What should I do if my blood pressure keeps high and I can't lower it even with medication

Blood pressure remains high and cannot be lowered even with medication, which may be related to improper medication selection, poor lifestyle habits, or the presence of secondary hypertension. Adjusting medication, improving lifestyle, and identifying secondary factors are key to solving the problem.

1. Improper drug selection. There are many types of hypertension drugs, and if the current medication is ineffective, it is necessary to adjust the medication plan under the guidance of a doctor. Common antihypertensive drugs include calcium channel blockers such as amlodipine, angiotensin-converting enzyme inhibitors such as enalapril, diuretics such as hydrochlorothiazide, etc. Combination therapy is also an effective way, such as combining calcium channel blockers with angiotensin-converting enzyme inhibitors.

2. Lifestyle habits have not improved. Poor lifestyle habits are an important reason for difficulty in controlling blood pressure. Reduce salt intake and keep daily salt intake below 5 grams; Increase potassium rich foods such as bananas and spinach; Maintain regular exercise and engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking and swimming; Quit smoking, limit alcohol consumption, and avoid excessive drinking.

3. Secondary hypertension. Some hypertensive patients may have difficulty controlling their blood pressure due to other diseases, such as renal artery stenosis, primary aldosteronism, pheochromocytoma, etc. Secondary factors need to be identified through relevant examinations such as renal artery ultrasound and adrenal CT, and treatment should be carried out based on the cause. When blood pressure continues to rise and medication is ineffective, timely medical attention should be sought to investigate potential issues. By adjusting medication, improving lifestyle, and identifying secondary factors, blood pressure can be effectively controlled and the risk of cardiovascular disease can be reduced. Regular monitoring of blood pressure is key to long-term management of hypertension.