What should I do if my blood pressure is still 150/100 after taking antihypertensive medication

After taking antihypertensive medication, the blood pressure remained at 150/100, which may be related to improper drug selection, insufficient dosage, unadjusted lifestyle, or secondary hypertension. Suggest adjusting medication, optimizing lifestyle, investigating secondary factors, and seeking medical attention if necessary.

1. Improper drug selection or insufficient dosage

There are many types of antihypertensive drugs, including diuretics, calcium channel blockers, ACE inhibitors, etc. If the drug selection is not suitable for the specific situation of the patient, or the dosage does not meet the treatment requirements, it may lead to poor blood pressure control. It is recommended to change medication or adjust dosage under the guidance of a doctor, such as changing from monotherapy to combination therapy, increasing medication dosage, or adjusting medication timing.

2. unadjusted lifestyle

The treatment of hypertension not only relies on medication, but also requires a healthy lifestyle. Excessive salt intake in diet, lack of exercise, smoking and drinking habits can affect the effectiveness of blood pressure reduction. It is recommended to control the daily salt intake below 5 grams and eat more potassium rich foods such as bananas and spinach; Engage in 150 minutes of moderate intensity exercise per week, such as brisk walking and swimming; Quit smoking, limit alcohol consumption, and maintain a regular schedule.

3. Secondary Hypertension

Some hypertensive patients may have secondary factors, such as renal artery stenosis, primary aldosteronism, pheochromocytoma, etc., which can make blood pressure difficult to control. It is recommended to undergo relevant examinations, such as renal function, adrenal CT, renal artery ultrasound, etc., to determine the cause and receive targeted treatment.

4. Poor medication adherence

Some patients may experience blood pressure fluctuations due to forgetting to take medication, worrying about side effects, or not taking medication regularly for economic reasons. It is recommended to use medication reminder tools, such as mobile alarm clocks or smart medicine boxes; Communicate with doctors about drug side effects and choose drugs with good tolerance; Pay attention to medical insurance policies and reduce economic burden.

5. Psychological stress and sleep problems

Long term mental stress, anxiety, or sleep disorders can affect blood pressure control. Suggest relaxing the body and mind through meditation, deep breathing, etc; Improve sleep environment and maintain a regular schedule; Seek help from a psychologist if necessary.

Despite taking antihypertensive medication, blood pressure remains high. It is necessary to investigate the causes from multiple aspects such as medication, lifestyle, and secondary factors, and adjust the treatment plan accordingly. It is recommended to regularly monitor blood pressure, record data for doctors' reference, adjust treatment strategies in a timely manner, and ensure that blood pressure remains stable within the target range.