Your target
For most adults under 80, the aim is a reading below 140/90 at the surgery, or below 135/85 at home. For people aged 80 or over, the target is usually below 150/90 (145/85 at home). Your doctor may set a different target for you.
Healthy changes
These help everyone with high blood pressure, and can be enough on their own for some people:
- cut down on salt to less than 6g (about a teaspoon) a day, including salt already in food
- eat plenty of fruit and vegetables
- be active, aiming for 150 minutes of moderate activity a week
- lose weight if you need to
- drink less alcohol, no more than 14 units a week
- stop smoking
- cut down on caffeine
Medicines
Many people need medicine as well. The main types are:
| Type | Examples | How it works |
|---|---|---|
| ACE inhibitors | ramipril, lisinopril | relax blood vessels |
| Angiotensin receptor blockers (ARBs) | losartan, candesartan | relax blood vessels |
| Calcium channel blockers | amlodipine | widen blood vessels |
| Diuretics | indapamide | remove extra water and salt |
Which one you start on depends on things like your age, ethnicity, and whether you have diabetes. Many people need two or three medicines to reach their target. It can take a few tries to find the right mix.
Checking at home
Your GP may ask you to check your blood pressure at home. Use a validated upper arm monitor. Sit quietly for 5 minutes first, and take two readings a minute apart. Write down your readings to show your GP or nurse.
Regular reviews
You should have your blood pressure and medicines reviewed at least once a year, usually with blood tests to check your kidneys.
Next, read about living well with high blood pressure.
Common questions
Will I have to take blood pressure tablets for life?
Many people do, but not everyone. If healthy changes bring your blood pressure down, your doctor may be able to lower your dose. Never stop taking your medicine without talking to your doctor first.
What if my tablets cause side effects?
Tell your GP or pharmacist. There are several types of blood pressure medicine, so there is usually another one you can try.
Sources we used
We check this page at least once a year, and sooner when the rules change. Read how we check our facts, or tell us if something looks wrong.