High Blood Pressure

TABLE OF CONTENTS

High Blood Pressure

Treatments

Non-drug

Prescription Drugs

Benicar (Olmesartan) Benicar HCT (Olmesartan/hydrochlorothiazide) Coreg (Carvedilol) Cozaar (Losartan) Diovan (Valsartan) Edarbi (Azilsartan) Hyzaar (Losartan/hydrochlorothiazide) Microzide (Hydrochlorothiazide) Norvasc (Amlodipine) Prinivil (Lisinopril) Prinzide (Lisinopril/hydrochlorothiazide) Toprol XL (Metoprolol)

Over-the-counter Drugs

What Leading Medical Organizations Recommend When Treating High Blood Pressure

WHAT TO TRY FIRST

The Eighth Joint National Commission (JNC8 - the leading independent national panel issuing guidelines on hypertension) suggests lifestyle changes (for example, weight loss if overweight, regular aerobic exercise) for all patients with high blood pressure.

If medications are to be used, JNC8 recommends...

  • For patients without diabetes or kidney disease: water pills (such as hydrochlorothiazide), ACE-inhibitors (such as lisinopril), ARB-inhibitors (such as losartan) or calcium channel blockers (such as amlodipine) alone or in combination for non-black patients, and water pills or calcium channel blockers alone or in combination for black patients
  • For patients with diabetes (any race): ACE- or ARB-inhibitors alone or in combination.

WHAT ELSE TO TRY

JNC8 suggests using single drugs and going to the highest dose before switching or adding a second drug. Since high blood pressure increases the chance of heart attack and stroke, all patients should not smoke. Not smoking is the most powerful way to lower the chance of having or dying from heart attack or stroke.

SOURCE

Eighth Joint National Committee (JNC 8). 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults. Journal of the American Medical Association. 2014;311(5):507-520. doi:10.1001/jama.2013.284427.