Published on Nov 22, 2017
Medically reviewed by Daniel Wilson, MD
“Why isn’t my blood pressure medication working? Why do I need more blood pressure medication?” These are two of the most frequent questions that my high blood pressure patients ask me. Most of my patients are concerned or frequently disappointed when their blood pressure is not controlled, especially when they are taking their blood pressure medications on a regular basis.
Over the years, I‘ve found that there are several reasons for medication “resistance,” and there’s a good chance that their blood pressure medication is working the way it should. In many cases poor blood pressure control or the need for more medication can be tied to unhealthy behaviours and a lifestyle that is working against you. It’s important for patients with high blood pressure to understand that healthy lifestyle changes together with blood pressure medication can lower blood pressure and minimise the need for more medication.
High blood pressure—or hypertension—is a serious medical condition that can increase your risk of stroke, cardiovascular disease, heart attack, and kidney disease. If left untreated it gets worse and progresses to more severe stages. Hypertension can occur at any age, but clearly occurs more frequently in older populations. If you really want to keep your blood pressure in check, it’s important to speak with your healthcare provider, and make certain lifestyle changes, such as:
Adopting healthier habits can seem daunting to some. But when it comes to lowering your blood pressure, there’s no easy way around steps like the ones above. On many occasions, I have been able to reduce the amount of blood pressure medication that a patient is taking when they have made one or more of these lifestyle changes.
One of the most rewarding experiences I have as a doctor is seeing a patient stick with a healthier lifestyle and then be rewarded with improved health outcomes they can easily measure. So if you’re taking medication to lower your blood pressure, keep up the good work—but don’t forget to talk to your doctor or pharmacist about the lifestyle steps you can take and you may see your blood pressure numbers continue to fall into a range that’s the right one for you.
Daniel Wilson, M.D., was a Global Medical Director at Pfizer. He is a recognised kidney and hypertension specialist, and a fellow of the American College of Physicians.
Last reviewed: 15/08/2019
- Heart Foundation Australia
- Heart Foundation New Zealand
- Stroke Foundation Australia
- Stroke Foundation New Zealand