How long should antihypertensive medications be taken?

Generally, the duration of antihypertensive medication use depends on the specific condition. Primary hypertension usually requires long-term, regular medication, while secondary hypertension may allow for gradual discontinuation of drugs after the underlying cause is treated. If in doubt, it is recommended to consult a healthcare provider in advance. Detailed analysis is as follows:

Primary hypertension has complex causes and cannot be completely cured. It requires long-term medication to maintain blood pressure within the target range. Continuous drug therapy helps reduce blood pressure fluctuations and minimizes damage to vital organs such as the heart, brain, and kidneys, thereby lowering the risk of complications like stroke and myocardial infarction. Abruptly stopping medication may lead to rebound hypertension and worsen the condition.

Secondary hypertension is caused by identifiable underlying conditions, such as kidney disease or endocrine disorders. Once the root cause is effectively treated or removed, blood pressure may return to normal. Under a doctor's guidance, medication dosage can then be gradually reduced and eventually discontinued. However, continuous blood pressure monitoring is essential to prevent recurrence.

During antihypertensive treatment, blood pressure should be monitored regularly. Do not adjust the dosage or stop taking the medication without medical advice. Follow your doctor’s instructions to select appropriate medications and develop a consistent medication routine. If adverse drug reactions occur or blood pressure is poorly controlled, seek medical attention promptly to adjust the treatment plan.