Reasons Why Blood Pressure Does Not Decrease After Taking Antihypertensive Medications

Aug 13, 2024 Source: Cainiu Health
Disease description:

Recently, I went to the hospital for a checkup and was diagnosed with hypertension. The doctor prescribed medication, but after taking it for several days, I didn't feel any significant effect. I would like to ask, why isn't my blood pressure decreasing even after taking antihypertensive medication?

Doctor's answer (1)
Dr. Tian Hongbo

A situation where a patient's blood pressure remains uncontrolled despite taking antihypertensive medications may be caused by multiple factors:

1. Monotherapy: The patient may be receiving treatment with only a single medication, while actually requiring combination therapy with two or more drugs for better blood pressure control. Additionally, the dosage or type of medication may be insufficient, which can also prevent a significant reduction in blood pressure.

2. Lifestyle factors: Unhealthy habits such as a high-salt diet, lack of physical activity, excessive alcohol consumption, and obesity can reduce the effectiveness of medications, making blood pressure difficult to manage.

3. Improper medication timing: Even if the dosage and type of medication are adequate, if the timing of administration does not align with the natural peak of blood pressure, it can lead to fluctuations and failure to achieve stable blood pressure reduction.

4. Comorbid conditions: Conditions such as kidney disease, thyroid dysfunction, and sleep apnea syndrome can independently or synergistically interact with hypertension, increasing the difficulty of treatment.

If concerned, it is recommended to seek timely medical attention.