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Why stopping BP drugs midway may harm you more

Dr Suranjit Chatterjee, Senior Consultant, Indraprastha Apollo Hospitals, New Delhi on the ills of stopping hypertension and other medication

blood pressureMany medications, especially antibiotics and antivirals, work by targetting specific bacteria or viruses in our bodies.

In our fast-paced world, it’s common to seek quick fixes for health issues. And the moment we start feeling better, we might be tempted to stop taking them midway. However, this can have serious consequences for our health. So let’s discuss a few scenarios of what discontinuing drugs at will does.

1. Resurgence of blood pressure: Stopping medications midway can cause a resurgence of the symptoms that initially prompted us to seek treatment. This happens because the underlying condition may not have been fully addressed. For example, if you’re taking medication for high blood pressure and stop abruptly, your blood pressure may spike again, putting you at risk of complications like heart attacks or strokes.

If your blood pressure is because of modifiable risk factors like obesity, lifestyle, smoking, drinking, diet and your BP is under control because of managing them, your doctor will lower your dosage gradually and watch your status over a period of a year or more. Going off medication may not always work because patients are not always consistent with their routines in keeping all modifiable risk factors down. For those with non-modifiable risk factors, lifestyle changes may not be enough to lower blood pressure and they will require medication. These triggers could include diabetes, family history of high blood pressure, old age, sleep apnea or diseases like cancer and chronic kidney disease.

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2. Incomplete Treatment Can Lead to Drug Resistance: Many medications, especially antibiotics and antivirals, work by targetting specific bacteria or viruses in our bodies. When we stop taking these medications before completing the prescribed course, we risk not fully eradicating the harmful pathogens. This incomplete treatment can lead to the survival of stronger, more resistant strains of bacteria or viruses. As a result, the next time we get sick, the same medication may not be as effective, requiring stronger or alternative treatments.

3. Worsening of the Condition: In some cases, stopping medications prematurely can lead to a worsening of the condition. Chronic illnesses such as diabetes, asthma, or mental health disorders require consistent management through medication. Discontinuing these medications without proper guidance can result in deteriorating health and potential medical emergencies.

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4. Safety Concerns: Certain medications, especially those for mental health conditions or chronic diseases, require a gradual tapering-off process under medical supervision to avoid withdrawal symptoms or adverse reactions. Abruptly stopping these medications can be dangerous and may lead to severe side effects.

5. Missed Opportunities for Improvement: Medications are prescribed with the intention of improving our health and well-being. By stopping them midway, we miss out on the potential benefits they offer. Completing the prescribed course gives the medication sufficient time to work optimally and provide the desired outcomes.

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6. Increased Healthcare Costs: When we don’t complete our medications and our health deteriorates, it often leads to more doctor visits, additional tests, and sometimes hospitalisation. These can significantly increase healthcare costs, not to mention the emotional and physical toll it takes on us and our loved ones.

Healthcare professionals prescribe medications based on their expertise and understanding of your medical needs. So, trust their advice and complete the prescribed course of treatment.

First uploaded on: 04-04-2024 at 11:28 IST
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