Risks of Discontinuing Hypertension Medication for Natural Remedies - Internal Medicine

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Doctor, my father has high blood pressure and has been taking medication regularly.
He has a condition that causes him to need to urinate every 20-30 minutes, so he started taking pumpkin seed supplements.
He mentioned that taking both together might lower his blood pressure too much and cause dizziness, so he stopped taking his high blood pressure medication on his own.
Currently, he is only taking the pumpkin seed supplements, and his blood pressure is normal, with a noticeable decrease in urination frequency.
Since my father is quite stubborn, I would like to ask the doctor if it is acceptable for him to discontinue his high blood pressure medication on his own.

Chen Boxun, 30~39 year old female. Ask Date: 2024/04/24

Dr. Lin Wuxuan reply Internal Medicine


Chronic disease patients are advised not to arbitrarily adjust their medication dosage, frequency, or discontinue their medication.
If there is a need to take dietary supplements or adjust medications, please discuss it with your attending physician.
Thank you.

Reply Date: 2024/04/24

More Info


Discontinuing hypertension medication in favor of natural remedies, such as pumpkin seed supplements, can pose significant risks, especially for individuals with a history of high blood pressure. While your father may currently feel that his blood pressure is normal and that his urinary frequency has improved, it is crucial to understand the potential dangers of self-managing hypertension without medical supervision.

Firstly, hypertension is often referred to as a "silent killer" because it can lead to serious health complications without presenting noticeable symptoms. These complications include heart disease, stroke, kidney damage, and vision loss. Therefore, even if your father feels fine, his blood pressure could still be elevated, and the risk of these complications remains. Regular monitoring of blood pressure is essential to ensure it stays within a safe range.

Secondly, abruptly stopping prescribed antihypertensive medications can lead to a rebound effect, where blood pressure may spike significantly after discontinuation. This rebound hypertension can be dangerous and may lead to acute cardiovascular events. It is important to note that medications for hypertension are often tailored to the individual based on their specific health needs, and any changes to medication should be made under the guidance of a healthcare professional.

Moreover, while some natural remedies may have beneficial effects on blood pressure, they are not a substitute for prescribed medications. The efficacy and safety of supplements like pumpkin seeds can vary widely, and they may not provide the same level of control over blood pressure as pharmaceutical options. Additionally, there is limited scientific evidence to support the use of pumpkin seeds specifically for managing hypertension, and they may interact with other medications or conditions.

If your father is experiencing side effects from his hypertension medication, such as dizziness or frequent urination, it is crucial to consult with his healthcare provider. They can assess his symptoms, review his current medications, and potentially adjust his treatment plan to better suit his needs without compromising his blood pressure control. This could involve changing the dosage, switching to a different medication, or exploring alternative treatments that are safe and effective.

In conclusion, while your father's decision to explore natural remedies is understandable, it is essential to approach this change with caution. Discontinuing hypertension medication without medical advice can lead to serious health risks. Encourage your father to discuss his concerns and treatment options with his healthcare provider to ensure that he receives safe and effective care for his hypertension while addressing any other health issues he may be facing. Regular follow-ups and monitoring are key to managing high blood pressure effectively and safely.

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