What should I do if my blood pressure is high and I can't lower it even after taking medicine

High blood pressure cannot be lowered even after taking medication, which may be due to improper drug selection, insufficient dosage, or unadjusted lifestyle. The solutions include adjusting medication, optimizing lifestyle, and regular monitoring.

1. Drug selection and dosage issues

There are many types of blood pressure drugs, such as calcium channel blockers, ACE inhibitors, beta blockers, etc. If the drug selection is improper or the dosage is insufficient, it may lead to poor blood pressure lowering effect. Suggest changing medication or adjusting dosage under the guidance of a doctor. For example, patients who were originally taking amlodipine can try switching to valsartan or using diuretics such as hydrochlorothiazide in combination to enhance their blood pressure lowering effect.

2. Unoptimized lifestyle

hypertension is closely related to lifestyle habits. The intake of high salt, high fat, and high sugar in the diet can exacerbate blood pressure problems. It is recommended to control the daily salt intake to below 5 grams, eat more potassium rich foods such as bananas and spinach, and reduce the intake of processed foods. In terms of exercise, doing 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming, can help lower blood pressure. Smoking cessation, alcohol restriction, and maintaining emotional stability are also crucial for blood pressure control.

3. Other potential disease influences

Certain diseases such as kidney disease, endocrine disorders, or sleep apnea syndrome may lead to refractory hypertension. For example, renal artery stenosis can affect renal blood flow, leading to an increase in blood pressure. It is recommended to undergo a comprehensive physical examination, including kidney function testing, hormone level testing, and sleep monitoring, to rule out the influence of other diseases.

4. Regular monitoring and follow-up

Blood pressure control is a dynamic process that requires regular monitoring and adjustment of treatment plans. It is recommended to measure blood pressure at least 2-3 times a week and record the data. If blood pressure continues to not decrease, timely follow-up visits should be made, and the doctor will adjust the treatment plan based on the monitoring results.

High blood pressure cannot be lowered even after taking medication, so it is necessary to start from multiple aspects such as medication, lifestyle, and potential diseases. By adjusting medication, optimizing lifestyle habits, eliminating the influence of other diseases, and regularly monitoring, blood pressure can be effectively controlled. If the problem persists, it is essential to seek medical attention promptly and seek professional help.