What can I do to treat hypertension?

High blood pressure, or hypertension, affects about one in four adults in the United States and is especially common among African- Americans. Effective treatment has been shown to prevent heart disease and stroke. Weight loss, physical activity, and dietary changes can reduce blood pressure.

The Dietary Approaches to Stop Hypertension (DASH) eating plan, which is low in sodium and fat while rich in fruits, vegetables, and low-fat dairy products, reduces blood pressure as much as a blood pressure–lowering antihypertensive drug, without the drug's negative effects.In general, individual blood pressure–lowering drugs reduce blood pressure only marginally, averaging a reduction of about 9 mm of mercury in systolic and 5 mm of mercury in diastolic blood pressure. Because of these limited effects, women may be prescribed more than one drug. The best medication for most people with high blood pressure is usually a diuretic.

Other drugs used to lower blood pressure include thiazides, beta-blockers, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and calcium channel antagonists.

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