what level of blood pressure needs treatment while on medication

140/90 or higher (stage 2 hypertension

): You probably need medication. At this level, your doctor is likely to prescribe medicine now to get your blood pressure under control. At the same time, you'll also need to make lifestyle changes.

Full Answer

What should my blood pressure be if I have hypertension?

Blood pressure medicines can keep blood pressure at a healthy level by 1: Causing your body to get rid of water, which decreases the amount of water and salt in your body to a healthy level. Relaxing your blood vessels. Making your heart beat with less force. Blocking nerve activity that can restrict your blood vessels.

Should you take blood pressure medications?

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What should I do if my blood pressure is high?

“Systolic blood pressure of 140 millimeters of mercury or greater in normal adults usually requires medications to maintain the systolic pressure at a level of about 130 millimeters of mercury,” says William Manger, MD, PhD, founder of the National Hypertension Association, professor emeritus at the New York School of Medicine, and author of the book, “Live Longer, Live Better: …

How do blood pressure medications work to lower blood pressure?

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What range of blood pressure requires medication?

140/90 or higher (stage 2 hypertension): You probably need medication. At this level, your doctor is likely to prescribe medicine now to get your blood pressure under control. At the same time, you'll also need to make lifestyle changes. If you ever have blood pressure that's 180/120 or above, it's an emergency.May 7, 2021

What should I do if my BP is 140 90?

Stage 2 high blood pressure is 140/90 or higher. If you get a blood pressure reading of 180/110 or higher more than once, seek medical treatment right away. A reading this high is considered “hypertensive crisis.”Jan 21, 2021

What should I do if my blood pressure is 130 90?

There are simple lifestyle changes you can make to control your blood pressure:Reduce your salt intake. ... Exercise. ... Limit alcohol intake.If you smoke, quit. ... Be aware that some medications (decongestants, steroids, oral contraceptives) can raise blood pressure.Monitor your blood pressure at home.Jan 6, 2021

What is stroke level blood pressure?

Blood pressure readings above 180/120 mmHg are considered stroke-level, dangerously high, and require immediate medical attention.

Does 140/90 require medication?

If your blood pressure remains equal to or higher than 130/80 but lower than 140/90 mm Hg, your provider may recommend medicines to treat high blood pressure. If you have other diseases or risk factors, your provider may be more likely to recommend medicines at the same time as lifestyle changes.Apr 17, 2021

Why is my blood pressure still high on medication?

Put another way: If you have high blood pressure, and you're taking the maximum dose of three different blood pressure medications including a water pill (diuretic), and your blood pressure still isn't at safe levels, you may have resistant hypertension. And you'll need to do more to control it.Feb 26, 2021

When is blood pressure high enough to go to the hospital?

Seek emergency care if your blood pressure reading is 180/120 or higher AND you have any of the following symptoms, which may be signs of organ damage: Chest pain. Shortness of breath. Numbness or weakness.Jan 14, 2021

What are the new blood pressure guidelines for seniors 2020?

The new guidelines change nothing if you're younger than 60. But if you're 60 or older, the target has moved up: Your goal is to keep your blood pressure at 150/90 or lower. If you have kidney disease or diabetes, your target used to be 130/80 or lower; now it's 140/90 or lower.

Nobody likes to be told they need drugs for high blood pressure

But at some point, intervention with prescribed drugs will be advised by one’s physician if the blood pressure reaches a certain point – but what point?

Why Exercise Can Fail at Lowering Blood Pressure

The overwhelming reason for this is because the exercise isn’t challenging enough to the body.

How to manage hypertension?

Dr. Thomas offers eight tips for managing hypertension. If you do these things, you’ll know you’re doing all you can to help: 1 Make sure you’re taking your hypertension medication correctly and at the scheduled time. 2 If your medication is causing unpleasant side effects, talk to your doctor about alternatives — don’t just stop taking it. 3 Follow a low-sodium diet (less than 2.3 grams per day). 4 Follow the DASH diet, which includes lots of fruits, vegetables, whole grains and lean protein. 5 Exercise regularly — but talk to your doctor first if it’s been awhile since you were physically active. Easing into an exercise program slowly can be your best bet. 6 Limit the amount of processed foods you eat — they’re usually high in sodium. 7 Limit your alcohol intake. 8 Learn to check your blood pressure at home. Ask your doctor to help you create a monitoring schedule. Log the results and bring them to your doctor’s appointments. Have your blood pressure machine checked for accuracy at least once a year.

Why is high blood pressure called the silent killer?

High blood pressure is sometimes known as “the silent killer” — so named because it increases the risk of heart attack and stroke, but often goes unnoticed because of its lack of obvious symptoms. In fact, you may have high blood pressure and not even know it. But resistant hypertension, just as the name says, is when your high blood pressure is ...

What is resistant hypertension?

“Resistant hypertension is the failure to reach your goal blood pressure when you’re adhering to maximally tolerated doses of an appropriate three-drug regimen that includes a diuretic ,” explains Dr. Thomas.

Can sleep apnea cause hypertension?

There’s also evidence that obstructive sleep apnea can contribute to resistant hypertension. Your doctor may order a sleep study if this is a concern. 4. If your doctor rules out lifestyle factors and medications, he or she may look for other causes related to hormones or vascular problems.

How to lower blood pressure?

Steps to lower your blood pressure are: 1 Eat a healthy diet 2 Exercise at least 30 minutes a day 3 Maintain a healthy weight 4 Drink alcohol in moderation 5 Quit smoking

What is the best medication to reduce blood pressure?

Diuretics. These medications are designed to help the body eliminate sodium and water to ease the heart’s workload and reduce blood pressure. Diuretics are often used in combo with other antihypertensive drugs. Side effects: Increased urination should be expected.

Can lifestyle changes help with blood pressure?

Instead, you’d be advised to make lifestyle changes only. It may not be until you reach a persistent blood pressure measurement over 140 (stage 2 hypertension) that you’d need to consider medications. Regardless of whether medications are recommended, making lifestyle changes can help reduce blood pressure.

What are the side effects of Alpha Blockers?

Side effects: Low blood pressure and dizziness, especially when standing up; and a fast heart rate.

Can blood pressure be controlled with lifestyle changes?

Once blood pressure increases significantly, it can be more difficult to control with lifestyle changes alone. And while medications may not be an ideal proposition, it is a matter of risk versus benefits. You want to do all you can to reduce your blood pressure naturally.

What is stage 2 hypertension?

Under the new blood pressure guidelines, any measurement that is 140 or above systolic and 90 or above diastolic, is considered stage 2 hypertension, which means your doctor will likely prescribe medications to help lower it. Plus it’s always recommended you get more proactive in making lifestyle changes.

Does calcium cause heart problems?

Calcium entering the smooth muscle cells of the heart can cause a more forceful heart contraction that increases blood pressure. Therefore, these medications are designed to block calcium. Side effects: Common side effects include palpitations, swollen ankles, constipation, headache, and dizziness.

What is the stage 1 blood pressure?

130/80 to 139/89 (stage 1 hypertension): You might need medication. These numbers qualify as high blood pressure and you need to take action. But your doctor will probably suggest that you try out lifestyle changes first before adding drugs -- unless you have other health problems.

Why do people take medicine?

Some people choose to take medicine because they're concerned about the risk of heart attacks and stroke. Others don't like the idea of going on daily medication or worry about the side effects. Talk to your doctor about the pros and cons, and be open about how you feel. Keep Track of Your Blood Pressure.

What does the top number mean in blood pressure?

The top number tells you the pressure when your heart squeezes. The bottom number lets you know when your heart relaxes. Normal blood pressure is less than 120 and less than 80. If one or both of those numbers is higher, there's too much pressure in your arteries. It's like a tire pumped with too much air.

Does high blood pressure cause heart attacks?

Do you also have other health conditions? High blood pressure raises your chances of getting a heart attack or stroke . If you have other medical problems -- like high cholesterol, diabetes, or heart disease -- your doctor will be quicker to recommend medication.

What is the recommended blood pressure for a 60 year old?

If you're 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is 130 or higher .

What happens if your blood pressure is 180/120?

If you ever have blood pressure that's 180/120 or above, it's an emergency. You need medical help right away to get it under control. While your numbers are important, they don't tell the whole story. Other things affect the decision to take meds.

2. Make Lifestyle Changes First

A slightly elevated reading doesn’t mean that you should consider medication, but it does mean you should make some broad-based lifestyle changes, says Mary Norine Walsh, M.D., president of the American College of Cardiology and a cardiologist at St. Vincent Heart Center in Indianapolis.

3. Consider Drugs Carefully

If your blood pressure is considered “elevated,” you should employ the lifestyle strategies above to lower your numbers.

4. Take Meds With Care

One sometimes overlooked aspect of the new blood pressure guidelines is that doses might need to be raised for people who are already on medications—to help them meet the lower targets for blood pressure, Moran says.