Managing High Blood Pressure Medications

Updated:Jan 3,2017

Commit to your health when medication is part of your treatment

When your doctor prescribes blood pressure medication
As part of a solution designed to fit your needs, your doctor may determine that you need prescription medication in addition to lifestyle changes to control your high blood pressure (HBP or hypertension).

Talk to your doctor and pharmacist if you have concerns
While you might have fears and concerns, the long-term health consequences of uncontrolled high blood pressure are often worse than any medication side-effects. If you have concerns, talk to your doctor or pharmacist. Everyone involved has the same priority — putting your health first.

Getting it right 
Treating high blood pressure requires time, patience and care by both you and your doctor. The important thing is for you to communicate with your doctor and to follow his/her course of treatment.

  • Don’t insist that your doctor prescribe certain drugs.
    There can be serious side effects if you take a drug that isn’t right for you. Always discuss any medication choices with your doctor and work together to control your blood pressure. 
     
  • Take medications for high blood pressure — exactly as prescribed — for as long as required.
    Don’t run out of pills for even one day. Taking a pill every other day or splitting your pills in half to make them last longer is actually decreasing your dosage and may be dangerous. Your blood pressure can rise to dangerous levels, putting you at risk for heart attack, stroke, heart failure and kidney failure.
     
  • You may need more than one prescription.
    Because different drugs do different things in the body, you may need more than one medication to properly manage your blood pressure.
     
  • If you are having a hard time affording your medications…
    Talk to your doctor or pharmacist. There may be solutions like assistance programs or generic forms of medication.
     
  • Tell all of your healthcare providers about all of the over-the-counter and prescription drugs you are taking.
    Some drugs and supplements can raise blood pressure and/or interfere with the effectiveness of high blood pressure medication. These drugs can include: steroids, non-steroidal anti-inflammatory drugs (NSAIDs), nasal decongestants and other cold remedies, diet pills, cyclosporine, erythropoietin, tricyclic antidepressants and monoamine oxidase inhibitors. 
     
  • Be patient if it takes time to find the right dose for you. If you have side effects, tell your doctor.
    Different people can respond very differently to medications. Everyone has to go through a trial period to find out which medications work best with the fewest side effects. Give yourself a chance to adjust to a drug. It may take several weeks, but the results will usually be worth it. If you don’t feel well after taking a medication, let your doctor know so he/she can adjust your treatment. Never change or stop taking prescribed medications unless directed by your doctor.
     
  • Keep appointments with your healthcare professionals.
    It’s important to monitor your progress and make adjustments to your treatment to keep your blood pressure under control.
     
  • Don’t go “doctor shopping” and communicate with everyone involved in your treatment plan.
    Stick to one reliable doctor or healthcare provider and follow through with your treatment plan. If you’re working with a primary care doctor and a specialist, make sure that each knows what the other has prescribed. Using one pharmacy for all your prescriptions also helps avoid dangerous drug interactions.
     
  • Expect to treat high blood pressure for life.
    Doctors will sometimes reduce a patient’s drug dosages after achieving normal blood pressure and maintaining it for a year or more, although it is rare for the treatment to be stopped entirely. Some form of treatment must be continued over a lifetime for good results. 
     
  • Even if you’re feeling fine, NEVER cut back or quit taking the prescribed medication.
    Never stop taking prescribed drugs, including medications that lower blood pressure, without consulting your doctor. Medication and lifestyle changes can make a huge difference. However, it’s the combination of these factors that’s working, not just lifestyle alone.
     
  • Track your treatment.
    Download a printable medication chart and blood pressure tracker.
     
  • Learn about the lifestyle changes you can make to work with your medication.

Medicine Management

What is Compliance?

Compliance simply means that you follow the recommendations made by your team of healthcare professionals. These recommendations often include taking medications as well as making lifestyle changes such as quitting smoking, eating right, maintaining a healthy weight and getting the right kind of physical activity. Maintaining a healthy lifestyle can give you the edge in the fight against heart disease and stroke. Follow your doctor's advice carefully, and if you don't understand something, ask questions. Let your doctor be your coach. It's your health. It's your heart.

Are you a "Good Dog" or "Bad Dog" when it comes to your medication? Take our "Good Dog, Bad Dog Compliance Quiz" and find out how well you follow your healthcare professional's recommendations.

Compliance simply means that you follow the recommendations made by your team of healthcare professionals. These recommendations often include taking medications as well as making lifestyle changes such as quitting smoking, eating right, maintaining a healthy weight and getting the right kind of physical activity. Maintaining a healthy lifestyle can give you the edge in the fight against heart disease and stroke. Follow your doctor's advice carefully, and if you don't understand something, ask questions. Let your doctor be your coach. It's your health. It's your heart.

Are you a "Good Dog" or "Bad Dog" when it comes to your medication? Take our "Good Dog, Bad Dog Compliance Quiz" and find out how well you follow your healthcare professional's recommendations.

Taking medicine may be new to you, and there may be a lot to remember. However, it's important to take medicine the right way — just as prescribed.

If you don't take medicine as directed, it may not work. It could also cause side effects that may be mild — or very harmful. Without knowing it, you could counteract one medicine by taking it with another. Medicine can also make you feel sick or dizzy.


How can I remember to take my medicine?

  • Take it at the same time every day.
  • Take it along with other daily events, like brushing your teeth.
  • Use special pill boxes that help you keep track, like the ones divided into sections for each day of the week (which can be found at a drugstore).
  • Ask people close to you to help remind you.
  • Keep a "medicine calendar" near your medicine and make a note every time you take your dose.
  • Put a sticker or reminder note on your medicine cabinet or refrigerator. You can buy a small, magnetized white board with dry-erase markers and list your pills on the board. Each day, mark the board when you take your medication. It's an easy way to keep track, and at the end of the day, just erase the board and start over again in the morning.
Download a printable medicine tracker.

Quick Tips for Medication Use

  • Understand your medication. Know what it's for, and how and when you're supposed to take it.
  • Ask your doctor or pharmacist whether to take your medicine with food or on an empty stomach.
  • Make an instruction sheet for yourself by taping a sample of each pill you take on a sheet of paper and writing down all the information about each pill to remind you.
  • Get some colored labels and stick them on your medicine bottles to simplify your routine. For example, blue can be for morning, red for afternoon and yellow for bedtime.
  • Ask your pharmacist to help you come up with a coding system for your medications that makes them easier to take.
  • Purchase timer caps for pill bottles to remind you when to take medication.

Additional tips:

  • You can buy many types of pill containers. Some even beep when it's time to take medication. Ask your pharmacist about these aids.
  • If your medication routine is too complicated, ask your physician or pharmacist to help you simplify the process, such as reducing the number of daily doses that you need.
  • If your medications are too expensive, ask your physician or pharmacist about finding financial assistance.
  • If you're away from home a lot, make sure you carry enough of your medication with you to take the prescribed doses while you're out.
  • Some pharmacists will prepare blister packs for daily or weekly medications. Ask your pharmacist about this.
  • If you're using a commercial pill dispenser, set a regular time each week to refill it.
  • If you have trouble understanding your physician or pharmacist, ask a friend or loved one to go with you and help you.
  • If you don't feel like your medication is making a difference, talk to your physician and ask why.
  • Do not stop any medications without talking to your physician or healthcare provider.

  • Store your medicine the way your doctor or pharmacist tells you, and take all medications as prescribed.
  • ALWAYS keep it away from heat, light and moisture.
  • Keep track of what pills you can and can't take together, including over-the-counter medicines.
  • Tell your doctor if you have any side effects.
  • Ask your doctor or pharmacist before buying a new over-the-counter medicine, such as an antihistamine or cold tablets, to be sure they won't interfere with your prescribed medicine.
  • Always check with your doctor before you stop taking a medicine.
  • Make sure that ALL of your doctors know ALL of the prescriptions, OTC drugs, nutritional supplements or herbal preparations you're taking.
  • Don't share your medications with anyone else. What's right for you may be deadly for them.
  • Ask for your pharmacist's advice before crushing or splitting tablets. Some should only be swallowed whole.

Taking medications isn't as simple as swallowing a pill. Medicines can only help if you take them as prescribed. Take part in decisions regarding your treatment, follow the treatment plan you and your doctor agree on, watch for problems and become actively involved in solving them with your healthcare team. By following these guidelines, you can help reduce your risk of heart disease and stroke and achieve the fullest benefits from your treatment plan. Review the following questions with your healthcare team and take an active role in your health.


  • What is the name of the medicine?
  • Is this the brand or generic name?
  • What is the medicine supposed to do?
  • How and when do I take it, and for how long?
  • What foods, drinks, other medicines or activities should I avoid while taking this medicine?
  • Is there any written information available about the medicine?
  • What happens if I miss a dose of my medicine?
  • How often will I have to get the medication refilled?
  • How will I know that my medication is working?
  • What are the risks of taking this medication?
  • What are the risks of NOT taking this medication?
  • Are there less expensive medications for my condition?

Prescription and over-the-counter medicines help many people live longer, more active lives. When you take the right medicines the right way, they're safe and effective tools for good health. But using them incorrectly can harm you. The more medicines you take, the greater your risk of problems. You can protect your health by getting a checkup on your medications. Take these simple steps as outlined by the National Council on Patient Information and Education.

  • Make an appointment with your doctor or your pharmacist.
     
  • Put all your prescription and over-the-counter drugs in a bag, including:
    • Prescriptions in vials, tubes, bottles and plastic bags
    • Sleep and motion-sickness aids
    • Headache remedies
    • Cold remedies (liquid, capsules and tablets)
    • Laxatives and upset stomach aids
    • Other prescription or over-the-counter drugs you may be taking
    • Vitamins and nutritional supplements
    • Herbal remedies
  •  Take all of your medications in their original containers if possible.
     
  •  Take the bag to your doctor or pharmacist and get him or her to go over all of your medicines with you.
     
  •  Ask questions about anything you don't understand.

A checkup like this gives you the opportunity to ask your healthcare professional or pharmacist important questions about your medications. It can help you find dangerous medicine combinations you may be taking, medicines you may not need to take anymore, improper dosages of medicines, and mistakes that you may be making in taking them. Call your doctor or pharmacist today to schedule a medication checkup and take charge of your health.

Keeping Track / Developing a System

Keeping track of your prescribed medications can be challenging — especially if you're taking several different medicines. Writing things down will make managing your medications a lot easier. Use our printable medicine tracker to stay organized. Also available in Spanish.

Lowering High Blood Pressure
By treating high blood pressure, you can help prevent a stroke, heart attack, heart failure, kidney failure and peripheral artery disease. Our printable blood pressure tracker will help you monitor your blood pressure and record suggestions from your doctor. 

 



This content was last reviewed October 2016.

High Blood Pressure

Heart Insight Supplement:
Know Your Medicines

Keeping track of your medicines can be overwhelming. Learn what you can do to take all your medicines safely and effectively in this free supplement from Heart Insight magazine. View and share via your preferred platform:  

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