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HYPERTENSION (HIGH BLOOD PRESSURE)

HYPERTENSION  Hypertension is a very common disorder  particularly in past middle age..  Hypertension itself is not a disease, But a risk factor for cardiovascular mortality or mobility..  Hypertension is also known as (High Blood Pressure) .. Blood pressure is the force of  your blood pushing , against the wall of the artries..  The normal range of blood pressure is 120/80mmHg.. High Blood pressure or Hypertension is the condition, In which the blood vessels have persistently raised pressure .. Hypertension is a seriously mental health condition increased the risk of Stroke, brain, kidney and other problems ..  It is a major cause of premature death worldwide with upwards of 1 in 4 men and 1 in 5 women .. * What are the symptoms of hypertension   Dizziness   Highblood pressure   Nausea   Vomiting   Irregular heartbeat   Mental confusion *What causes Hypertension . High salt in you diet  .Family history of High blood pressure  .Stress  .Lack of physical exercise  .Excess us

Dexamethasone

Dexamethasone 
Dexamethasone is a corticosteroid..  
Very potent and highly selective glucocorticoid drug.. 

US researcher found that Dexamethasone can save patients from death due to corona virus (covid -19).. 
Deaxamethasone cut the risk of death by 1/3 for those patient on ventilators and on oxygen it cut the death rate by 1/5 this study is given by' Peter hobby' student of oxford university..

Mode of action 
Corticosteroids penetrate cell and binds to a high affinity cytoplasmic receptor complex that allow its migration and binding to glucocorticood response element (GRE) of specific mRNA.. 
It is long acting ,causes pitiutary  adrenal suppresion ..

Dose 
.0.5-5mg/day (oral route) 
.For edema cerbal 4-20mg/day

Uses 
.It help to relieves in various parts of body 
.It is used to treat swelling allergic reactions skin problems arthritis kidney.. 
.It is also used to treat certain type of cancers.. 

Adverese effect 
Mineralocorticoid- Sodium water retention, edema, hypokalemia akalosis 
Rise in blood pressure 
Glucocorticoids -Hyperglycemia, muscular weaknesses, fragile skin, lower abdomen, obesity of trunk.. 

Contraindications
The following diseases are aggrevated by corticostetoid 
.Peptic ulcer 
.Diabetes 
.Hypertension 
.Viral infection 
.Tuberculosis
.Oesteoporosis 
.CHF
.Leprosy 
Combination with any other drug with corticosteroid is banned in india..

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HYPERTENSION (HIGH BLOOD PRESSURE)

HYPERTENSION  Hypertension is a very common disorder  particularly in past middle age..  Hypertension itself is not a disease, But a risk factor for cardiovascular mortality or mobility..  Hypertension is also known as (High Blood Pressure) .. Blood pressure is the force of  your blood pushing , against the wall of the artries..  The normal range of blood pressure is 120/80mmHg.. High Blood pressure or Hypertension is the condition, In which the blood vessels have persistently raised pressure .. Hypertension is a seriously mental health condition increased the risk of Stroke, brain, kidney and other problems ..  It is a major cause of premature death worldwide with upwards of 1 in 4 men and 1 in 5 women .. * What are the symptoms of hypertension   Dizziness   Highblood pressure   Nausea   Vomiting   Irregular heartbeat   Mental confusion *What causes Hypertension . High salt in you diet  .Family history of High blood pressure  .Stress  .Lack of physical exercise  .Excess us

Drug for cough

Cough It is protective reflex,and its a sudden expulsion of respiratory secretion and foreign particles from air passage..  It mainly occurs due to the stimulation of mechano or chemoreceptor in throat and respiratory passage..  Demulscent ( Agent that   Reliving pain and inflammation) Pharyngeal demulscent soothe the throat and reduce afferent impulses from the inflammed /irritated pharyngeal mucosa, thus provide sympatominetic relief in dry cough arising from throat..  Expectorant (Mucokinetics)  Thses are the drugs believed to increase bronchiol secretion or reduce its viscosity fascilating its removal by coughing..  Mucolytics drugs  . Bromhexine .Ambroxol  Acetylcysteine  .Carbocisteine Anti-tussive  Act in the CNS raise the threshold of cough centre or act peripherally in the respiratory tract to reduce tussal impulses or both tissue actions..  Opoid antitusive  .Codeine .Ethylmorphine Non opoid antitusive  .Noscapine (Narcotine) .Dextromethomorphone  .Chlophrnidol 

Tuberculosis (TB)

Tuberculosis  Tuberculosis is a granulomatous(structure found during inflammation) chronic disease caused by the mycobacterium tuberculosis..  About 1/3rth of the world population with this disease.. In which 10-15% develop disease over life time..  India was the highest contributor with 2.2m cases in 2014.. In 2012,the government of india has declared TB to a notifiable disease,So that any doctor who treats a TB patients has to notify it to the government..  Medication used in tuberculosis  First line drugs   This drugs have high antitubercular efficacy as well as low toxicity are used routinely .. These are the most potent and tolerated best oral drugs  Example  . Isoniazid  .Ethambutol .pyrazinamide .Rifampin Second line drug   These drugs have either low antituberculae efficacy or higher toxicity or both and are used, when the first line drug cannot be used or to supplement them..  These are less effective and bacteriosattic /More toxic oral drug for resista