Managing Blood Pressure: When to Continue or Stop Medication

Blood pressure issues?

I previously asked about blood pressure medication.
After taking antihypertensive medication for a month, I experienced dizziness and unsteady gait.
Following your advice, I stopped taking the medication for two weeks, and my blood pressure readings have consistently been between 119-128 systolic and below 80 diastolic in the morning and evening.
However, in the past couple of days, with the sudden drop in temperature, my blood pressure measured 135/80.
Should I continue to observe for a few more days, or should I resume taking the antihypertensive medication to lower my blood pressure? Thank you for your response!

LEO, 30~39 year old female. Ask Date: 2016/03/25

Dr. He Dongjin reply Cardiology

Hello, your blood pressure is currently good, and there is no need for medication.
Please continue to monitor it.
Changhua Hospital cares about you.

Reply Date: 2016/03/25

More Info

Managing blood pressure effectively is crucial for overall health, especially for individuals with a history of hypertension or cardiovascular issues. Your recent experience with fluctuating blood pressure readings and symptoms like dizziness and unsteadiness raises important considerations regarding the management of your medication.

First and foremost, it’s essential to understand that blood pressure can be influenced by various factors, including temperature changes, stress, physical activity, and even dietary habits. The recent drop in temperature you mentioned can lead to increased blood pressure due to vasoconstriction, where blood vessels narrow in response to cold. This physiological response can temporarily elevate blood pressure readings, which is why you observed a reading of 135/80 after a period of lower readings.

Given that your blood pressure has been consistently within a normal range (119-128 systolic and below 80 diastolic) for the past two weeks, it suggests that your body may be adjusting well to the absence of medication. However, the recent spike indicates that it might be prudent to monitor your blood pressure closely over the next few days. If your readings remain elevated or if you experience any concerning symptoms, it may be time to reconsider resuming your medication.

In terms of medication management, it’s crucial to consult with your healthcare provider before making any changes. They can assess your overall health, review your blood pressure trends, and determine whether it’s appropriate to restart your medication or adjust the dosage. It’s also important to consider the potential side effects of antihypertensive medications, such as dizziness or unsteadiness, which you have experienced. These side effects can sometimes be mitigated by adjusting the dosage or switching to a different medication.

If you decide to continue monitoring your blood pressure without medication for a few more days, keep a detailed log of your readings, noting the time of day and any activities or dietary changes that may influence your blood pressure. This information can be invaluable for your healthcare provider in making informed decisions about your treatment plan.

Additionally, lifestyle modifications can play a significant role in managing blood pressure. Regular physical activity, a balanced diet low in sodium and rich in fruits and vegetables, maintaining a healthy weight, and managing stress through relaxation techniques can all contribute to better blood pressure control.
In summary, while your recent blood pressure readings are encouraging, the temporary increase warrants careful observation. It’s advisable to consult with your healthcare provider to discuss your symptoms and blood pressure trends. They can provide personalized recommendations based on your health history and current condition, ensuring that you manage your blood pressure effectively and safely. Remember, managing hypertension is a long-term commitment, and working closely with your healthcare team is key to achieving optimal health outcomes.

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