Alternatives to High Blood Pressure Medication

So it has been awhile since I was able to post last. I’m so sorry to all my readers for not being more on top of things. Life has a way of taking over. My posts last week were about common pharmaceuticals and I would like to continue with blood pressure drugs. As Americans gain weight and become less active, high blood pressure becomes more and more of an issue. Young kids are being diagnosed with high blood pressure and instead of making lifestyle changes, these kids are becoming doomed to take prescriptions for the rest of their lives.

So let’s talk about alternatives, but before I do, I must remind you that below are suggestions to do before you start taking medication. Although many of these alternatives are safe to do in conjunction with prescription drugs, it is important to consult your health care professional prior to doing so because your blood pressure will need to be monitored as you progress. Plus, if you are attempting to come off of blood pressure medication, it is important to do it under the supervision of your doctor.

What is Blood Pressure?

Blood pressure is defined as the force of blood pushing against the walls of the blood vessels. Systolic pressure is when the heart is contracting and when pressure is at its highest. Diastolic pressure is when the heart relaxes and blood pressure is at its lowest. Blood pressure is expressed as: systolic / diastolic mmHg (millimeters of mercury). Below is a chart that defines the parameters for blood pressure.

	Systolic	Diastolic
Normal blood pressure	Less than 120	Less than 80
Prehypertension	120-139	80-89
Hypertension	140 or higher	90 or higher

High Blood Pressure and Hypertension

Blood pressure naturally fluctuates based on your current activity level. If you are sleeping it remains low, but if you are running it will increase to accommodate the current stress on the body and heart. When your blood pressure stays high for extended periods of time, including when you are resting, then there is grounds for diagnosis of high blood pressure or hypertension. Currently, 1 in 3 adults in the US has high blood pressure and African Americans are twice as likely to have elevated blood pressure in comparison to Caucasians. If there is no other health issue present to be causing the high blood pressure, this is called primary hypertension. If your high blood pressure is being cause by another medical problem then you are said to have secondary hypertension.  

Long term high blood pressure can be damaging to many parts of the body, but the cardiovascular system takes brunt of the force, leading to arteriosclerosis, myocardial infarction, an enlarged heart, kidney damage or stroke. But the worst part about hypertension is that for many people they don’t know that they have high blood pressure because it often presents itself with no symptoms. For this reason it is referred to as the “Silent Killer” because you won’t know about it until it is too late.  

Common Blood Pressure Prescriptions

Two blood pressure medications made the top 10 most prescribed drugs in the US, Lisinopril and hydrochlorothiazide, so I thought I would provide a little information about them.

Lisinopril (brand name Prinivil) was the third most prescribed drug in 2010. It works by blocking angiotensin converting enzyme (ACE). This relaxes the arterial walls and decreases blood pressure, allowing the heart to work less. It does come with some side effects, including dizziness, headaches and fainting. The side effect that is usually makes the most impact is lisinopril’s ability to decrease sexual function and libido. His would definitely discourage me from taking it.

Hydrochlorothiazide (brand name HydroDIURIL) was the tenth most prescribed drug in 2010. As a diuretic, it works by decreasing the fluid load in the body and therefore decreasing blood pressure. Side effects include lightheadedness, increased blood sugar, increased uric acid and decreased potassium, magnesium and zinc. A long term disruption in electrolyte balance is a recipe for disaster. Decreased blood magnesium and potassium increases the risk of sudden cardiac death.

Alternatives to Blood Pressure Medication

There is a reason the pharmaceuticals are so popular among the American culture: because Americans like a quick fix. We are so busy that taking the time to fix ourselves is out of the question. I’m here to encourage you to take back your health. If you do some of the alternatives provided, you will not only help your blood pressure, but you will also be affecting your entire body including your emotional state. The time you take for you is an investment in your health. Specific alternatives to blood pressure medication include:

• De-Stress: here is a blog post about getting your stress under control http://theverbalherbal.blogspot.com/2012/08/natural-ways-to-cope-with-stress.html
• Get moving and drop some pounds: exercise can decrease your blood pressure even without losing weight, but dropping some pounds and getting to a healthy body weight can lower your risk of heart disease by 2/3’s!
• Make healthy lifestyle choices: decrease your consumption of alcohol, tobacco and caffeine
• Increase Fruits and Veggies: so many different studies state that different fruits and vegetables can decrease blood pressure, so I interpret it as eat a lot of them and eat a variety
• Decrease your intake of Salt
• Hoffmann suggests the following supplements
• Mg 800-1200 mg/day
• Vitamin C 500-1000 mg/3x a day (in one study, low levels of vitamin C accounted for 1 in 4 cases of high blood pressure)
• Vitamin E 400-800 IU/day
• Coenzyme Q10 50 mg/2-3x a day
• Fresh Garlic 4000 mg/day

The Herbal Approach to High Blood Pressure

When it comes to herbs, it is easy to take a multifaceted approach to blood pressure. So many herbs have many different valuable heart healthy actions. With pharmaceutical if you want an ACE blocker and a diuretic you would have to take two different drugs. When it comes to herbs, one herb can do both of the actions.  Here are some of the herbal actions that you may wish to incorporate into your treatment plan:

• Cardiac tonics: help to strengthen and tone the cardiac system (hawthorn, linden)
• Hypotensives: lower blood pressure (hawthorn, linden, yarrow, cramp bark, valerian)
• Vasodilators: open the blood vessels to help relieve some of the pressure
• Diuretics: decreases the build up of excess fluid in the body (hawthorn, yarrow, linden)
• Vascular tonics: nourish the tissue of the veins and arteries (hawthorn, linden, yarrow
• Circulatory stimulants: increase peripheral circulation  

A Few Herbs in Detail

Hawthorn (Crataegus spp): Hawthorn is the most well known and effective cardiac tonic around. Its proanthocyanidins and several falvonoids help to increase the hearts metabolism allowing for better nutrition and more rhythmic contractions. It also decreases the release of ACE which is linked to high blood pressure and it protects the heart tissue from oxidative damage. In the early stages of heart disease, hawthorn can be more effective than drugs with fewer side effects. It can be taken with blood pressure medications; however, you need to do this under a doctors supervision because it can increase the effectiveness of the drugs resulting in the need for less.

Garlic (Allium sativum): Garlic is such a wonderful herb and it is so easy to incorporate into daily life, just by adding it to food. Allicin is its major active constituent and, crazy as it sounds, it is not found in garlic. Instead, garlic contains allinase and alliin in isolated little blocks within the garlic clove and when they mix together via chewing or crushing the clove it creates allicin, which based on studies, can lower systolic pressure by 20-30 mmHg and diastolic by 10-20 mmHg.

Linden (Tilia platyphyllos): Linden is another valuable cardiac tonic that is also very relaxing. It helps to prevent the development of arteriosclerosis and hypertension.

If you have been diagnosed with prehypertension or hypertension it is important to take action immediately. Above, I have provided numerous ways to get your heart healthy and avoid the silent killer.

Sources:

Duke, J. A. (2000). The green pharmacy herbal handbook: your comprehensive reference to the best herbs for healing. Emmaus, Pa: Rodale Reach.

Hoffmann, D. (2003). Medical herbalism: the science and practice of herbal medicine. Rochester, Vt.: Healing Arts Press.

Rybacki, J. J. (2004). The Essential guide to prescription drugs 2004 (Pbk. ed.). New York, NY: HarperResource.

http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/

http://www.allicinfacts.com/allicin01.htm

http://www.ncbi.nlm.nih.gov/pubmed/20361714

http://www.healthiertalk.com/get-your-blood-pressure-under-control-naturally-2627

http://www.therichest.org/nation/americas-most-popular-drugs/ 

Natural Alternatives to Blood Thinners

As my post stated on Monday, I want to speak about some of the common pharmaceutical that are taken today and provide alternative things you can do to avoid having to take them for the rest of your life. I wanted to start with blood thinners. A friend of mine asked about natural alternatives to warfarin. His dad takes it and does not like the side effects. This is the information I have on the subject.

 Before I go any further, I would like to stress that the suggestions listed below are steps that can be taken prior to going on pharmaceutical. Many of these drugs can have dangerous interactions if you combine natural alternatives with the pharmaceuticals. Also, if you are currently on blood thinners and wish to come off of them you should contact your doctor. Coming off of long term pharmaceuticals is not something that you should do on your own. It requires a doctor’s supervision and often blood tests to monitor your levels.

What’s the Purpose of Blood Thinners?

The term “blood thinners” is a little misleading. They don’t technically thin the blood. Instead, they decrease the blood ability to clot which, theoretically, allows the blood to flow more freely leaving the blood vessels unblocked. A more accurate term is “anticoagulants”. They are given to people at risk for heart attacks, strokes and aneurisms and, as the population ages, more and more people will be advised to take blood thinners.

Commonly Used Blood Thinners

Warfarin (brand name Coumadin) was originally developed as a rat poison and, disturbingly, it is still used this way. It works by blocking the action of vitamin K which interferes with the production of 4 essential blood clotting factors. This causes the blood not to clot properly. What makes it so dangerous is that it has a very small therapeutic window, which means that if you take a little more than the suggested dose there can be serious consequences. This can be fatal when prescribed to older individuals, which it often is, who have problems remembering. Take your pills, forget you took them and take them again, spells disaster and can lead to serious internal bleeding and even death. Warfarin is so effective at preventing clots that any minor fall needs attention because of the risk of bleeding. Even if you don’t fall, one of the main side effects is severe bleeding, internal and external. It also has a whole list of other side effects, along with a long list of drug, herb and food interactions.

My friend asked specifically about warfarin, so I wanted to focus on that, but I did want to give a little information about other blood thinners that are used. Aspirin is the most commonly prescribed blood thinner. It works by decreasing prostaglandin G/H synthase which suppresses platelets ability to make thromboxanes therefore inhibiting blood clots. Long term use of aspirin can cause stomach irritation, stomach bleeding, ulcers and liver toxicity. Plavix (brand name clopidogrel) is another common blood thinner, last year bringing in 9.2 billion dollars in sales. It works by inhibiting ADP-induced platelet aggregation and has similar side effects as other prescription blood thinners.

Alternatives to Blood Thinners

Rather than addressing the symptom of an unhealthy lifestyle (blood clots), we should be striving to address the problem. A healthy diet, exercise, maintaining a healthy body weight, getting adequate sleep and making healthy lifestyle choices are all necessary to maintaining a healthy cardiovascular system and keeping our blood vessels clot-free. If we do this then we won’t need to worry about blood thinners. For added insurance, below is a list of other ways to make sure your blood remains a safe and healthy viscosity.

Eat foods high in salicylates: Salicylates block vitamin K, which helps to coagulate the blood. Prunes, cherries, cranberries, blueberries, grapes and strawberries are all foods that are high in salicylates.

Increase your intake of Omega-3s:  Omega-3 fatty acids help to thin the blood by decreasing cholesterol, making it less likely to clot. Foods high in Omega-3 fatty acids include salmon, lake trout, mackerel, flax seeds, avocados and sesame seeds. Supplements are also available.

Drink more water: 55% of blood is made of plasma and 90% of plasma is water. Dehydration effects all areas of the body, including your blood, so to keep your blood flowing smoothly, make sure to drink plenty of water.

Exercise: Exercise helps to increase blood flow and decrease clotting, so get up and get moving.

More B6: Vitamin B6 has been shown to decrease excessive clotting. You can take a supplement or just increase your intake of food containing B6 such as whole grains, sweet potatoes and legumes.

Supplement with Vitamin E: Vitamin E has been shown to be as effective at thinning the blood as prescription medications.

Herbs

Hawthorn: Hawthorn is an amazing tonic that helps to normalize the function of the cardiovascular system. It decreases the risk of developing coronary disease by dilating the coronary arteries so that blood can flow more freely and it protects the blood vessels from oxidative damage.

Ginkgo: Ginkgo helps to improve blood flow in many ways. First, ginkgolides, especially ginkgolide B, decreases platelet activating factor (PAF) and therefore reduces blood viscosity allowing blood to flow smoothly. It also acts as a vasodilator, improving circulation.  

Garlic: Garlic helps to decrease serum cholesterol and prevent peroxidation of fats which, in turn, decreases the buildup of arterial plaque. 9 different substance in garlic effectively inhibits platelet activating factor and thin the blood.

Ginger: Ginger decreases platelet aggregation and its antioxidants keep cholesterol and blood fats from forming plaque in the blood vessels.

Turmeric: Turmeric can decrease the buildup of arterial plaque that can cause stroke and heart attacks.

Overall, there are many ways to thin the blood; however if the main goal is to prevent a heart attack or a stroke, the best way is by strengthening and tonifying the entire cardiovascular system, not just by thinning the blood. I hope you have found this helpful and my next post will be about blood pressure medications.

Sources

Duke, J. A. (2000). The green pharmacy herbal handbook: your comprehensive reference to the best herbs for healing. Emmaus, Pa.: Rodale Reach.

Hoffmann, D. (2003). Medical herbalism: the science and practice of herbal medicine.

Rochester, Vt.: Healing Arts Press.

Rybacki, J. J. (2004). The Essential guide to prescription drugs 2004 (Pbk. ed.). New

York, NY: HarperResource.

http://www.americasblood.org/go.cfm?do=page.view&pid=12

http://www.nativeremedies.com/ailment/blood-thinners-anticoagulants.html

http://www.forresthealth.com/Coumadin-Alternatives/

http://www.umm.edu/altmed/articles/turmeric-000277.htm

http://www.umm.edu/altmed/articles/ginger-000246.htm

http://www.healtharticles101.com/top-10-natural-blood-thinners-for-thick-blood/

Daily Herb-o-scope - Keep your heart healthy with Hawthorn berries

Hawthorn (Crataegus spp.) is a great cardiac restorative that can nourish and restore the heart. This plant has the innate ability to stimulate or depress the hearts activity as needed. Take it as a tasty tea or as a tincture but don't forget about the delicious jams and jellies that these berries can make. Although Hawthorn is safe to be taken along with heart medication, be sure to consult your physician so that you can monitor you blood pressure and heart function. You may find that with continued use of hawthorn berries you may need less medication.