- Keep active physically.
- Limit sodium (salt) in your diet.
- Avoid a high consumption of alcohol.
- Avoid stress.
- Maintain an appropriate body weight.
- Don’t smoke.
- Weight control -- A new meal plan may be the first step to control your blood pressure. Losing weight can also help you control cholesterol and diabetes.
- Limit sodium (salt) -- Most of us eat much more salt than we need. You may be advised to avoid salty foods and cut down on salt in cooking and at the table.
- Limit alcohol -- Ask your provider how much alcohol you can safely have.
- Activity -- Even a moderate amount of activity can help you control blood pressure, weight, cholesterol, diabetes, and stress. Ask your health care provider to help you get started.
- Medication -- If you are given a medication to help control your blood pressure, be sure to take it as prescribed. Don't stop taking it on your own, even if you feel great. If you have side effects or concerns about taking it, talk with your health care provider.
- Stop smoking -- Cigarette smoking can increase blood pressure. It is also a major risk factor for heart disease.
- Manage your stress -- High levels of stress can help lead to high blood pressure. If your blood pressure is already high, too much stress can make it worse.
Cardiovascular specialist Dr. Merle Myerson discusses some strategies that can help lower your blood pressure. Watch Dr. Myerson's video for important tips and information about heart health.
Your blood pressure has two numbers. The upper number is called the systolic blood pressure. A systolic blood pressure less than 140 is normal. The lower number is the diastolic blood pressure. A diastolic blood pressure less than 90 is normal. Blood pressure slightly higher than this is considered mild hypertension and can be reduced by weight loss, quitting smoking and a decreased salt intake. Sometimes, however, medications might be necessary.
Six classes of medications treat hypertension:
- Diuretics -- Also called "water pills," these medications excrete extra water and salt to lower blood pressure.
- Vasodilators -- These work by relaxing blood vessels to lower blood pressure.
- Anti-Adrenergic drugs -- Commonly called alpha and beta blockers, these medications block a part of the nervous system that can increase blood pressure.
- ACE (angiotensin converting enzyme) inhibitors -- These medications dilate (enlarge) blood vessels by preventing the production of angiotensin (a blood vessel constrictor).
- Angiotensin receptor antagonists -- These are similar to ACE inhibitors but they block the effects of angiotensin rather than prevent its production.
- Calcium channel blockers -- These work by dilating blood vessels by blocking the calcium flow into cells (which is needed to constrict blood vessels).
Follow the Dash Diet - The DASH diet is a special diet that promotes consumption of fruits and vegetables (9 servings a day) and low-fat dairy products (2 servings a day), over red meat, saturated fat, sweets and sugary beverages. Adopting this diet can help cut off up to 15 points.
Limit Salt Intake - Reducing dietary sodium to less than 2400 mg sodium a day can drive your blood pressure down 8 points, especially if you are a salt-sensitive person. You will need to be a bit of a label sleuth because salt can hide in many canned, fast and processed foods.
Exercise on Most Days - Performing at least 30 minutes aerobic physical activity per day can help you drop up to 9 points.
Drink Less Alcohol - Excess alcohol intake can tax the kidneys. Men should drink less than 2 drinks per day and women (and lighter-weight men) just 1 drink per day (a drink is 12 oz beer, 5 oz wine or 1.5 oz 80-proof whiskey). Keeping within these limits can reduce blood pressure by 4 points.
Normalize Body Weight - Keeping your body mass index less than 30 can lower blood pressure enough to pull you out of the danger zone. If you are overweight and lose 20 lbs, you can reduce your blood pressure by 20 points! Even a modest weight loss trims points.
Relax and Breathe - Listening to classical music, meditating and practicing slowed breathing like Qigong can lower blood pressure by a few points.
Take Prescribed Medications - There are many types of medications to reduce blood pressure. Follow the advice of your doctor and take any prescribed medications as directed, even if you feel fine. High blood pressure can exist without symptoms so you may not know when you are spiking.
Perform Self-Checks Regularly - You can do this with an at-home blood pressure measurement device or machine at your local pharmacy.
Get Routine Examinations - Keep your scheduled appointment with your doctor for a periodic pressure check or to discuss any issues you may have with your medication. There are many medications to choose from if you are experiencing side effects or if your current medication isn't producing the best result.
Control Other Risk Factors - Control cholesterol, diabetes and sleep apnea, all of which also contribute to high blood pressure.
- Eat a more nutritious diet with less than 20 grams of saturated and trans fat a day.
- Eat nine (yes, nine -- it isn't that hard) servings of fruits and vegetables a day, including more than one serving of tomato sauce.
- Get more physical activity.
- Lose weight. Even ten pounds makes a big difference in your blood pressure and RealAge (physiologic age).
- Stop smoking.
- Consider cutting your sodium intake to less than 1,600 mg a day. This choice should be made with your doctor. Most patients find this choice very difficult, and, in my experience, it is not very effective for most patients.
- Increase your intake of potassium, calcium, and magnesium.
- Prevent inflammation by doing things such as preventing gum disease and enjoying olive oil.
- Avoid stress and consider strategies to reduce stress, such as increasing social connections or using relaxation therapy, biofeedback methods, cognitive therapy, exercise, or yoga.
- If your blood pressure is close to or higher than 130/84 mm Hg (my interpretation of where the aging "danger zone" starts) talk to your doctor about taking medicine to reduce hypertension, at least until the other (non-drug) techniques you're using are able to reduce your blood pressure to under 130/84 mm Hg all on their own.

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- Exercise at least 30 minutes every day. This helps lower blood pressure.
- Eat healthy. Especially try to limit salt. Too much can raise blood pressure.
- Don't smoke. High blood pressure is more common in smokers than in nonsmokers.
- Stay at a healthy weight. Lose extra weight if you need to.
- Don't drink too much alcohol. If you drink, have no more than 1 or 2 drinks a day.
- Lower your stress. Take time for yourself. Do things that make you feel happy and calm.
- Check your blood pressure regularly. Use a machine at the pharmacy or store. Tell your doctor if you think your blood pressure is too high.
- If your doctor has prescribed medicine for your blood pressure, take it faithfully. You may not notice a change in how you feel. But the medicine is important. It can help protect your health -- and your life.
The DASH diet has been shown to lower blood pressure along with physical activity.
Obese individuals are twice as likely to have hypertension. Even a modest weight loss can have an impact. Losing as few as 10 pounds can reduce blood pressure and may prevent high blood pressure in overweight individuals, even if they haven't yet reached a healthy weight. Additional weight loss can have an even more dramatic effect.
Regular physical activity can lower blood pressure even if weight loss hasn't occurred.
Here are some easy ways to lower blood pressure. Number one is lose weight. Number two is be active. Did you know that your heart is a muscle? You have to exercise it to keep it strong. Number three is watch sodium intake. Limit sodium to 1,500 mg/day. These are great ways to get started and stay healthy.
The synergistic effect of obtaining all these important nutrients will lower high blood pressure.
Maintaining a healthy weight, eating a low-fat diet rich in fruits and vegetables, avoiding tobacco, reducing sodium and getting at least 30 minutes of cardiovascular exercise most days can help keep blood pressure under control.
If lifestyle approaches are not enough, medications may be recommended. There are seven classes of blood pressure medications. The right drug (or combination of drugs) depends on each individual’s condition and other factors, such as diabetes. In some cases, more than one medication is necessary to control blood pressure.
- control your weight -- even losing five to ten pounds can significantly reduce blood pressure.
- begin a regular exercise program
- manage stress
- reduce excess alcohol intake
- have an adequate intake of potassium and calcium

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.