Having high blood pressure (a.k.a. hypertension) doesn’t necessarily mean you’ll be need to take daily pills for the rest of your life. You might be able to lower your blood pressure naturally with certain lifestyle tweaks for a healthier heart or diet changes, like following the DASH diet for lower blood pressure.
If lifestyle changes don’t reverse your blood pressure, or if your BP is too high for lifestyle changes alone, then medication is the likely next step. “If your blood pressure is very, very high, you likely are going to have a doctor suggest you start a blood pressure medication right away,” says Rachel Bond, MD, cardiologist at Lenox Hill Hospital. (Learn what blood pressure numbers mean here.)
Patients have a variety of medications options to choose from. Here are common medications to lower blood pressure, according to Dr. Bond.
“When we’re making the decision on what to use to treat a patient’s blood pressure, we very much rely on their [heart disease] risk factors,” says Michelle Weisfelner Bloom, MD, a cardiologist at Stony Brook University Medical Center. For example, patients with heart failure may benefit from an ACE inhibitor or an angiotensin receptor blocker, while those with angina might benefit from a calcium channel blocker, according to Dr. Weisfelner Bloom.
“In general, we try to start with one medication and maximize that medication, but we often find that that’s not enough,” says Dr. Weisfelner Bloom. Your doctor may prescribe a second or third medication if your first option isn’t effectively lowering blood pressure (despite taking them as prescribed).
After starting a medication, your doc will ask you to come back after about four weeks. In addition to checking your blood pressure, your doctor can also do blood work to see how well your body is tolerating the medication. This is also an opportunity for you to bring up any concerns regarding side effects.
“It’s important for patients to know that any medication can potentially give you side effects,” says Dr. Weisfelner Bloom. “If there’s something specifically you’re concerned about or you’re not feeling well with your medication, go talk to your doctor… [We] have many choices when it comes to blood pressure medicines, and if something’s not working, your doctor can switch you to something else.”