pressure of blood pushing against the walls of your arteries. Arteries carry blood from your heart to other parts of your body. Blood pressure normally rises and falls throughout the day, but it can damage your heart and cause health problems if it stays high for a long time. Hypertension, also called high blood pressure, is blood pressure that is higher than normal. Uncontrolled high blood pressure is the second leading cause of kidney failure in the US. Severe high blood pressure can harm kidney function over a relatively short period of time. Even mild forms of high blood pressure can damage kidneys over several years.

Blood pressure – fast facts

The top number in a blood pressure measurement is called the systolic pressure. This measures the force of blood against the walls of the arteries when the heart is pumping. The lower number is called the diastolic pressure. This measures the force of the blood when the heart is between beats. Both numbers are important and need to be controlled. In 2017, the American College of Cardiology and the American Heart Association published new guidelines for hypertension management and defined high hypertension as a blood pressure at or above 130/80 mm Hg. Stage 2 hypertension is defined as a blood pressure at or above 140/90 mm Hg Nearly half of all adults in the US (108 million or 45% of the population) have high blood pressure Only about 1 out of every 4 people with high blood pressure (24%) have their condition under control

High blood pressure causes kidney damage

High blood pressure can constrict and narrow the blood vessels in your kidneys, which reduces blood flow and stops the kidneys from working well. When this happens, the kidneys are not able to remove all wastes and extra fluid from your body. Extra fluid in the blood vessels can raise your blood pressure even more, creating a dangerous cycle, and cause more damage leading to kidney failure. More than 1 in 7 adults in the US, or about 37 million people, may have chronic kidney disease (CKD) High blood pressure is the second leading cause of kidney failure in the US after diabetes Approximately 1 in 5 adults (20%) in the US with high blood pressure may have CKD Although Black or African American people make up about 13 percent of the population, they account for 35 percent of the people with kidney failure in the United States. These numbers are concerning and reflect some of the nonmedical reasons for the increased rates of high blood pressure in communities of color, which include where someone lives and works, the foods they eat, how much exercise they do, and if they are able to get the medical care they need. High blood pressure and the early stages of CKD usually does not cause any physical symptoms, which is an important reason to have regular blood pressure screenings Following a healthy diet and taking medicine for high blood pressure may keep CKD from getting worse and may prevent other health problems such as heart disease

For more information, please contact nkfcares@kidney.org

Source: CDC, NIDDK

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What should you not take with blood pressure medicine?

Some common types of OTC medicines you may need to avoid include: Decongestants, such as those that contain pseudoephedrine. Pain medicines (NSAIDs), such as ibuprofen and naproxen. Cold and influenza medicines. ... Some antacids and other stomach medicines. ... Some natural health products.

Topic Overview

Which over-the-counter medicines can affect blood pressure?

Some over-the-counter (OTC) medicines can raise your blood pressure or keep your blood pressure medicine from working the way it should. So if you have high blood pressure or other heart or blood vessel problems, you need to be careful with OTC medicines. That includes vitamins and other natural health products. Your doctor or pharmacist can suggest OTC medicines that are safe for you.

Some common types of OTC medicines you may need to avoid include:

Decongestants, such as those that contain pseudoephedrine.

Pain medicines ( NSAIDs ), such as ibuprofen and naproxen.

), such as ibuprofen and naproxen. Cold and influenza medicines. These often contain decongestants and NSAIDs. Some antacids and other stomach medicines. Many of these are high in sodium , which can raise blood pressure. So be sure to read labels carefully to check for sodium content. , which can raise blood pressure. So be sure to read labels carefully to check for sodium content. Some natural health products. Examples are ephedra, ma huang, and bitter orange.

How can you know if it's safe to take an over-the-counter medicine?

Always talk with your pharmacist or doctor before you take any new OTC medicine or supplement. He or she can: Check to make sure that the medicine won't interact with your blood pressure medicine.

Suggest OTC medicines that won't affect your blood pressure.

It's also important to make a list of all the medicines you take. Bring it to each appointment, and ask your doctor to review it. Be sure to include all your prescription medicines, OTC medicines, vitamins, and other natural health products.

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