What is the reason why taking medication for high blood pressure cannot lower it

The inability to lower high blood pressure after taking medication may be related to improper medication selection, poor lifestyle habits, or the presence of other diseases. Adjusting medication, improving lifestyle, and screening for secondary hypertension are the key to solving the problem.

1. Improper drug selection. There are various types of antihypertensive drugs, including diuretics, beta blockers, calcium channel blockers, etc. If the medication selection is not appropriate, it may not be effective in controlling blood pressure. It is recommended to adjust the type or dosage of medication under the guidance of a doctor, such as replacing a single drug with a combination therapy, such as amlodipine combined with hydrochlorothiazide, to enhance the antihypertensive effect.

2. Lifestyle habits have not improved. The treatment of hypertension not only relies on medication, but also requires a healthy lifestyle. Excessive intake of salt in diet, lack of exercise, and long-term mental stress can all affect the effectiveness of blood pressure reduction. It is recommended to limit daily salt intake to less than 5 grams and engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming, while maintaining a regular schedule and avoiding staying up late.

3. There are other diseases present. Secondary hypertension may be caused by kidney disease, endocrine disorders, or sleep apnea syndrome. These diseases can interfere with the effectiveness of antihypertensive drugs. It is recommended to undergo relevant examinations, such as kidney function testing, thyroid function testing, or sleep monitoring, to identify potential causes and provide targeted treatment based on the results.

4. Poor medication adherence. Some patients may not take their medication on time or stop taking it on their own, resulting in poor blood pressure control. It is recommended to strictly follow medical advice and use medication reminder tools such as mobile alarms or medication management apps to ensure regular medication.

5. Individual differences. Everyone's physical condition and response to medication are different, and may require longer adjustment and observation. It is recommended to regularly monitor blood pressure, record data, and communicate with doctors to adjust treatment plans in a timely manner based on changes in blood pressure. When high blood pressure cannot be lowered after taking medication, a comprehensive analysis of the reasons should be conducted, and personalized treatment plans should be developed from the aspects of medication, lifestyle, and potential diseases. Regular monitoring of blood pressure, taking medication according to medical advice, and improving lifestyle habits are key to long-term blood pressure control. If the adjustment still cannot effectively reduce blood pressure, it is recommended to seek further medical attention and investigate whether there are other health problems.