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Drug Information Center

Drug Information Center

Drugs used for high blood pressure (Antihypertensives blood pressure)

  • What are the drugs used for high blood pressure?
  • Drugs used to treat high blood pressure. It is often described When blood pressure exceeds 140 mm Hg systolic and 90 mm Hg diastolic.

  • What are the types of drugs used for high blood pressure?
  • Antihypertensives are classified as follows:
    ♦ Diuretics.
    ♦ beta blockers Beta Receptor Blockers.
    ♦ alpha blockers Alpha Receptor Blockers.
    ♦ Alpha-Beta Receptor Blockers.
    ♦ Angiotensin Converting Enzyme (ACE) Inhibitors.
    ♦ Angiotensin II Receptor Blockers.
    ♦ Calcium-Channel Blockers.
    ♦ Central Adrenergic Inhibitors.
    ♦ Vasodilators

  • Diuretics drugs:
  • Diuretics drugs are sometimes called "water pills" , which is about drugs work at the kidney where rid the body of water and excess salt as it works to reduce the size of blood during Diuresis , so the body get rid of fluids and salts example. Reducing volume of fluid and sodium levels in the body to vaso- dilatation , which helps to increase blood flow and thus reduce the pressure exerted by the blood on them. Where urinary diuretics used for people who have a slight rise in blood pressure as the first and easiest option for the treatment of pressure.

    There are three types of diuretics used to treat high blood pressure:

  • Thiazide diuretics:
  • Drugs of this group, such as hydrochlorothiazide, chlorthalidone, Chlorothiazide one of diuretics medium influence where reduce the absorption of sodium at the beginning of DCT after taking the pill two hours start working and effect most of these drugs long up to 24 hours.
    Most of these diuretics lead to hypokalemia, hyperuricemia and also lead to high blood sugar level. So that should avoid use for diabetes.

  • Loop Diuretics:
  • Ex. Ethacrynic Acid, Furosemide, Bumetinide
    The diuretics are stronger effect fast but ends up a short time up to 8 hours. Contraindications: kidney failure and cirrhosis of the liver.
    side effects ..dehydration, most of these drugs lead to potassium deficiency hypokalemia, high uric acid hyperuricemia and also lead to high blood sugar level. So that should avoid use for diabetes and sometimes gastrointestinal upset.

  • Potassium sparing diuretics:
  • Where is considered one of the weakest types of diuretics, but benefits they increase the level of potassium .. Where compensate potassium deficiency as a result of the use of other diuretics .. Ex. Of these diuretics Triamterene, Amiloride & Spironolactone
    side effects: rash, dry mouth and an increase in potassium . Contraindications: When rising potassium levels and kidney failure

  • Beta Receptor Blockers:
  • Beta Receptor Blockers to inhibit action of the hormone adrenaline hormone and as a result slow the heart rate and reduce the contraction as well as these medicines work to relax blood vessels , Improvement blood flow and thereby reducing blood pressure. If only associated with the beta receptors in the heart called selective beta inhibitors, such as:
    Atenolol (Tenormin®) , Bisoprolol ( Concor ® ) , Metoprolol ( Lopressor® )
    If the association with beta receptors in all the body called Non-Selective B-blockers, such as:
    Propranolol (Inderal ®) , Nadolol , Pindolol.
    Note: that this type drugs have many uses, not only for the treatment of high blood pressure.
    Some medicines their effect long as Atenolol (Tenormin®) .. and Some medications their effect such short as Propranolol (Inderal ®)
    Contraindications of this drugs group: asthma due to these drugs may give rise to or exacerbate asthma attacks.
    side effects of of this drugs group: a feeling of weakness, peripheral coold , vertigo and dizziness. In simple cases may occur difficulty breathing, anxiety , sleep disturbance,sexual failure of performance and slow heartbeat. Keep in mind when used in people with diabetes because they mask the symptoms of low blood sugar level , which leads to a sudden fainting , Avoid stop these medications abruptly because this may lead to an increased risk of exposure to heart attacks and other heart problems

  • Alpha Receptor Blockers:
  • Alpha Receptor Blockers relax muscles and helps blood vessels to stay open, which prevents hormone adrenaline and nor adrenaline (epinephrine & nor epinephrine) to activate the muscles in the small arteries and veins, which leads to the survival of vessels open.
    Ex. Of these drugs: Doxazosin ( Cardura , ( ® Prazosin )Minipress®) , Terazosin(Itrin®) )
    Note : Prefer not to be these drugs are the first choice in the treatment of blood pressure, where it is advisable to be associated with other drugs when difficult to control high blood pressure, and is the first dose of these drugs have significant pressure, which could lead to a drop in blood pressure and dizziness and dizziness when standing up from a sitting position, which may lead to fainting.

  • Alpha-Beta Receptor Blockers:
  • Combine these drugs the action of both Alpha Receptor Blockers and Beta Receptor Blockers , they relax the blood vessels muscles and slows the heart rate.
    Ex. Of these drugs: Labetalol (Trandat ®), carvedilol (dilarend®)
    Side effects: dizziness, depression, diarrhea, dry eye, slow heart rhythms, tingling in the scalp, sexual problems, skin rash, swelling in the leg and foot, feeling tired, whistling or shortness of breath in patients with asthma.

    Angiotensin converting enzyme inhibitors(ACEI)

    These drugs work to prevent constriction of blood vessels leading to lower blood pressure and facilitate the work of the heart, also these drugs inhibit release aldosterone (hormone works to increase water retention and salts in the body, leading to increased blood pressure)
    Mechanism Of Action : Inhibiting the enzyme responsible for converting angiotensin I to angiotensin II ..., angiotensin substance working on narrowing and contraction of blood vessels ... The result is inhibition of this enzyme is to expand the blood vessels and reduce the blood pressure Reduce this mechanism of vascular resistance of blood paid by heart.
    Ex. of these drugs: Lisinopril (zestril® )Captopril ( capotin ®) and Enalapril (Renitec ®) cilazapril, fosinopril, imidapril, moexipril, perindopril, quinapril, ramipril and trandolapril
    common side effects of thses group: Dry cough, increasing the level of potassium in the blood, itching, dizziness and fainting, decreased appetite. should not use these drugs by pregnant women or expect pregnancy what caused these drugs from abnormalities in the fetus.

  • Angiotensen Receptors Antagonists:
  • These drugs influence the effect of like ACE inhibitors , but works by a different mechanism, they are rather than prevent produce Angiotencin ii are inhibit its work from its biding to its receptors.
    Ex. of these drugs: Valsarta ,candestran , Telmisratan Usefulness for these group used for people who suffer from dry cough as a result of the use of a drug ACEI.
    common side effects of Angiotensen Receptors Antagonists:
    Similar to those resulting from ACEI such as a rise in the level of potassium, headache, dizziness, vertigo, congestion in the nose, pain in the back and Foot, diarrhea, lack of urine output, a lack of leukocytes, except some of the symptoms, such as scarcity of cough dry.
    Note: should not use these drugs by pregnant women or expect pregnancy what caused these drugs from abnormalities in the fetus.

  • calcium channel blockers:
  • These drugs calcium channel blockers prevent calcium entry muscle cells of the heart and blood vessels , where they lead to relax and expand blood vessels and reduces the pressure also increases out put sodium, and also slows the heartbeat, and thus lower the pressure

  • Examples of these medications:
  • Amlodipine , Diltiazem , nifedipine , verapamil . Uses of these drugs mainly in the treatment of blood pressure and angina, peripheral artery disease , due used in these cases to their effect on the heart muscle and blood vessels, where they reduce heart rate and strength of contraction as a result of slowed the progress of electrical current to the heart muscle occurs widening of the arteries

  • There are two types of calcium channel blockers:
  • • Type of hydrogen pyridine bilateral and include Nifedipine , Amlodipine and felodipine and Nimodipine (to have a high potential for expansion of blood vessels and energizes the smooth muscle lining of the arteries with little effect on the heart muscle and officers pulse in the heart)

    • Type of hydrogen pyridine non bilateral include Diltiazem and verapamil (concentrated its activity on the heart muscle and pulse officers with little effect on the blood vessels). There research on the effectiveness of this type of medication in the treatment of Alzheimer's disease and is also used and traditionally as maintenance therapy to prevent or minimize migraine attacks .. there other uses for calcium channels blockers in special cases, including the use of verapamil in the case of Obstructive hypertrophic cardiomayopathy , The use of nifedipine in Reynaud's Phenomenon, which is a alternating infarction and wobbling of the Parties, especially fingers and ear and nose. Recently Nimodipine used to treatment of cerebral bleeding resulting from the explosion of brain arteries.

    calcium channel calcium Absorbed well in the digestive tract, and exposed after absorbed into the metabolic processes Metabolism in the liver and excretion mainly through the kidneys, so the people who suffer from problems kidneys or health problems in the liver are particularly vulnerable to poisoning because of their inability to excretes the drug from the body.

    Some of these drugs, which interact adversely with grapefruit , as this fruit is working on reducing the liver's ability to remove these drugs from the body, which leads to increased level in the body.

    common side effects are the result of the way to work where lead the expansion of the blood vessels to swelling in the lower limbs and facial flushing and headaches as a result of the slowdown return blood from the parties to the heart and increase the spread of blood to the head. Sometimes happens very low blood pressure.
    Contraindications:
    • Advanced weak heart, which means that the heart muscle is able to pump only 40% of the blood in the ventricles with each contraction.
    • It is not preferable to use calcium channel blockers with blockers Beta Beta Receptor Blockers, which also act to slow the heart rate and reduce myocardial contractility which may lead to heart failure or inability of members of other sensitive body for the non-arrival of sufficient quantities of blood to those organs such as the kidneys and brain.
    • Use with caution when you synchronize the use of calcium channel blockers with some other drugs, for example, use Virabaml or Diltiazem with aspirin, as this synchronization leads to an increase in the effectiveness of aspirin in preventing the clotting, and must monitor the patient for potential bleeding.
    • advised to avoid drinking grape juice because the juice reduces the body get rid of calcium channel blockers and thus stay in the body for a longer period.

  • common side effects in this group:
  • Constipation, headache, rapid heartbeat, itching, lethargy and laziness, facial flushing, nausea, swelling in the foot and leg.

  • Antihypertensives Centrally Acting:
  • work directly on the prevention of brain from sending impulses nerve to the nervous system that leads to accelerated heartbeat and narrow blood vessels and result of this prohibition less heart pumping blood and make blood flow more easily in the blood vessels.

  • Ex. of these medications are:
  • Clonidine , Guanfacine,, Moxonidine , Methyldopa Methyldopa drug is considered very important medicines to treat high blood pressure in pregnancy.

  • Side effects of this group of drugs:
  • weakness in the limbs, drowsiness and sleepiness, dizziness, impotence, headache, weight gain, and psychological problems such as depression.
    The sudden withdrawal of these drugs may lead to a significant rise in blood pressure

  • Contraindications to this group of drugs:
  • When people with depression.

  • Vasodilators:
  • It works directly on the muscles in the arterial wall sealing them from contraction and thus help in the flow easy to blood through the arteries, and the heart will pump blood strongly and thus lower blood pressure (working directly on the muscles of blood vessels in the walls of blood relax and decreases pressure).
    Ex. of these drugs include: diazoxide , Hydralazine, Na nitroprusside & Minoxidil These drugs are a strong influence that they are used in the absence of sufficient ability to control high blood pressure. diazoxide given intravenous injection at extreme high pressure ... It is also used when low blood sugar.
    Contraindications: angina, myocardial infarction, pregnancy

  • Side effects of this group of drugs:
  • high blood sugar and Increased heart rate.
    ◙ Hydralzine called commercial Apersoline .. Used to treat hypertension and heart failure. Contraindications: cardiac infarction.
    Side effects of this of drug: increased heart rate. Headache. , sometimes rash.
    ◙ Sodium Nitroprusside ... used to treat high blood pressure as well as heart failure. Contraindications: liver dysfunction , Severe vitamin B12 deficiency Side effects of this of drug: headache. Dwagthian. Nausea , Increased heart rate and increase in breathing.

  • Important Notes:
  • the effect of the Antihypertensives Can vary by different species , eg black Americans tend to respond to diuretics urinary thiazide-type, while relatively less than their response to converting enzyme inhibitors or beta inhibitors.

  • Are these drugs can help in the treatment of diseases other than hypertension?
  • Yes, it helps in many cases, such as heart failure, angina, and coronary artery disease, and heart rhythm disorders, and tumor cells ,Pheochromocytoma, and enlarged prostate . Some medications that are available consist of several Antihypertensives for pressure are in one tablet, and so the patient takes one pill instead of several tablets , eg drug Capozide ® or Vaseretic ®.

  • What are the common interactions between antihypertensive drugs and other medicines?
  • There are a lot of interactions between antihypertensive drugs and other medications and include the following:
    ► Nitrates: It drugs relax arterial walls and muscles causes a decrease in blood pressure.
    ► Nicotinic acid: a form of vitamin B-3 used to decrease cholesterol level.
    ► Drugs that treat sexual dysfunction, such as Viagra (sildenafil).
    ► Alcohol.
    Grapefruit juice: interfere in the work of the liver to get rid of some of the material, resulting in Antihypertensives accumulation up to a toxic level.

  • The following materials they can counteract the effects of antihypertensive medications
  • leading to increased high pressure:
    - Analgesics (NSAIDs ).
    - Nicotine (in tobacco, such as cigarettes, etc.).
    NSAIDs: such as aspirin and ibuprofen aspirin ibuprofen, and celecoxib.
    In addition, some of the medicines sold without a prescription, can interact with Antihypertensives, and these include drugs that control appetite, asthma medications, and medicines cold and flu and cough, and drugs sinuses, hay fever hay fever. Also should pay attention when using a few drops kind, such as decongestants kind.

    What do you know about aspirin Aspirin?

    Aspirin extracted from willow. Chemical composition Acetyl salicylic acid
    Uses:
    - Analgesic, Antipyretic And Anti-Inflammatory.
    - To relieve pain and reduce platelet aggregation , to reduce the incidence of stroke.
    - Used to treat arthritis and rheumatism for being ineffective, but when used in a dose of more than 3 grams per day resulting in damage to the stomach and increase blood thinners.
    Contraindications:
    Sore , Children under 16 years of age, especially with the flu or chicken pox which increases the likelihood of Ryes Syndrome which ends with damage to the liver and enter into a coma, Women breastfeeding and sensitivity to aspirin.
    Precautions for use:
    Asthma .. Pregnancy .. Liver or kidney failure and stomach ulcer cases . Side effects of this of drug: Nausea .. Stomach ulcer .. tinnitus .. lack of blood platelets .. bleeding .
    Drug interactions:
    Increase the effectiveness of anti- blood clots drugs such as Plavix, and warfarin .
    ◙ What is prednisolone (methylprednisolone)?
    Prednisolone( methylprednisolone) are steroid cortisone family, it reduces swelling and reduces the body's immune response.

    What are the things that should I avoid when using prednisolone (methylprednisolone)?

    Prednisolone( methylprednisolone) used to deal with different situations, such as hormonal disorders, is given when the body does not produce Sufficient quantity of steroids. It is also used to treat many allergic and immunological disorders such as rheumatoid arthritis, lupus, Psoriasis, asthma.
    ♦ Do not stop using prednisolone( methylprednisolone ) suddenly , you may need to reduce the dose Gradually before stop you taking this medicine.
    ♦ Do not take prednisolone (methylprednisolone if you are infected with microbes bacterial, viral or fungal, this medication weakens the body's immune response and thus its ability to fight microbes.
    ♦ prednisolone (methylprednisolone) Category C (the U.S. Food and Drug Administration) of pregnancy and this means that it is not known if prednisolone( methylprednisolone) can cause harm to the fetus or not.
    ♦ prednisolone methylprednisolone excret into breast milk and may affect the baby.
    ♦ If you are taking one dose per day try to eat before 9:00 am if possible to follow your body and its natural functions, but if you're dealing with Daily doses competent follow your doctor's instructions.
    ♦ overdose of this medication often chronic (ie, large doses over a long period).
    The Symptoms of overdose include: obesity, especially around the stomach, rounded face, increased hair growth (especially around the face), acne, an increase in blood pressure, swelling of the hands and feet or at the ankle and a kind of muscle weakness.


    SPECIALTY CLINICS

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    Abha Global Private Hospital
    Visit of US Professor O.D. Berhane Seyoum professor of endocrinology and diabetes.
    Date: October 1 to 5, 2016.


    Abha Global Private Hospital Announces the visit of US Professor O.D. Berhane Seyoum professor of endocrinology and diabetes

    Holds:

    • Doctorate in internal medicine from the United States of America.
    • Endocrine fellowship from the United States of America.
    • Head of Internal Medicine Department of the American University of Wayne.
    • Chairman of the Sugar Association and the American endocrine glands.

    For a period of 5 days from (Saturday October 1, 2016 to Wednesday October 5, 2016).

    The latest diagnostic and therapeutic methods:

    1- For the types of diabetes and its complications.
    2- Cases of inflation and tumors of the thyroid gland.
    3- Deficiencies and hyperthyroidism.
    4- Cases of short stature.
    5- Cases of adrenal gland disease.
    6- Installation of modern insulin pumps.
    7- Cases of inflation and diseases of the pituitary gland and increase Hormone secretion of milk.
    For reservations call 0172292222 Ext. 240-241 - 242-353


    Abha Intl' Private Hospital
    Blood Donation Day 2015.
    Date: June 14, 2015


    Date & Time: June 14, 2015, 07:30 am - 04:30 pm.
    Venue: Abha Private Hospital, Main Auditorium.

    Abha Private Hospital
    Nursing Department
    Is proud to salute the excellent work of nurses everywhere.
    Date: June 12, 2014


    Nurses
    "as the largest group of health professionals, who are the closest and often the only available health workers to the population, nurses have a great responsibility to improve the health of the population as well as to contribute towards achievement of the global development goals. It is essential that nurses and world leaders focus on the global nursing workforce as a key priority for achieving better health for all."

    International Council of Nurses(ICN)


    Abha Private Hospital
    Training Department
    Quality Focused Improvement in Healthcare Course
    Date: April 12, 2014


    Quality Focused Improvement in Healthcare Course

    Topics to be covered:

  • Quality Improvement in Healthcare.
  • Quality Monitoring and Analysis.
  • Strategic Planning and Management in Healthcare.
  • Process Improvement.
  • 5S Philosophy and Lean Methodology in Healthcare.
  • PDCA in Healthcare.
  • Root Cause Analysis.
  • FMEA in Healthcare.

  • Date & Time: April 12, 2014, 07:30 am - 04:30 pm.

    Venue: Abha Private Hospital, Main Auditorium.


    Media Center
    World Health Day - 7 April 2014.

    World Health Day - 7 April 2014
    "The topic for 2014 is vector-borne diseases."

    World Health Day is celebrated on 7 April every year to mark the anniversary of the founding of WHO in 1948. Each year a theme is selected that highlights a priority area of public health. The Day provides an opportunity for individuals in every community to get involved in activities that can lead to better health.


    Abha Private Hospitalt
    Drug Information Center
    Common Medication Errors in The hospital.

    Drug Information Center is pleased to invite Your Excellency to attend a sceintific lecture entitled "Common Medication Errors in the Hospital."

    VENUE: APH , LECTURE HALL
    On Sunday, February 23/2014
    From 8.00 am to 8.30 am
    Thank you for your interest

    PRESENTATOR : Dr/TAREK NABIL AMHRO
    FELLOWSHIP INFORMATION HEALTH-USA
    MASTER CLINICAL PHARMACY CAMBRIDGE-UK
    MANGER OF DRUG INFORMATION CENTER APH


    Abha Private Hospital
    World Blood Donor Day, 2013
    Date & Time: June 13, 2013 at 9:00 am to 9:00 pm


    Give the gift of life: donate blood

    Every year, on 14 June, countries around the world celebrate World Blood Donor Day. The event serves to raise awareness of the need for safe blood and blood products and to thank voluntary unpaid blood donors for their life-saving gifts of blood.

    Transfusion of blood and blood products helps save millions of lives every year. It can help patients suffering from life-threatening conditions live longer and with higher quality of life, and supports complex medical and surgical procedures. It also has an essential, life-saving role in maternal and perinatal care.

    However, in many countries, there is not an adequate supply of safe blood, and blood services face the challenge of making sufficient blood available, while also ensuring its quality and safety.

    An adequate supply can only be assured through regular donations by voluntary unpaid blood donors. WHO’s goal is for all countries to obtain all their blood supplies from voluntary unpaid donors by 2020. Today, in just 62 countries, national blood supplies are based on close to 100% voluntary unpaid blood donations, with 40 countries still dependent on family donors and even paid donors.

    Every blood donation is a gift of life
    The focus for this year’s campaign – the 10th anniversary of World Blood Donor Day – is blood donation as a gift that saves lives. WHO encourages all countries to highlight stories from people whose lives have been saved through blood donation, as a way of motivating regular blood donors to continue giving blood and people in good health who have never given blood, particularly young people, to begin doing so.

    The objectives of this year’s campaign are to:

  • thank blood donors for their life-saving donations;
  • promote voluntary unpaid blood donation; and
  • convince ministries of health to commit to achieving self-sufficiency in safe blood and blood products based on 100% voluntary unpaid blood donation.

  • Nursing Services Department
    International Nurses Week 2013

    8 MILLENNIUM DEVELOPMENT GOALS

    Goal 1: Eradicate extreme poverty and hunger.
    Goal 2: Achieve universal primary education.
    Goal 3: Promote gender equality and empower women.
    Goal 4: Reduce child mortality.
    Goal 5: Improve maternal health.
    Goal 6: Combat HIV/AIDS, malaria and other diseases.
    Goal 7: Ensure environmental sustainability.
    Goal 8: Develop a global partnership for development.


    Drug Information Center
    Our Children and The Prevention Of Diseases in Winter

  • What is Pediatric winter?
  • Most pediatric winter be caused by viral pathogens infect the upper respiratory tract (nose and throat) One of the main reasons for spread of sudden changes in the weather.

  • How did the winter disease in children?
  • While coughing or sneezing, is launching a massive amount of microbes that lead to viral transmission to other children, so it is preferable to keep a window open, whether at home or school even less chance of infection.

  • What are the symptoms of winter diseases that affect children?
  • Symptoms of winter diseases is nominated or stuffy nose, usually accompanied by warmly and sore throat, and sometimes cough, redness of the eyes, and enlarged lymph glands. The incubation period of the virus between 3 and 5 days and starts with a little sluggishly, fatigue and nasal congestion, running nose and cough and sneeze a companion to the rise in temperature, and this case remains about a week.

  • Normal rate of infection winter diseases (colds )?
  • Children under six years old are injured about 7 common cold each year, while the older children, injured about 4 common cold each year, and infants younger than six months less susceptible to colds, because nutrition depends on mother's milk, which contains a lot of antibodies.

  • How long the symptoms of the disease?
  • Cold, cough and stuffy nose are a natural reaction to enter the microbial viruses of the respiratory system and defensive actions by the body to get rid of excess secretions and usually continue to heat for a period not exceeding three days, be minor and disappear automatically. Do not worry for a common cold, the spectrum because the child is still in the construction phase of the immune system, which helps the formation of antibodies to viruses.

  • How to overcome these symptoms?
  • Treat viral diseases winter is to alleviate symptoms associated with these diseases and clean the child's nose, and a stuffy nose advised using warm water points or points salt, rest and drink plenty of fluids warm. And cough is an offer and not a disease it occurs as a result of a respiratory infection and a defense of the body.

  • Are there signs of secondary bacterial infections?
  • Yes, there are a number of indicators of a secondary bacterial infections such as: difficulty breathing, continuing heat more than three days, runny nose more than ten days, increased secretions of the eye and ear pain and sinus And how to be a treatment in the event of secondary bacterial infections? Necessary to review the doctor when you notice any of the symptoms of secondary bacterial infections in children.

  • Critical period that warrant caution winter diseases?
  • Is from early December until the end of April, a period critical that require further caution and prevention.

  • How to prevent winter illnesses in children?
  • 1. Child care to be given the necessary preventive vaccinations on time 2. Improve ventilation of rooms and avoid the pungent odors. 3. Attention to a good diet and eat more fruits rich in vitamin C, such as orange, lemon and guava to increase the body's immunity 4. Careful to wash your hands before eating anything (wash your hands properly with soap and running water for 20 seconds).

  • Warnings important in dealing with winter illnesses:
  • 1. Must be wary of giving drugs aspirin during viral infections. 2. Should not be over-heating the rooms of the house, the air dry weaken the resistance of the mucous membranes of the nose and lead to respiratory irritation. 3. Avoid direct contact with the injured, and non-use of the patient's health tools such as cups, utensils, napkins, to avoid transmission. 4. Avoid wearing fur and fur-clad games because they could be the cause of irritation of the mucous membranes in the respiratory tract, raising sensitivity. 5. Avoid exposure to sudden changes in temperature, and avoid eating cold drinks. 6. Avoid places filled with dust and avoid the smell of smoke, and the smell of incense and perfumes excess pungent smell. 7. Be careful when you use antibiotics to children do not need her risk Aazzmn infection resistance to antibiotics when children themselves and society as a whole.

    Finally, we wish good health for all....
    Dr / Tarek Nabil Mahmoud
    American fellowship in health information
    Master of Clinical Pharmacy - Cambridge. Britain
    Advanced Diploma Health Quality Management - Cambridge. Britain
    Drug Information Center at the hospital

    Drug Information Center
    High Blood Pressure

    high blood pressure, is dangerous because it can lead to strokes, heart attacks, heart failure, or kidney disease. The goal of hypertension treatment : is to lower high blood pressure and protect important organs, like the brain, heart, and kidneys from damage. Treatment for hypertension has been associated with reductions in stroke (reduced an average of 35%-40%), heart attack (20%-25%), and heart failure (more than 50%), according to research.


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