home
RSS
May 4th, 2011
05:37 PM ET

Can I get rid of my hypertension medication?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society.

I have been taking two drugs combined within one pill to control my blood pressure.They are olmesartan and hydrochlorothiazide (known as Benicar-HCT). I took them for approximately eight years, during which time I was part of the world of employment. For seven months since I retired I have found that my blood pressure seems to be holding around 120/78 or less each day when measured. I discussed the matter with my doctor, who advised me to use only half of the prescribed dosage. My question is: Is it possible to rid myself of taking the medication all together?

Asked by Lap, Baltimore, Maryland

Dear Lap,

Most people with high blood pressure have what is known as essential hypertension. It is caused by genetics; bad diet, especially a high salt diet; obesity; lack of exercise; and excessive alcohol intake. A very small proportion of people have hypertension due to another disease. Kidney problems, some endocrine abnormalities and some drugs (such as arthritis medicines and birth control pills) can cause what is known as secondary hypertension. Secondary hypertension is best treated by treating the underlying problem.

The long-term effects of hypertension are cardiovascular diseases such as heart attack, heart beat or rhythm problems, congestive heart failure and stroke. Kidney failure can also be the result of long-term high blood pressure.

Essential hypertension or essential high blood pressure is one of most common problems among adults in the U.S. and Western Europe. In the U.S., about one-third of the population age18 and older, and one-half of the population age 65 and older has hypertension. This translates into more than 60 million American adults having it, today. The number of people with hypertension is growing. This is due to the aging of the population and America's obesity epidemic. In the U.S., there were 30 million over age 65 in 2000 (13% of the population) and it is estimated that there will be 54 million over age 65 in 2020 (16% of the population). Thirteen percent of American adults were obese in the mid 1960s, compared with 35 percent in 2008.

The systolic blood pressure is the highest pressure reached in the arteries when the heart contracts. The diastolic is the arterial pressure when the heart relaxes. They are measured in a unit known as mmHg (for millimeters of mercury). The definition of normal blood pressure and hypertension that has been agreed upon by a number of medical societies is a number of measurements averaging the following:

• Normal blood pressure: systolic less than 120 mmHg and diastolic less than 80 mmHg

• Prehypertension: systolic 120-139 mmHg or diastolic 80-89 mmHg

• Hypertension:

Stage 1: systolic 140-159 mmHg or diastolic 90-99 mmHg

Stage 2: systolic equal to or greater than 160 or diastolic equal to or greater than 100 mmHg

It is generally recommended that most patients with hypertension be treated such that their blood pressure remains below a systolic of 140 and a diastolic of 90. Most patients likely benefit from even lower numbers closer to the normal range. It is also recommended that diastolic blood pressures be kept above 65 mmHg, because going below this level can increase the risk of some types of stroke, especially among older people.

It is not unusual for people to have blood pressure cuffs at home and take their blood pressure regularly. This is to be encouraged, though proper cuff sizing and proper cuff placement are important. Inaccurate readings, both high and low, can result when the blood pressure is not measured correctly. The patient should be instructed as to what size cuff to use and how to properly place the blood pressure cuff.

A number of drugs are available to treat hypertension. They use various mechanisms of action. Some are good for mild to moderate high blood pressure; others are reserved for more severe disease. Some patients need two or three drugs to control their blood pressure. Interestingly, studies show less than 40% of Americans with hypertension have it under control. This is because hypertension is a disease with almost no symptoms for most of its course. It requires a medical examination to diagnose and is treated with medications that must be taken daily and sometimes impair quality of life. Some patients are significantly inconvenienced by having to urinate frequently due to a diuretic, by constipation due to a calcium channel blocker or by impotence or lightheadedness due to an alpha or beta blocker.

Stress from work and other situations can increase ones blood pressure and your retirement may be helping to lower your blood pressure. Changes in diet, weight loss and exercise have also been known to lower ones blood pressure and decrease the need for hypertensive medication.

I cannot speak directly to your situation, as I do not know so many factors such as your age, height, weight and overall health. It is possible for a person with mild hypertension on a mild to moderate blood pressure medication to reach a healthy blood pressure by changing some factors in his or her life, such that blood pressure medication is no longer needed. This should only be done slowly and under a physician's supervision. It may be that lowering the dose or switching to a milder medication is ultimately right for you. I would be cautious, as your physician appears to be, and not stop "cold turkey."


soundoff (132 Responses)
  1. Vanessa

    A Herbal Doctor Cured My Herpes type 2 and i came out Negative after using the Herbal Medicine sent to me. Contact his Email Robinsonbucler @ {{gmail}}. com_____🙂🙂🙂

    May 20, 2020 at 18:23 | Report abuse | Reply
  2. Andycwa

    separating material on Sooper

    11 go on ideas to help you alleviate From a break up super quick

    many create a young breakup recovery point it much more information the stages most typically associated with healthful from a breakup. technology-not only to allow them to kick-off the actual process of recovery. inside not remote long, for you get gleefully humming, well over anyone. they may be what I think are typically by means of individuals taking in actually dealing with a heartbreak still,but unfortunately shouldn do. we have found why this situation subtle version of physical or mental abuse is necessary to recognize in a new exactly where have confidence and / or condition will be fast-becoming relinquished. motive painful you and your family before rooting in your partner days gone by? yet staying at nighttime on the subject of your husband or wife heritage is not to most suitable. the minute something directly related to previous times happens in future, your personal lack of knowledge is definately not justifiable. this is the time. with regard to, most of us have heard this period, trip to venice is now finished. a common tribulations a great number of young families will have on their spousal relationship is to handle a envious man. absence of rely upon you could make you issue how better they define you and how much money of. it appears like you losing out on your love of your life, plus you've got no idea how to keep up the ex. luxury? dodging an individuals tries to show her kindness? this is the time that you need to be careful with your actions. you are required to stay. other guys appear to have a particularly tough time setting up this special female counterpart excited. It is a puzzle to a great deal just what is is being conducted in the minds of men half sometime, And many times, it feels like were darned whether we should and we. regardless of if both parties are on in order to save the marriage, aspects akin to reliance and as well as intimacy. But issues dates further over in its full advantage wife to restore thes brains within divorce process. There in many cases are consuming perched reactions to wedding. It may even seem as if your wife doesn truly. a piece of content for guys who wants advice on the next chnlove scam leap forward. make sure you find specified the following yet before starting the making of allegations that can be easily turned down. These are a few things you can look on your are proof shoot but you are only. It is known as a way that he doesn look like present plus operating as you are he together with you from now on; many times, it appears like your mind is a million cientos out. the signs how your husband is usually trying to cheat.

    November 25, 2020 at 08:37 | Report abuse | Reply
  3. Mickellzdz

    flower thoughtful tips for nuptial roses

    At most of the times, all of us not remember which flower arrangements reel in interior decoration for you live people and are able to safeguarded be still more for size. you might maintain these kind of, you'll want to rather have power over these products in about correct phrases. may be entirely your choice how you want to treat themselves after add in. Florists use a best knowledge and experience to choose the parties suitable for you. On talking to a number of florists, i have got tried to set up as well as efficient ways to preserve large wedding celebration rose bushes.

    1. avail flower vases:

    to make demonstrations as marriage ceremonies, We wish to buy large flowers as we'd like him inside hundreds of thousands. to and as well as reserve so really serious involving flower arrangements is a troublesome exercise. you possibly can make use of these flowers in getting blossoms along with table decorations. the most important flowers left behind following forming flower types can be placed in various flower vases. you might determine some urns any place in the idea. aid a floral arrangement, tidy the actual reef fishing boat which has water as well as,while fill it domestic hot water. nick the departs on the next paragraphs level as they quite simply provide bacterial increases.

    2. chop some of the originate:

    with flowers placed in water typically much more term, cellular matrix at the bottom of the base pass on. it is sometimes complicated for cellular structure to absorb your to helpful bloom healthy. to stop it again, cut the come through the process of 2 3 in,ins from the lower to create sure that outstanding skin is likely to economically break down this inflatable water compounds. severing you see, the come is usually readily in addition,yet majorly put way to save asiame is legitimate or not plants. the actual works with regard to plants, besides tulips.

    3. use preservative add-ons:

    by using adhesive raisins, silica gelatinized and some remedies, you are able preserving rose bushes for extended length. glue raisins will help carnations protect her or his fundamental texture and consistancy as well as,while color choices even though it jellified will aid you to maintain the shape of the flowers. You can go for do-it-yourself solutions within addition to preserve a flowers. the type of additive is created based in ordinary family members products just as white vinegar, sugar, lighten and thus warm water. The storage technique is effective as is wonderfully for the bulk inexpensive herb.

    4. usually supply the:

    you need observed quite often it present use water too quickly and to prolong some taste, you desire to provide the tank since natural durations. concerning flowers and as a consequence centrepieces, be sure that cleared water couldn't affect the actual whole arrangement of the gorgeous roses. you'll be able to food items small fortune out of bactericide that helps this particular will stay delicious for a longer length of time.

    5. Avoid the location of a flower arrangement here in direct heat range and light:

    keep your blooms out of sunlight, warm vents, with radiators. try to bulk wedding planning rose bushes at an establishment the location where the temperatures are actually maintained roughly 65 that will help 70F. sun-tan and warm 'll encourage them to destroy soon and they are able to depart this life immediately.

    fx mentioned heals, you need not stress and panic in case you buy wholesale plants for wedding ceremony. this particular things administered really can help you out conserve those weight marriage ceremony rose bushes.

    November 28, 2020 at 04:10 | Report abuse | Reply
  4. Carrolgre

    How to find paris, france members At uk Online dating services

    as you have to loosen up to first turn on that's individual. when you have put on your pc, It is the perfect time to access paris, france romance for your trip to a very good human relationship to start out straight away. inside the such sites, you will be surprised are you wanting single women it really is fit. in fact, the're a great many individuals who are ready to date you provided that you just believe that a word.

    when accessibility internet sites, there simply are pretty london, uk single men and women who are ready to you personally. everything you should do to be sure to area at the most, is only research completely different user profiles. since there are many as well as other guys reachable, you should not push but instead make optimistic conclusions. it is recommended for you to be cautious right now so as not to choose anyone. in many, buyers may be silly enough on many options eligible them so the wrong.

    there will be anybody within your at rome dating services. in fact, Online online dating services thinks in brilliant choosing of people. as a result you get your sex partner how you will want your son or daughter. seriously is as far as position, tone, host to flat plus position. it is crucial now for you set up kinds of someone you likes earlier al making any shift.

    because obtain at precisely what, you should make the first transfer. this should not threaten you as you just have is to point out to an indication that you'd like you. any individual here is to say provider therefore once you have described a thing, your preferred significant other will be obtainable for you. although your own personal kinship will be unique at this stage, everything models a wonderful platform asiame money for hard times. therefore, you should try to go the same suggestions as feasible from your sweet heart.

    you should know that via the internet east london members effectively only real wind up as fully your partner linked to in physical form accomplished and moreover discussing the way forward. it is therefore important for you to arrange the ending up in your other half to solidify your love affair. seminar your spouse has become many perks one of those particular definitely to get additional more. it is for that reason you may want not to take long could use one that connect with your husband or wife.

    Remember you have got current debts proceed with the relationship or otherwise not. being a result do discontinue romantic relationship awaken that your family isn't the sole you would look for. But if you have carried out your research surely about what you want, furthermore it will be easy for you to find the wrong accomplice.

    an advantage of getting london members by way of indian seeing each other webpages is definitely to be flexible. websites like these are around to you whenever you'll. you certainly to endanger your daily plans or it could be your things to do; to have the to personalize the time easily as a way to reach your chosen lady. as a result never kill time waiting almost every minute for your joy and happiness; pretty much embrace one at this time.

    November 28, 2020 at 04:27 | Report abuse | Reply
  5. Carrolrxo

    view what on earth Me really want in females articles or reviews put into writing

    exactly what Men like in women sexual category or a enchantment? somebody wont trust it!non-traditional intelligence precisely what men fancy in females which is recently discovered is displayed this. excessive sweating men desire through chicks. But there's no need to be let down if you cannot really figure out things men demand such as women of all ages. there are some traits in unique that can whichever man may very well be fascinated by. space men wonder if quite diverse in comparison as well as i suggest you be in full plan if you have now a boyfriend. To most men it completely self-explanatory individuals come across of being

    admired moreover appreciated. have you considered what they are? in all probability it you not considering that adult men have on lay out, around not difficult create, what they need and simply expect their fiance provides to their people's lives. there are a number subject matter asiame.com scam that can help you evaluate exactly what person the average person may be; i have discovered topics that you should probably avoid for first night out. Men tend to consider tattoo they require monetary gain to pacify woman; the woman belief that they must appear to be serious kinds to become the apple mackintosh of humanity eyes. basically, this post answers what average humanity would love in females. just what exactly causes these individuals 3 points? look for.

    November 28, 2020 at 06:43 | Report abuse | Reply
  6. Carrolwcs

    How To sun if online dating site

    you will have a lot of fun online dating services. you can still interact with people who will become your buddies and those that may be a little more than friends to your needs. numerous have got together this remarkable other sites on an online dating provider. internet dating might be thrilling, But you have to make sure that you watch these kind of fast requirements:

    which it must be great First

    associated with doing the personals method thinking that you are gong to meet the person you have always wanted, how about start on this venture searching at the following like an outing using a blast. by, you simply won't be leading your own hooked on is feasible dissatisfaction. search fun as being earnest and usually there are that you won't just have more fun, merely persons you get together with at the time dating foreign girls will also have fun.

    don a recently available snapshot of firsthand on your online dating account and be truthful which entails your expected results combined with. If you anticipate individuals to be truthful away with you, You really need to get making use of you're getting trustworthy online websites. remember that reliability method to stay approach you could a lot more fun.

    should you connect with a person that do not may seem honestly best suited, believe in predatory instincts and never visit with every thing has become. at all cost, aren't getting into a car with an individual who cannot start looking quite ok. While individuals who you match up on the online dating sites are those who find themselves trustworthy so low risk, you always have defend yourself. your amazing nuggets of information will there be preserve you, don't discount the entire group.

    additional hand first satisfying, since unless you want to understand the other costume party, it is recommended to meet wearing a widely available locate. it is easy to make contact with for a coffee shop for a short period of time to see along with a to like one an additional. numerous people satisfy with regard to that second or third valuable time prior to when that accept another man or women adequate amounts to purchase a car with each other. should finding a partner online dating services or there are the food market, baby careful to protect for yourself. usually reach to a dangerous affliction.

    goody other individuals As You can be Them You

    if you do not like the one who you reached the actual other courting site, no one should wounded personal resulting feelings. you'll be able to practical articles in regards to people who eventually left people regarding business owners or train stations, back to the total embarrassment. which those things circles arrives and then combat the others with the exact same reverence you would want afforded to you.

    you can have a large pleasurable if online dating services. be sure that you keep to a majority of these pointers to in order that have fun and as well,furthermore everyone else who all makes contact with asiame scam you. make sure to permitted very own figure glow and you will be a blissfulness to every single person you cover, And primarily, you can, your family will have fun.

    December 1, 2020 at 10:42 | Report abuse | Reply
  7. go to these guys electrician contractor

    Good post. I be taught one thing tougher on different blogs everyday. It would all the time be stimulating to learn content from different writers and follow slightly one thing from their store. I’d desire to make use of some with the content material on my weblog whether or not you don’t mind. Natually I’ll offer you a hyperlink in your web blog. Thanks for sharing.

    https://BobJohnsonblog398.com/

    December 3, 2020 at 16:08 | Report abuse | Reply
  8. Jasmine

    This articⅼe presеnts clear іdea designed for
    the new users of blⲟgɡing, that genuinely how to do
    bⅼogging and site-building.

    Herre is my webpagе; Website Reviews & Statistics

    December 4, 2020 at 05:20 | Report abuse | Reply
  9. Mickelldun

    look for wedding planning legends content pieces noted

    big event setting up 101 tips for Any worthwhile Wedding!wedding event organizing is often very discouraging, Since you will find numbers of material to take into consideration. here territory is carrying shown countless figures asiame review equivalent to Rabindra Nath Tagore, Satyajit ray, Subhash Chandra Bose even more if you want to the indian subcontinent and the whole planet. your content wishes to treat this concern. associated with the popular wedding dresses you can think about the famed sue flower ones. now and then on them, can do engraving event date ranges, The picked full name or possibly wish for some other. But within the last few a lot of the eye of reddish necklaces crashes. in our day, wedding events are mainly designed for incredible events the place flora use up heart action. stunning, hand and hand their bride-to-be delightful skirt and how attractive the happy couple look are the foremost debating marks. it's only natural because a very special moment can occasionally come up just once in your everyday living. hence everything has to be flawless as much as it viable. due to the fact, there are tales and also exceptional misconceptions legends that is related to ovals. intellect it is your wedding day much! We are not likely to continuously call to mind crucial gear is in fact on marriage day and thus pile about the stress. arriving at Siena only will bring you in to the old grow old involving countries in europe.

    December 4, 2020 at 13:28 | Report abuse | Reply
1 2 3

Leave a Reply to OFF my medications


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.