Can You Stop Blood Pressure Medication After Normal Readings?

Can I stop taking medication on my own after my blood pressure returns to normal?

Previously, the diastolic blood pressure was between 140-120 mmHg and the systolic blood pressure was between 100-80 mmHg.
Now, the diastolic blood pressure is between 120-110 mmHg and the systolic blood pressure is between 85-70 mmHg.
Has the blood pressure returned to normal? Is it safe to stop the medication on my own, or should I wait until the blood pressure rises again before resuming the medication?

james, 50~59 year old female. Ask Date: 2016/07/23

Dr. He Dongjin reply Cardiology

Hello, please reduce the dosage by half and observe.
Changhua Hospital cares about you.

Reply Date: 2016/07/23

More Info

When it comes to managing high blood pressure (hypertension), the decision to stop medication should always be made in consultation with a healthcare provider. Your recent blood pressure readings show a significant improvement, with diastolic pressure now between 120-110 and systolic pressure between 85-70. While these numbers may seem more favorable compared to your previous readings of 140-120 for diastolic and 100-80 for systolic, it is essential to understand that "normal" blood pressure is generally considered to be around 120/80 mmHg.
Before considering stopping your medication, it is crucial to evaluate several factors:
1. Duration of Control: How long have your blood pressure readings been consistently in this improved range? If this is a recent change, it may be premature to stop medication. Blood pressure can fluctuate due to various factors, including stress, diet, and physical activity.

2. Underlying Conditions: If you have other health conditions, such as diabetes or heart disease, maintaining controlled blood pressure is vital to prevent complications. Stopping medication without medical advice could increase your risk of adverse events.

3. Medication Type: Different classes of antihypertensive medications have varying mechanisms of action and side effects. Some medications may need to be tapered off gradually rather than stopped abruptly to avoid rebound hypertension or withdrawal symptoms.

4. Monitoring: If you and your doctor decide to reduce or stop your medication, it is essential to monitor your blood pressure regularly. This can help catch any significant increases early, allowing for timely intervention.

5. Lifestyle Modifications: Alongside medication, lifestyle changes play a crucial role in managing blood pressure. These include maintaining a healthy diet (like the DASH diet), regular physical activity, weight management, and reducing sodium intake. If you have made significant lifestyle changes that have contributed to your improved readings, this should be discussed with your healthcare provider.

6. Consultation with a Healthcare Provider: It is always best to discuss any changes in your medication regimen with your healthcare provider. They can provide personalized advice based on your medical history, current health status, and the specifics of your blood pressure readings.

In summary, while your blood pressure readings have improved, it is not advisable to stop your medication without consulting your healthcare provider. They can help you determine the best course of action, whether that involves adjusting your medication, continuing your current regimen, or implementing lifestyle changes to help maintain your blood pressure within a healthy range. Regular follow-ups and monitoring are key to managing hypertension effectively and safely.

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