Why can't blood pressure come down after taking antihypertensive medication

The failure to lower blood pressure after taking antihypertensive drugs may be related to improper drug selection, insufficient dosage, unadjusted lifestyle, or the presence of secondary hypertension. The solutions include adjusting medication, optimizing dosage, improving lifestyle, and investigating secondary factors.

1. Improper drug selection: There are various types of antihypertensive drugs, such as diuretics, beta blockers, calcium channel blockers, etc., and different drugs have different effects on different populations. If the medication is chosen improperly, it may not be effective in controlling blood pressure. It is recommended to adjust the type of medication based on individual circumstances under the guidance of a doctor, such as changing from monotherapy to combination therapy, or switching to more suitable medications.

2. Insufficient dosage: The dosage of antihypertensive drugs directly affects the efficacy. If the dosage is insufficient, it may not achieve the desired antihypertensive effect. Doctors will adjust the dosage according to the specific situation of the patient, such as gradually increasing the dosage or adjusting the frequency of medication, to ensure that the drug works best.

3. Unadjusted lifestyle: Poor lifestyle is an important reason for difficulty in controlling blood pressure. A high salt diet, lack of exercise, smoking and drinking can all affect the blood pressure lowering effect. Suggest adopting a low salt diet, with a daily salt intake controlled below 5 grams; Increase aerobic exercise, such as brisk walking and swimming, for at least 150 minutes per week; Quit smoking and limit alcohol consumption to reduce the adverse effects on blood pressure.

4. Secondary hypertension: Some hypertensive patients may have secondary factors, such as renal artery stenosis, primary aldosteronism, etc., which can make blood pressure difficult to control. It is recommended to conduct relevant examinations, such as renal function and adrenal CT, to identify the cause and receive targeted treatment, such as surgical treatment for renal artery stenosis or the use of specific drugs to control aldosterone levels. When the blood pressure does not decrease after taking antihypertensive drugs, it is necessary to seek medical attention in a timely manner, adjust the medication and dosage under the guidance of a doctor, improve lifestyle, and screen for secondary hypertension. Through comprehensive intervention, blood pressure can be effectively controlled and the risk of cardiovascular disease can be reduced. Regularly monitor blood pressure, record medication status, maintain communication with doctors, and ensure the scientific and effective treatment plan.