Blood pressure medications should only be taken according to your doctor’s instructions. Never take another person’s blood pressure medication and never take an extra or early dose of your own medications unless advised to do so by your doctor. All blood pressure medications can cause dangerously low blood pressure when taken by the wrong person or when taken in excess or too early.
There are a large number of prescription medications that are commonly used to help lower and maintain blood pressure within a healthy range.  These include diuretics, beta blockers, ACE inhibitors, and many more.  And, while the right medication can be a great tool in fighting high blood pressure, there are many other ways in which some patients may be able to control their condition naturally.
While making these changes may not mean you can immediately go off your blood pressure medications or never have to take them, they will improve your overall health and reduce your risk for developing other diseases, including diabetes and possibly even cancer. Making healthy lifestyle changes can reduce your risk of stroke, heart attack or kidney damage, and reduce the likelihood that your dose of blood pressure medication will need to be increased in the future.
“I always recommend that people find something that they enjoy doing to stay in shape. For example, line dancing, walking outside, and riding a bike are all good ways to get active,” says Scott Parker, a health and fitness trainer and a national spokesperson for #GoRedGetFit — an online fitness challenge for women hosted by the AHA and Macy’s. “It’s also important to find other people you like doing the activity with, because that helps you stick with it.”
Eighty million U.S. adults, or one in three, have hypertension (1). Another one in three have prehypertension, defined as blood pressure in the range of 120–139/80–89 mmHg. In addition to costing $48.6 billion annually, hypertension is a major risk factor for cardiovascular disease, congestive heart failure, chronic renal failure, and stroke (1). Even prehypertension increases the risk of death from CVD (2). Because of its severity, hypertension requires immediate treatment, but prescription drugs may not be the answer.
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Start by eating nuts. Pistachio nuts, singled out among other nuts, seem to have the strongest effect on reducing blood pressure in adults. This is according to a recent review and scientific analysis of 21 clinical trials, all carried out between 1958 and 2013. The review appears online in The American Journal of Clinical Nutrition, a publication of the American Society for Nutrition.
Once you know your resting heart rate, you can then determine your target training heart rate. Target heart rates let you measure your initial fitness level and monitor your progress in a fitness program. You do this by measuring your pulse periodically as you exercise and staying within 50 to 85 percent of your maximum heart rate. This range is called your target heart rate.
Sleep. Short and poor-quality sleep are both associated with raised blood pressure (40). On the other side of the spectrum, excessively long sleep may also be harmful. One study found increased blood pressure in those who got fewer than five hours of sleep per night and in those who averaged more than nine hours of sleep per night, when compared with people who slept around seven hours (41). I suspect that it’s not the long sleep itself that is the problem, but that some underlying condition is both increasing sleep requirement and raising blood pressure.
Also, if you sit for several hours a day, try to reduce the amount of time you spend sitting. Research has found that too much sedentary time can contribute to many health conditions. Aim for five to 10 minutes of low-intensity physical activity — such as getting up to get a drink of water or going on a short walk — each hour. Consider setting a reminder in your email calendar or on your smartphone.
The causes are most often some combination of clogged “pipes” and excessive salt in the diet. Lifestyle changes, such as appropriate diet and exercise, are among the most effective treatment strategies for high blood pressure. Relaxation, meditation, and otherwise “taking it easy” are not effective solutions, as valuable as such strategies may be for your psychological well-being.
Note: The fasting and high blood pressure study described in this article was funded in part by a grant from the National Health Association. It was conducted at the Center for Conservative Therapy in Penngrove, California. The results appeared in the article, “Medically Supervised Water-Only Fasting in the Treatment of Hypertension,” published in June 2001 in the Journal of Manipulative and Physiological Therapeutics.

Arteries are naturally flexible and smooth, which allows blood to easily move throughout the body. High blood pressure creates extra force against the artery walls, which damages the lining of the arteries. As they become narrower and harder, this restricts blood flow, and when blood flow is lowered, the heart has to work harder to pump it through the body, which only makes the problem worse.


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In one 2009 study, every hour less of average sleep duration per night was associated with a 37% increase in the odds of developing hypertension over five years. In another report from 2015, people with sleep apnea—a dangerous condition that can cause hypertension in itself—saw reductions in their blood pressure when they were treated with continuous positive airway pressure (CPAP) machines or mandibular advancement devices (MADs).
If you are insulin resistant, you'll definitely want to include weight training in your exercise program. When you work individual muscle groups, you increase blood flow to those muscles. Good blood flow will increase your insulin sensitivity. Depending on your physical condition when you embark on your exercise program, you may need to consult with a health care professional for help increasing to the intensity required to lower your insulin level. Exercise in combination with the supplement L-arginine has been shown to correct the abnormal functioning of blood vessels seen in people with chronic heart failure. However, I would view this more as a drug approach and not necessarily a supplement you would consider using for optimizing health in general. L-arginine probably works through its interaction with nitric oxide. I would consider it an adjunct, not a replacement, for coenzymeQ10, which is a well-proven therapy for heart failure.
Flavanols an anti-inflammatory and heart-protective antioxidant found in raw cacao may protect against cardiovascular disease, reduce the risk of stroke, and help improve blood circulation. Thus lowering your blood pressure. Cacao contains over 700 compounds and the complex antioxidants found in it known as polyphenols help reduce ‘bad cholesterol’ and prevent hardening of the arteries.
If you suddenly find yourself with high blood pressure (hypertension) under the new guidelines from the American Heart Association and the American College of Cardiology, you might be wondering what to do. The guidelines, which were released in November, lowered the definition for high blood pressure to 130/80 from 140/90 millimeters of mercury (mm Hg), meaning more women now meet the criteria for stage 1 hypertension.
Vitamin D. Vitamin D deficiency is associated with increased risk of developing hypertension (20), and large doses of vitamin D (50,000 IU per week) have been shown to lower blood pressure over eight weeks (21). One mechanism by which vitamin D may lower blood pressure is through suppressing renin, which regulates mean arterial blood pressure (22). Sun exposure is an easy and cheap way to get vitamin D.
Other exercise options that don’t require a gym membership include body weight exercises, like pushups, squats, and jumping jacks. These exercises can be done at home or outside. For people who like going to the gym or running, these can be good ways to build community, notes Parker. Apps like Fitbit and MapMyRun can be helpful if you like keeping track of your steps, calories burned, weight, or number of miles run.
Kidneys depend on healthy blood vessels to function properly, proper kidney function is crucial to filtering excess fluid and waste from your blood. High blood pressure can damage your kidneys leading to kidney disease (nephropathy). High blood pressure is the most common cause of kidney failure. Kidney failure leads to either dialysis or a kidney transplant, because your own body can no longer filter the waste and excess fluid from your body. 
Sleep. Short and poor-quality sleep are both associated with raised blood pressure (40). On the other side of the spectrum, excessively long sleep may also be harmful. One study found increased blood pressure in those who got fewer than five hours of sleep per night and in those who averaged more than nine hours of sleep per night, when compared with people who slept around seven hours (41). I suspect that it’s not the long sleep itself that is the problem, but that some underlying condition is both increasing sleep requirement and raising blood pressure.
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