In general, lower doses of blood pressure medicine are as effective as higher doses and cause fewer side effects. So, when trying to find effective single-drug therapy, doctors usually begin with a low dose. They may decide to increase the dose a bit if the initial dose is ineffective—but it is rarely useful to “push” the dose of a single-drug therapy into the higher dosage ranges. Instead, if a drug fails to work at a relatively low dose, it is time to switch to a low dose of a different drug.

We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you. We may share your information with third-party partners for marketing purposes. To learn more and make choices about data use, visit our Advertising Policy and Privacy Policy. By clicking “Accept and Continue” below, (1) you consent to these activities unless and until you withdraw your consent using our rights request form, and (2) you consent to allow your data to be transferred, processed, and stored in the United States.
Peter, I’ve been using a blood pressure meter for nearly 30 years, so my response is based on my personal experience and information I’ve acquired over the years. First, I suggest that you take your meter to the doctor and have them check several readings of your meter against theirs. For example, If your meter consistently shows it’s 10 points lower than the doctor’s, just delete the 10 points from your meter reading (have them check both numbers so you can adjust both as necessary). Also, it’s common that many doctor’s offices take your blood pressure incorrectly (you should actually sit still for 5 minutes, with your feet on the floor and the cuff at the same level as your heart) . Some of us have”white coat” hypertension, so you may always be elevated at the doctor’s office. If you are a large man, you (and your doctor’s office) may need to use a larger cuff as the wrong size of cuff can affect your reading. Also, I spoke with customer service at one of the companies that makes many of the home & professional meters, and she told me that the automated machines are not very accurate if you have kidney disease or heart failure (I have both). Ask the doctor’s staff to always use the manual system and it will be more accurate than those noisy automatic ones.
Fish are a great source of lean protein. Fatty fish like mackerel and salmon are high in omega-3 fatty acids, which can lower blood pressure, reduce inflammation, and lower triglycerides. In addition to these fish sources, trout contains vitamin D. Foods rarely contain vitamin D, and this hormone-like vitamin has properties that can lower blood pressure.
Understanding the normal BP range with age can help the doctor and you to estimate your cardiovascular health. Blood pressure levels can fluctuate significantly from one reading to the next and it is important to remember that just one abnormally high reading does not signify that you have high blood pressure. Doctors usually use an average of multiple blood pressure readings taken over a period of several days to arrive at a diagnosis of high blood pressure.

Don’t assume that your doctor is aware of these facts. If you are diagnosed with mild, high blood pressure, you likely will be prescribed medication, instructed that it is helpful, and told that you must take it for the rest of your life. But before accepting this potentially dangerous treatment, it may be to your advantage to seek answers to the following questions: “What caused my high blood pressure?” and “Can I remove those causes and reverse this condition?”
I had high blood pressure for 20 years, but we could never find the cause of it, and no Western medicine ever managed to reduce it. I am accustomed to take ramipril 5 mg, it does not work very well. I see the doctor every week. I was full of worry. I need advice and some direction. While surfing the internet I stumbled upon a testimony from someone who had high blood pressure got heal. I was more than willing to try it. I contacted the doctor I was lucky when I received a response from Dr.fabien. I followed your instructions, I used this Herbal Medicine in less than 1 week, my blood pressure is now normal! totally free on side effects. Thank goodness for a wonderful doctor, Anyone living with unexplained high blood pressure needs to use this herbal medicine. Contact call 832 734-3657
When your heart contracts and squeezes blood out into your network of arteries, the pressure inside those blood vessels is at its highest. This is called systolic pressure and it’s the top number on your blood pressure reading. In between beats, the heart relaxes and the pressure drops. This is your diastolic blood pressure, and it’s the reading’s bottom number.
Various organizations including the United States Department of Agriculture recommend that Americans consume less than 2,300 milligrams (mg) of sodium per day. But the ideal limit is really no more than 1,500 mg per day for most adults. Unfortunately, the average sodium intake of Americans is more than 3,400 mg per day, according to the Centers for Disease Control and Prevention (CDC). This is partly because sodium is so easy to consume — just 1 teaspoon of salt contains 2,300 mg of sodium.
For example, in a hypertensive patient with asthma, it may be inadvisable to prescribe a beta blocker, as these drugs can aggravate that respiratory condition. Similarly, in patients prone to constipation (the elderly, for example) use of certain calcium channel blockers might best be avoided -- along with diuretics -- as both these classes of drugs can inhibit proper bowel function.

Partner with your doctor. Ask if there are any take steps you can take to lessen medication side effects. For example, to lessen the effects of low blood pressure, it may help to avoid standing for a long time in the sun. In some cases, side effects such as fatigue or diarrhea may subside with time. In other cases, your doctor may change the dosage or prescribe another high blood pressure medication. A combination of medications sometimes works better than one medication alone by not only improving high blood pressure control but also by reducing side effects.

Preeclampsia is a condition that affects about 5 to 8 percent of pregnant women. In the women it affects, it usually develops after 20 weeks of pregnancy. Rarely, this condition can occur earlier in pregnancy or even postpartum. The symptoms include high blood pressure, headaches, possible liver or kidney problems, and sometimes sudden weight gain and swelling.
Many leafy greens, including everything arugula and kale to spinach and collard greens, contain potassium and magnesium which are key minerals to control blood pressure, according to Harvard Medical School. These nutrients are an important part of the DASH diet (Dietary Approaches to Stop Hypertension, or high blood pressure), which suggests a variety of foods that lower blood pressure. A potassium-rich diet helps the body become more efficient at flushing out excess sodium, which can raise blood pressure, and magnesium helps promote healthy blood flow, according to nutritionist Joy Bauer.
Both numbers in a blood pressure reading are important. But after age 50, the systolic reading is even more significant. Isolated systolic hypertension is a condition in which the diastolic pressure is normal (less than 80 mm Hg) but systolic pressure is high (greater than or equal to 130 mm Hg). This is a common type of high blood pressure among people older than 65.
A long-term study concluded in 2014 found that people who ate more protein had a lower risk of high blood pressure. For those who ate an average of 100 grams of protein per day, there was a 40 percent lower risk of having high blood pressure than those on a low-protein diet (33). Those who also added regular fiber into their diet saw up to a 60 percent reduction of risk.
People who have had a stroke can often make a good recovery with the help of a range of health professionals. Most people's treatment will be carried out by a stroke team. The stroke team may include physiotherapists, speech therapists, dietitians, occupational therapists and psychologists. This team will help the person to regain some or all of the abilities they have lost, and work with them to ensure that they do not have another stroke.
Fifteen natural ways to lower your blood pressure High blood pressure can damage the heart. It is common, affecting one in three people in the U.S. and 1 billion people worldwide. We describe why stress, sodium, and sugar can raise blood pressure and why berries, dark chocolate, and certain supplements may help to lower it. Learn about these factors and more here. Read now
Flavanols an anti-inflammatory and heart-protective antioxidant found in raw cacao may protect against cardiovascular disease, reduce the risk of stroke, and help improve blood circulation. Thus lowering your blood pressure. Cacao contains over 700 compounds and the complex antioxidants found in it known as polyphenols help reduce ‘bad cholesterol’ and prevent hardening of the arteries.
Digital blood pressure readings have two numbers – systolic blood pressure and diastolic blood pressure. The top number is your systolic blood pressure (the highest pressure when your heart beats and pushes blood around your body), and the bottom number is your diastolic blood pressure (the lowest pressure between heart beats). A blood pressure reading is usually these two numbers over each other – like 120/80.

Some heart attacks are sudden and intense, however most heart attacks start slowly with mild pain and discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain. Shortness of breath may occur, as well as nausea, or lightheadedness. It is vital to get help immediately if any of these symptoms occur.
Dietary changes: The health care provider might recommend a diet that includes more vegetables (especially leafy green vegetables), fruits, low-fat dairy products, and fiber-rich foods, and fewer carbohydrates, fats, processed foods, and sugary drinks. He or she also might recommend preparing low-sodium dishes and not adding salt to foods. Watch out for foods with lots of hidden salt (like bread, sandwiches, pizza, and many restaurant and fast-food options).
Digital blood pressure readings have two numbers – systolic blood pressure and diastolic blood pressure. The top number is your systolic blood pressure (the highest pressure when your heart beats and pushes blood around your body), and the bottom number is your diastolic blood pressure (the lowest pressure between heart beats). A blood pressure reading is usually these two numbers over each other – like 120/80.
Facial flushing: Facial flushing occurs when blood vessels in the face dilate. It can occur unpredictably or in response to certain triggers such as sun exposure, cold weather, spicy foods, wind, hot drinks and skin-care products. Facial flushing can also occur with emotional stress, exposure to heat or hot water, alcohol consumption and exercise — all of which can raise blood pressure temporarily. While facial flushing may occur while your blood pressure is higher than usual, high blood pressure is not the cause of facial flushing.  
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2019, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.
Your total blood pressure reading is determined by measuring your systolic and diastolic blood pressures. Systolic blood pressure, the top number, measures the force your heart exerts on the walls of your arteries each time it beats. Diastolic blood pressure, the bottom number, measures the force your heart exerts on the walls of your arteries in between beats.
Blood tests may be done to assess risk factors for heart disease and stroke as well as looking for complications of hypertension. These include complete blood count (CBC), electrolytes, BUN (blood urea nitrogen), and creatinine and GFR (glomerular filtration rate) to measure kidney function. A fasting lipid profile will measure cholesterol and triglyceride levels in the blood. If appropriate, blood tests may be considered to look for an underlying cause of high blood pressure (secondary hypertension)including abnormal thyroid or adrenal gland function.
It’s important to take your heart health seriously, and our expert physicians at SSM Health can help develop a personalized care plan best suited to your needs. In addition to medications, your physician may suggest stress management, dietary changes, exercise or quitting smoking to help manage your blood pressure. Taking these steps can help you improve your health, and maintain it in the future. Contact us today to find a physician or set up an appointment.
One reason to visit your doctor regularly is to have your blood pressure checked. Routine checks of your blood pressure will help pick up an early rise in blood pressure, even though you might feel fine. If there's an indication that your blood pressure is high at two or more checkups, the doctor may ask you to check your blood pressure at home at different times of the day. If the pressure stays high, even when you are relaxed, the doctor may suggest exercise, changes in your diet, and, most likely, medications.

Don’t deprive yourself of dessert just because you’re eager to get your blood pressure under control. A little dark chocolate can go a long way when it comes to lowering those numbers, thanks to its flavonoid content. Flavonoids, a type of plant-based pigment, have been linked to reductions in blood pressure, thanks to their ability to improve endothelial function, according to researchers at the University of Manitoba. Just make sure you’re choosing real dark chocolate for the biggest benefit; foods high in sugar, like most milk chocolate bars, have been linked to an increase in blood pressure by researchers at the New Zealand University of Otago. Reduce your risk of chronic disease even further by discovering and ditching the worst habits for heart health ASAP.
“The heart works to pump oxygen in the blood to all your tissues and organs,” explains Lara Kovell, M.D., a cardiologist at UMass Memorial Medical Center. “Blood pressure is a measure of the force of blood pushing against the blood vessels, or arteries, of the body. If you were able to hold on to one of your arteries, the blood pressure is the force you would feel on your hand.”
7. Visit your chiropractor. A special chiropractic adjustment could significantly lower high blood pressure, a placebo-controlled study suggests. “This procedure has the effect of not one, but two blood–pressure medications given in combination,” study leader George Bakris, MD, told WebMD. Your chiropractor can create an effective protocol that helps normalize blood pressure without medication or other invasive procedures.
For this reason, Dr. Alan Goldhamer and his colleagues at the Center for Conservative Therapy set out to carefully document the effectiveness of supervised water-only fasting and to report the results to the scientific community in a way that other doctors might find convincing. To assist him in this task, Dr. Goldhamer and his research staff at the Center sought the help of one of the world’s leading nutritional biochemists, Professor T. Colin Campbell of Cornell University.
But the dark chocolate should be 60 to 70 percent cacao. A review of studies on dark chocolate has found that eating one to two squares of dark chocolate per day may help lower the risk of heart disease by lowering blood pressure and inflammation. The benefits are thought to come from the flavonoids present in chocolate with more cocoa solids. The flavonoids help dilate, or widen, your blood vessels (25).
What you need to know about beta-blockers Beta-blockers are drugs that are used to slow down a person's heart rate. Doctors may prescribe them for a range of reasons, including angina and high blood pressure. There are many types and brands of beta-blockers, some of which affect other parts of the body. Learn about side effects, cautions, and interactions. Read now
Before measuring your blood pressure, do not smoke, drink caffeinated beverages, or exercise for at least 30 minutes before the test. Rest for at least five minutes before the measurements and sit still with your back straight and supported. Feet should be flat on the floor and not crossed. Your arm should also be supported on a flat surface like a table with the upper arm at heart level.

Pregnant women with very high blood pressure (hypertension) can reduce their blood pressure with antihypertensive drugs, but the most effective antihypertensive drug during pregnancy is unknown. The aim of antihypertensive therapy is to lower blood pressure quickly but safely for both the mother and her baby, avoiding sudden drops in blood pressure that can cause dizziness or fetal distress.
How low should you go? Aim to keep your sodium intake below 1,500 mg for healthy blood pressure, recommends the American Heart Association. That’s about half of what most Americans consume per day. Going easy on the saltshaker can help, but you’ll make a bigger impact by watching the sodium count in packaged or processed foods, Obarzanek says. (Pay extra attention to bread and rolls, pizza, soup, cold cuts, poultry, and sandwiches, which tend to pack the most salt.) Then try these other simple ways to slash your salt intake.

*All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist.


Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.
a heart attack, annual physical, blood pressure, blood pressure chart, blood pressure diet, blood pressure hypertension, blood pressure readings, blood pressure remedies, cardiomyopathy, dairy, dash diet, diabetes, diastolic blood pressure, diet, disease of the heart, enlarged heart, foods that lower blood pressure, good health, have high blood pressure, having a heart attack, health, health news, heart attack, heart failure, heart healthy, heart healthy foods, heart muscle, high blood pressure, high blood pressure hypertension, high blood pressure remedies, hypertension, hypotension, low blood pressure, lower blood pressure, mercury, muscle, paleo diet, physical activity, plaque buildup, prevent high blood pressure, stroke, stroke risk, university health news, weather.
6. Add garlic to everything. If you're already suffering from high blood pressure, eating garlic regularly can reduce your blood pressure by about 20 points, or 10 to 15 percent. When garlic is crushed it releases allicin, which decreases blood pressure and acts as a natural anti-inflammatory. Make sure you let your garlic sit for about 15 minutes after chopping or crushing, to allow the allicin to release. Cook on a low temperature to get the maximum benefit, as a high temperature will kill many of garlic's healing properties.

Recurrent headaches: Headaches are fairly common among people with or without hypertension. Some people with hypertension notice changes or worsening of headaches when medications are skipped or when the blood pressure becomes higher than usual. Headaches associated with hypertension can be mild, moderate, or severe and can be of a throbbing nature. 

About 80 million Americans over age 20, 1 in 3 adults, have high blood pressure, and many don’t even know they have it. Not treating high blood pressure is dangerous. High blood pressure increases the risk of heart attack and stroke. You can live a healthier life if you treat and manage it! There are many ways to do so, taking natural remedies is just one of them.
A blood pressure reading measures both the systolic and diastolic forces, with the systolic pressure listed first. The numbers show your pressure in units of millimeters of mercury (mm Hg)—how high the pressure inside your arteries would be able to raise a column of mercury. For example, a reading of 120/80 mm Hg means a systolic pressure of 120 mm Hg and diastolic pressure of 80 mm Hg.
And remember: If you do a water fast, it’s critical to drink high-quality water. (Many Food Revolution members like the AquaTru water filter because it delivers high-quality water for a remarkably affordable price. Find out more and get a special discount here. If you order from this link, the AquaTru manufacturer will contribute a portion of the proceeds to support Food Revolution Network’s mission of healthy, ethical, sustainable food for everyone who eats.)
It’s important to take your heart health seriously, and our expert physicians at SSM Health can help develop a personalized care plan best suited to your needs. In addition to medications, your physician may suggest stress management, dietary changes, exercise or quitting smoking to help manage your blood pressure. Taking these steps can help you improve your health, and maintain it in the future. Contact us today to find a physician or set up an appointment.
Instead of an arbitrary goal to “lose weight,” talk with your doctor about a healthy weight for you. The Centers for Disease Control and Prevention (CDC) recommends a weight loss goal of one to two pounds a week. That means starting off eating 500 calories less per day than what you normally eat. Then decide on what physical activity you can start in order to reach that goal. If exercising five nights a week is too hard to work into your schedule, aim for one more night than what you’re doing right now. When that fits comfortably into your schedule, add another night. 

For some reason, health care providers often think of high blood pressure—or hypertension—as a "man's problem." More men have hypertension than women when they're younger, but once women reach menopause, their risk becomes greater than men's. Overall, about half of Americans with high blood pressure are women—and they're less likely to be diagnosed and treated for it. 
×