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Can Sertraline reduce high blood pressure?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My 28-year-old boyfriend visited a doctor, who informed him that he had high blood pressure. His blood pressure reading was 160/90 mmHg. He had never had high blood pressure before this, but he has been experiencing general anxiety daily for a long time. He was hesitant to take blood pressure medication due to his fear of it, so the doctor prescribed Sertraline instead. I have heard a lot of concerning things about antidepressants, and I feel he should have opted for the blood pressure medication; I do not believe that Sertraline was the best choice. He also suffers from sleep apnea. Can you provide any advice on Sertraline versus blood pressure medication?

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern for your boyfriend.

He is experiencing issues with high blood pressure, likely due to his sleep apnea. His BMI (body mass index) is 33, which classifies him as obese. Obesity can contribute to sleep apnea, and in turn, sleep apnea can lead to high blood pressure. The Sertraline prescribed by his doctor is intended to help manage his anxiety and improve his sleep. In my clinic, I advise patients in similar situations to start by losing weight, as this can help reduce blood pressure and alleviate sleep apnea. I also suggest considering antihypertensive medications, such as beta-blockers (like Bisoprolol), until they reach a healthier weight. Additionally, he should avoid smoking and alcohol and sleep on his side rather than on his back. Please consult his specialist doctor to discuss these options and obtain their consent before starting any medication.

Best regards.

Answered by Dr. Isaac Gana
Medically reviewed by Dr. K. Shobana
Published At May 31, 2017
Reviewed At June 24, 2025

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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