Treatment Changing your lifestyle can help control and manage high blood pressure. Your health care provider may recommend that you make lifestyle changes including: Eating a heart-healthy diet with less salt Getting regular physical activity Maintaining a healthy weight or losing weight Limiting alcohol Not smoking Getting 7 to 9 hours of sleep daily Sometimes lifestyle changes aren't enough to treat high blood pressure. If they don't help, your provider may recommend medicine to lower your blood pressure. Medications The type of medicine used to treat hypertension depends on your overall health and how high your blood pressure is. Two or more blood pressure often work better than one. It can take some time to find the medicine or combination of medicines that works best for you. When taking blood pressure medicine, it's important to know your goal blood pressure level. You should aim for a blood pressure treatment goal of less than 130/80 mm Hg if: You're a healthy adult age 65 or older You're a healthy adult younger than age 65 with a 10% or higher risk of developing cardiovascular disease in the next 10 years You have chronic kidney disease, diabetes or coronary artery disease The ideal blood pressure goal can vary with age and health conditions, particularly if you're older than age 65. Medicines used to treat high blood pressure include: Water pills (diuretics). These help remove sodium and water from the body. They are often the first medicines used to treat high blood pressure. There are different classes of diuretics, including thiazide, loop and potassium sparing. Which one your provider recommends depends on your blood pressure measurements and other health conditions, such as kidney disease or heart failure. Diuretics commonly used to treat blood pressure include chlorthalidone, hydrochlorothiazide (Microzide) and others. A common side effect of diuretics is increased urination. Urinating a lot can reduce potassium levels. A good balance of potassium is necessary to help the heart beat correctly. If you have low potassium (hypokalemia), your provider may recommend a potassium-sparing diuretic that contains triamterene. Angiotensin-converting enzyme (ACE) inhibitors. These help relax blood vessels. They block the formation of a natural that narrows blood vessels. Examples include lisinopril (Prinivil, Zestril), benazepril (Lotensin), captopril and others. Angiotensin II receptor blockers (ARBs). These also relax blood vessels. They block the action, not the formation, of a natural that narrows blood vessels. angiotensin II receptor blockers (ARBs) include candesartan (Atacand), losartan (Cozaar) and others. Calcium channel blockers. These help relax the muscles of the blood vessels. Some slow your heart rate. They include amlodipine (Norvasc), diltiazem (Cardizem, Tiazac, others) and others. Calcium channel blockers may work better for older people and Black people than do angiotensin-converting enzyme (ACE) inhibitors alone. Don't eat or drink grapefruit products when taking calcium channel blockers. Grapefruit increases blood levels of certain calcium channel blockers, which can be dangerous. Talk to your provider or pharmacist if you're concerned about interactions.Medical care in India, Tunisia, Türkiye, France, Morocco, etc.
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