Is medication required for mild hypertension?

Mar 19, 2025 Source: Cainiu Health
Dr. Tian Hongbo
Introduction
For patients with mild hypertension who do not have cardiovascular disease, doctors may recommend non-pharmacological treatments as initial interventions, such as increasing physical activity, maintaining healthy eating habits, etc. If blood pressure can be effectively controlled through these measures, antihypertensive medications may not be necessary temporarily. It is also recommended to develop good lifestyle habits and maintain a proper balance between work and rest in daily life.

In general, whether medication is needed for mild hypertension can be determined based on the presence of cardiovascular diseases. If experiencing any discomfort, timely medical consultation is recommended. Detailed analysis is as follows:

If a patient with mild hypertension does not have existing cardiovascular disease, doctors may recommend non-pharmacological treatments initially to control blood pressure, such as increasing physical activity and maintaining healthy dietary habits. If blood pressure can be effectively controlled through these measures, antihypertensive medications may not be necessary at this stage.

However, if the patient with mild hypertension also has cardiovascular diseases, such as coronary artery disease or heart failure, doctors may suggest initiating antihypertensive medication therapy immediately, which may include medications such as aspirin tablets, irbesartan hydrochlorothiazide tablets, or nifedipine tablets.

It is also recommended to develop healthy lifestyle habits and ensure a proper balance between work and rest in daily life, avoiding excessive fatigue.