Is it necessary to take antihypertensive medication when the systolic blood pressure is normal, but the diastolic blood pressure is over 90 mmHg?

High blood pressure usually refers to systolic pressure, while low blood pressure generally refers to diastolic pressure. Under normal circumstances, if the systolic pressure is normal and the diastolic pressure is around 90 mmHg, medication to lower blood pressure typically isn't necessary if the condition occurs occasionally and without other discomfort symptoms. However, if the diastolic pressure consistently remains around 90 mmHg over a prolonged period, antihypertensive medication may be required. Detailed explanations are as follows:

If the systolic pressure is normal and the diastolic pressure is around 90 mmHg only occasionally without other discomfort symptoms, medication to lower blood pressure typically isn't needed. Regular blood pressure monitoring is recommended to track any changes in blood pressure. Additionally, adopting a healthy lifestyle, such as a low-salt diet, increased physical activity, quitting smoking, and limiting alcohol consumption, is advised.

If the diastolic pressure remains consistently around 90 mmHg over a long period, antihypertensive medication may be necessary. Under the guidance of a qualified physician, medications such as nifedipine tablets, methyldopa tablets, or captopril sustained-release tablets may be used for treatment. Regular blood pressure monitoring is also essential to ensure treatment effectiveness and safety.

In daily life, maintaining a healthy lifestyle is important. Avoid staying up late, maintain a light diet, and avoid consuming spicy or irritating foods such as pepper, chili peppers, and onions, which are detrimental to health.