How can hypertension caused by stress be managed?

Question

Hi doctor,

I am a 35-year-old male and have recently been experiencing a lot of stress in my life, despite following a healthy lifestyle. Sometimes, I do not sleep for eight consecutive days. A few months ago, I was diagnosed with hypertension, and my blood pressure was 160/110 mmHg. My doctor prescribed Propranolol and sleeping pills for 28 days, after which my blood pressure decreased to 120/80 mmHg. For the past two weeks, my blood pressure has been fluctuating; it increases in the morning and decreases in the evening.

Currently, I am taking Zolpidem 5 mg and Escitalopram oxalate 5 mg daily, but I still cannot sleep. If I have hypertension, will I need to take blood pressure medication for my entire life? Will it affect my sexual health? After marriage, should I inform my partner that I am taking medication for hypertension?

Please advise.

Answer 1

Hi,

Welcome to icliniq.com.

Stress is a primary contributor to your hypertension and lack of sleep. This can be managed by taking blood pressure (BP) medications. Incorporating regular exercise into your routine can help reduce both stress and blood pressure. There are typically no effects on your sexual desire when BP medications are taken for a short period. May I ask what is causing your stress? Additionally, what is your profession?

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

As you are experiencing emotional turmoil, please consult your psychiatrist for a physical evaluation and follow their advice.

I hope this helps.

Thank you.