What should I do if my blood pressure is very high and can't be lowered? What medicine should I take

Persistent high blood pressure may be related to genetics, environment, lifestyle habits, and pathological factors, and requires a combination of medication treatment and lifestyle adjustments. antihypertensive drugs include calcium channel blockers, ACE inhibitors, and beta blockers; Dietary recommendations include low salt, high potassium, and rich dietary fiber; Sports options include walking, swimming, and yoga.

1. Genetic factors play an important role in hypertension, and individuals with a family history of hypertension are more susceptible to the disease. It is recommended that this group of people regularly monitor their blood pressure and receive early intervention. Drug therapy can choose calcium channel blockers, such as amlodipine, to lower blood pressure by relaxing vascular smooth muscle. ACE inhibitors such as enalapril reduce vascular constriction by inhibiting angiotensin-converting enzyme. Beta blockers such as metoprolol lower blood pressure by slowing down heart rate and reducing cardiac output.

2. environmental factors such as high salt diet, lack of exercise, and high stress can also lead to elevated blood pressure. The daily intake of low salt diet should not exceed 5 grams, and the intake of processed foods should be reduced. High potassium foods such as bananas and spinach help balance the sodium potassium ratio in the body. Foods rich in dietary fiber, such as oats and whole wheat bread, can help control weight and blood pressure. In terms of exercise, walking for 30 minutes daily, swimming 2-3 times a week, or practicing yoga can effectively lower blood pressure.

3. physiological factors such as obesity, diabetes and high cholesterol can also cause hypertension. Controlling weight is key, and it is recommended to achieve it through a healthy diet and regular exercise. Reduce the intake of high-fat and high sugar foods in diet, and increase the proportion of vegetables and fruits. Moderate intensity aerobic exercise, such as brisk walking or cycling, can be chosen for at least 150 minutes per week. Pathological factors such as kidney disease and endocrine disorders can also make blood pressure difficult to control. This type of situation requires targeted treatment under the guidance of a doctor. Drug therapy should be selected based on specific causes, such as diuretics for hypertension caused by kidney disease and aldosterone antagonists for hypertension caused by endocrine disorders. Continuous elevation of blood pressure requires comprehensive treatment, with equal emphasis on medication and lifestyle adjustments. Regular monitoring of blood pressure, adherence to rational medication, healthy diet, and moderate exercise are necessary to effectively control blood pressure and reduce the risk of complications. For hypertension that is difficult to control, timely medical attention should be sought to identify potential pathological factors and develop personalized treatment plans.