Can I stop taking the medications when my blood pressure returns to normal?

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Can I stop taking the medications when my blood pressure returns to normal?

To think that when the pressure returns to normal, the therapy can be suspended is wrong! The European Society of Hypertension states that the treatment of high blood pressure (hypertension) must be lifelong because, both in people with severe hypertension and in mild forms, the interruption of treatment is followed by the return of the disease.

Numerous studies show that increased blood pressure carries a high risk of damage to some organs (heart, blood vessels, kidneys), with complications (heart attack, stroke, kidney failure) which can be serious and in some cases fatal.
Hypertension often does not cause disturbances (symptoms): the person, not feeling sick, does not understand the need to continue treatment even when blood pressure values ​​return to normal. Drugs do not cure hypertension, but lower and stabilize blood pressure by reducing the likelihood of dangerous complications. Although dietary and lifestyle changes can improve blood pressure overall, drug treatment is often necessary and irreplaceable. The success of long-term therapy depends on the collaboration between doctor and hypertensive person and, to date, it is known that those who do not interrupt treatment have a 37% reduced risk of heart attack, stroke or other cardiovascular accidents compared to those who decide to suspend the treatment. medications. Any disorders associated with treatment should be reported to the doctor, but therapy should not be interrupted or changed on one's own initiative: this can lead to sudden and dangerous increases in blood pressure.

1. European Society of Hypertension
2. Italian Society of Arterial Hypertension. ESC-ESH 2018 Guidelines for the treatment of Arterial Hypertension
3. Ministry of Health
4. Corrao G, Parodi A, Nicotra F, et al. Better compliance to antihypertensive medications reduces cardiovascular risk [Summary]. Journal of Hypertension. 2011; 29: 610-618

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