How to manage high blood pressure despite medications?

Question

Hi doctor,

I am a 45-year-old male. My blood pressure readings have been consistently high (around 150/95 mmHg) despite taking my prescribed medication as directed. Should I be worried about these elevated numbers? Is there a need to adjust my dosage or try a different type of medication? I have been monitoring my salt intake and trying to reduce stress, but it does not seem to be helping much. Are there specific dietary changes or supplements you would recommend for managing hypertension? I am also curious about the potential side effects of long-term use of blood pressure medications. How often should I check my blood pressure at home, and what is the best time of day to do it? Lastly, I have heard about some new hypertension treatments, are any of these worth considering in my case?

Kindly suggest.

Answer 1

Hello,

I appreciate that you have chosen icliniq.com for your medical needs.

I am here to give you the best care possible.

It is understandable to be concerned about consistently high blood pressure readings despite taking your prescribed medication. A reading of 150/95 mmHg is high, and yes, you may need to adjust your dosage as per your doctor's recommendations. You can consider a combination of one long-acting and one short-acting medication for hypertension.

Considering diet:

Follow the DASH (Dietary Approaches to Stop Hypertension) diet, which emphasizes fruits, vegetables, whole grains, and lean proteins.
Continue monitoring your salt intake. Aim for less than 2,300 mg per day, ideally around 1,500 mg.
Foods rich in potassium, such as bananas, oranges, and spinach, can help balance sodium levels.
Reduce alcohol intake as it can raise blood pressure.
Avoid processed foods.
You can try supplements like omega-3 fatty acids found in fish oil, magnesium, and coenzyme Q10.

Monitor your blood pressure at least once or twice a day, consistently at the same times each day, such as in the morning before eating and in the evening, ensuring you are relaxed and seated comfortably. Long-term use of blood pressure medications can have side effects such as dizziness, fatigue, digestive issues, and concerns regarding kidney function. Regular check-ups with your healthcare provider can help manage and mitigate these effects.

As for new treatments, techniques such as renal denervation or baroreceptor activation therapy may be options for patients with resistant hypertension. Consult your doctor for advice on these treatments. Most importantly:

Practice yoga, meditation, and deep breathing exercises to manage stress levels.
Aim for at least 150 minutes of moderate-intensity exercise per week, such as walking, cycling, or swimming.

Hope I have clarified your query. I will be happy to help you further.

Thank you.