High blood pressure (hypertension) - Treatment options 

Treatment options for high blood pressure 

Treatment
Pros
Cons
Lifestyle changes

Eating a healthy low-fat diet; reducing salt, alcohol and caffeine consumption; losing weight if overweight; regular exercise; quitting smoking

  • May avoid the need to take medicines on a long-term basis
  • Reduces your risk of cancer, heart disease and stroke
  • None
Medicine: ACE inhibitors

Medication to reduce amount of water in the blood and widen the arteries

  • Effective in most people aged under 55
  • Less effective in black people and people aged 55 or over
  • Not suitable during pregnancy/breastfeeding
  • Not suitable if you have a history of kidney or heart disease
  • Can cause dizziness, tiredness, headaches and a persistent dry cough
Medicine: angiotensin receptor blockers

Medication to widen the blood vessels

  • An option for people unable to take or tolerate ACE inhibitors
  • Less effective in black people and those aged 55 or over
  • Not suitable during pregnancy
  • Can cause headache, dizziness, nasal congestion, back and leg pain, and diarrhoea
Medicine: calcium channel blockers

Medication to widen the arteries

  • Effective in black people and those aged 55 or over
  • Not suitable for people with a history of heart disease, liver disease or circulation problems
  • Can cause flushed face, headaches, swollen ankles, dizziness, tiredness and skin rashes (although only temporary)
Medicine: thiazide diuretics

Medication to reduce the amount of water in the blood and widen the arteries

  • An option for those unable to take or tolerate calcium channel blockers
  • Not suitable during pregnancy 
  • Not suitable for people with gout
  • Can raise potassium and blood sugar levels – regular blood and urine tests required
  • Can cause impotence
Medicine: beta-blockers

Medication to lower the heart rate and force of the heart

  • An option for people who do not respond to other medication
  • Safer to use during pregnancy than other medications
  • Causes a wider range of side effects: tiredness, cold hands and feet, slow heartbeat, diarrhoea and nausea (common)
  • Can also cause sleep disturbances, nightmares and impotence (uncommon)

Last reviewed: 23/04/2010

Next review due: 23/04/2012