Managing Hypertension: What to Do After Stopping Blood Pressure Meds?

Discomfort after discontinuing antihypertensive medication?

I previously took medication for high blood pressure, but I stopped taking it for a while.
Recently, my blood pressure spiked above 140/80, sometimes reaching 150, and I experienced discomfort in my heart, which led me to seek medical attention at a clinic where I was prescribed antihypertensive medication.
However, I feel that having high blood pressure at a young age is abnormal.
Last week, I visited a regional hospital for an examination, and the doctor advised me to stop the medication for a week and return for a follow-up.
I have now been off the medication for about three days, and my blood pressure has risen above 140 again.
I feel my heart beating strongly and I am short of breath.
Given my situation of repeatedly taking antihypertensive medication, could this cause any issues? Should I resume taking the antihypertensive medication if I feel unwell after stopping?

111, 20~29 year old female. Ask Date: 2017/02/19

Dr. He Dongjin reply Cardiology

Hello, it seems that your elevated blood pressure may be due to anxiety.
Typically, blood pressure increases to levels of 140-150 mmHg do not cause discomfort unless it reaches 180-200 mmHg.
The strong heartbeat and shortness of breath you are experiencing are likely related to autonomic nervous system dysregulation.
You may not need to take antihypertensive medication at this time.
However, if you continue to feel unwell, you should consider taking medication to help regulate your autonomic nervous system.
Changhua Hospital is concerned about your well-being.

Reply Date: 2017/02/19

More Info

Managing hypertension, especially after stopping blood pressure medications, can be a complex and concerning issue. It is important to understand that hypertension is often a chronic condition that requires ongoing management, and stopping medications without proper guidance can lead to significant fluctuations in blood pressure, which may result in serious health complications.

When you stop taking blood pressure medications, your body may react in various ways. Some individuals may experience a rebound effect, where blood pressure rises significantly after discontinuation of the medication. This can be particularly true for certain classes of antihypertensive drugs, such as beta-blockers. In your case, experiencing blood pressure readings above 140/80 mmHg, and even reaching 150 mmHg, indicates that your hypertension is not adequately controlled without medication.

If you are feeling discomfort, such as a racing heart or shortness of breath, it is crucial to take these symptoms seriously. These could be signs that your body is struggling to cope with the increased blood pressure. It is advisable to consult your healthcare provider promptly. They may recommend resuming your antihypertensive medication, especially if your blood pressure remains elevated and you are experiencing symptoms.
In terms of managing your hypertension after stopping medications, here are some key points to consider:
1. Gradual Discontinuation: If you and your healthcare provider decide to stop your blood pressure medications, it is often recommended to do so gradually rather than abruptly. This can help minimize the risk of rebound hypertension and allow your body to adjust.

2. Monitoring Blood Pressure: After stopping medication, regular monitoring of your blood pressure is essential. This will help you and your healthcare provider assess how your body is responding and determine if and when to resume medication.

3. Lifestyle Modifications: In conjunction with medication, lifestyle changes can play a significant role in managing hypertension. This includes maintaining a healthy diet (such as the DASH diet), engaging in regular physical activity, managing stress, and avoiding excessive alcohol and tobacco use. These changes can help lower blood pressure and improve overall cardiovascular health.

4. Communication with Healthcare Provider: Keep an open line of communication with your healthcare provider. If you experience any concerning symptoms or if your blood pressure readings remain high, do not hesitate to reach out for guidance. Your provider may need to adjust your treatment plan based on your current health status.

5. Understanding Medication Effects: It is important to understand how different medications work and their potential side effects. For example, beta-blockers like Atenolol can cause a decrease in heart rate, which may lead to feelings of fatigue or dizziness if stopped suddenly. Your healthcare provider can help you navigate these concerns and find the most appropriate medication regimen for your needs.

In conclusion, if you have stopped taking your blood pressure medication and are experiencing elevated blood pressure and discomfort, it is advisable to consult your healthcare provider as soon as possible. They can help determine the best course of action, which may include resuming your medication or exploring alternative treatment options. Managing hypertension is a lifelong commitment, and with the right support and strategies, you can achieve better control over your blood pressure and overall health.

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