Should a 60-year-old with a blood pressure of 145/95 mmHg take antihypertensive medication?

Blood pressure of 145/95 mmHg refers to a systolic pressure of 145 mmHg and a diastolic pressure of 95 mmHg. In general, whether antihypertensive medication is needed depends on individual circumstances. Details are as follows:

1. Not required

A systolic pressure of 145 mmHg and diastolic pressure of 95 mmHg falls under mildly elevated diastolic pressure. However, blood pressure can be influenced by various factors—such as physical activity or emotional excitement—which may temporarily raise diastolic pressure to 95 mmHg. This is considered physiological, and blood pressure typically returns to normal after rest. In such cases, antihypertensive medication is not necessary.

2. Required

If three separate measurements taken on different days consistently show a blood pressure of 145/95 mmHg, a diagnosis of hypertension can be confirmed. If there are no obvious symptoms or associated complications, medication may still be avoided initially, and lifestyle modifications—including diet, exercise, and daily habits—can be implemented instead. However, if hypertension is diagnosed and the patient also has conditions such as diabetes, target organ damage, or chronic kidney disease, they are considered at moderate to high risk. These patients require stricter blood pressure control than usual and should take antihypertensive medications as prescribed by their doctor. Commonly used drugs include furosemide tablets and metoprolol succinate extended-release tablets.

To prevent or manage hypertension, it is recommended to maintain emotional stability, avoid excessive excitement, follow a regular lifestyle, ensure adequate sleep, and adhere to a light diet—avoiding spicy, stimulating, and greasy foods.