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High blood pressure (hypertension) treatment available online today

In order to treat your hypertension, consult with one of our board-certified doctors online today to prescribe medications to bring your blood pressure down. Get a new prescription to treat hypertension or refill an existing prescription today.*

Telehealth solutions for hypertension Achieve your blood pressure goals* Online support for lifestyle changes
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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card. PlushCare medical staff cannot treat all cases of hypertension. Our physicians can conduct an initial evaluation of your symptoms, but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately.

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Learn about high blood pressure (hypertension)

Blood pressure is the force exerted by your flowing blood on the walls of your arteries, which are tubular structures that carry blood to the different parts of your body. This means that your blood pressure is determined by both the amount of blood your heart pumps through your body’s arteries as well as the amount of resistance to this blood flow.

When your arteries are healthy and dilated, the resistance to blood flow is low, and blood flows easily through your body. But when your arteries are too narrow or stiff, resistance to blood flow increases, and therefore your blood pressure rises. This causes your heart to work harder than normal to pump blood through the body. The extra work thickens the muscles of your heart and further hardens or damages artery walls. The condition can also cause damage to your other organs, especially the brain, eyes, and kidneys.

High blood pressure causes

Most people with high blood pressure have primary hypertension, where no cause is known. However, about 1 in 20 people with hypertension have what is termed secondary hypertension. This means that your high blood pressure is caused by either another medical condition or from a medication you’re taking.

Listed to the right are some of the causes of secondary hypertension.

Chronic kidney disease

As the kidneys become diseased, this may lead to excess fluid retention, which exerts more force on artery walls and results in hypertension.

Hormonal conditions

Hypertension can result from problems with hormone producing glands such as the adrenal glands or thyroid gland.

Cushing’s syndrome

This is a disorder where your body makes too much of the hormone cortisol. It is not well understood why Cushing’s causes hypertension, but there are various proposed mechanisms.

Hyperaldosteronism

This is where one or both adrenal glands release too much aldosterone. This causes your kidneys to retain salt and water, resulting in hypertension.

Pheochromocytoma

This is a rare tumor of the adrenal gland that results in excessive production of hormones including epinephrine and norepinephrine. This can similarly cause hypertension.

Hyperthyroidism

Here, an overactive thyroid gland increases systolic blood pressure by increasing the rate and output of blood the heart pumps into the arteries.

Hyperparathyroidism

In this condition, elevated levels of calcium in the blood can impact our blood vessels, kidney function, and central processes that regulate blood pressure. As a result, about 3 out of 4 people with hyperparathyroidism have hypertension.

Obstructive sleep apnea

This condition is where your breathing repeatedly stops and starts during sleep. Associated drops in oxygen levels may cause increases in blood pressure.

Medications and supplements

Some people may develop hypertension or have their existing high blood pressure worsened as a side-effect of various prescription or over-the-counter medications. These include pain relievers, birth control pills, antidepressants, and drugs used after organ transplants. Over-the-counter drugs such as decongestants and certain herbal supplements, including ginseng, licorice and ephedra (ma-huang), as well as illegal drugs, such as cocaine and methamphetamine, may also have the same effect.

Pregnancy

Hypertension may exist prior to pregnancy or may develop as a result of pregnancy. Hypertension during pregnancy can be associated with dangerous complications like preeclampsia. Because of this, you should have your blood pressure monitored while you’re pregnant.

Hypertension symptoms

Some common hypertension symptoms include:

  • Shortness of breath
  • Nosebleeds
  • Headaches
  • Confusion or fatigue
  • Chest pain
  • Vision problems
  • Blood in urine
  • Irregular heartbeat
  • Pounding in your ears, neck, or chest

However, for most people with hypertension, there are no obvious signs or symptoms. This is why hypertension can go undetected for years if people do not have their blood pressure checked. In fact, 17% of Americans with hypertension are undiagnosed.


Unfortunately, the first sign that you have high blood pressure may be when you are already having signs of cardiovascular disease or have suffered a heart attack or stroke. This is why hypertension is known in the medical world as “the silent killer.” Blood pressure tests are simple and quick to perform, so don’t delay in getting yourself checked.

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Hypertension treatment

Nearly one in two people with high blood pressure do not have it controlled, which likely contributes to the high rates of cardiovascular disease in America. In order to treat your hypertension, our doctors may prescribe medications to bring your blood pressure down. It is important that you take any prescribed drugs regularly and do not stop taking them, even after your blood pressure comes down, without talking to your doctor.

High blood pressure medications

High blood pressure is a condition that is treatable using a range of solutions, including several different types of hypertension medications. Your doctor will likely prescribe one or more of the following medications to treat high blood pressure:

Diuretics

Also known as water pills, diuretics work by helping your kidneys get rid of sodium and water through urination. The decreased amount of fluid flowing through your blood vessels immensely reduces the pressure on vessel walls. Thiazide diuretics are typically used to treat hypertension. These include:

Angiotensin-converting enzyme (ACE) inhibitors

ACE inhibitors act to help relax your blood vessels by blocking the formation of a natural chemical (angiotensin) that narrows blood vessels. This relaxes pressure on the blood vessels and vessel walls. Examples of this medication include:

Angiotensin II receptor blockers (ARBs)

These work by helping to relax your blood vessels by blocking the action of angiotensin that narrows blood vessels. These include:

Calcium channel blockers

Hypertension medications based on calcium channel blockers help relax blood vessel muscle cells and heart cells by blocking the passage of calcium. When calcium cannot enter the heart and blood vessels, blood pressure drops quickly and steadily.

The most common calcium channel blocker hypertension medications are:

Beta-blockers

Beta-blockers are also called beta-adrenergic blocking agents. These hypertension medications lower your heart rate and thus lower blood pressure by blocking the effects of epinephrine. This hormone is also known as adrenaline.

The most commonly prescribed beta-blockers are:

Renin inhibitors

The kidneys produce an enzyme called renin which can cause a chain reaction that steadily worsens hypertension.

The most common renin inhibitor hypertension medications include:
Tekturna (aliskiren)

Other medications

If you are still not reaching your blood pressure goal with the above high blood pressure medicine, your doctor may prescribe other medications. These include alpha blockers and alpha-2 adrenergic agonists. They work by reducing the nerve impulses to your blood vessels and/or heart to prevent your blood vessels narrowing and your heart overworking. These include:


Intuniv (guanfacine)

Clonidine

Hytrin (terazosin) 


Other medications your doctor may consider include aldosterone antagonists to prevent salt and fluid retention or vasodilators, which work directly on the muscles in the walls of your arteries, preventing the muscles from tightening and your arteries from narrowing.

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How to prevent high blood pressure

It is important to visit your primary care doctor every year for your annual checkup, to diagnose any illnesses at their early stages, making them easier to treat. High blood pressure is often referred to as the silent killer because it is overlooked. People with high blood pressure may have mild symptoms or no symptoms at all, which is why it's important to regularly visit your doctor.

 

Primary prevention is defined as trying to prevent yourself from getting a disease, such as with lifestyle choices, while secondary prevention is defined as trying to detect a disease early and prevent it from getting worse, such as with screening tests like lab work or doctor visits. Tertiary prevention is defined as trying to improve the quality of life and reduce the symptoms of a disease you are already diagnosed with, such as with prescription medications and lifestyle changes.

There are several ways that maintaining a healthy lifestyle can improve blood pressure and even reduce your risk of developing high blood pressure. To lower blood pressure and possibly prevent high blood pressure, you can incorporate lifestyle changes to minimize risk factors, such as:

 

  • Cut down on alcohol
  • Quit smoking,

  • if you smoke Lose weight (if you are overweight)

  • Choose a diet low in fat and rich in fruits, vegetables, and low-fat dairy products

  • Reduce the amount of salt you eat

  • Do something active for at least 30 minutes a day on most days of the week


It's important to keep in mind that when measuring your blood pressure, the reading can change depending on whether you recently exercised, had caffeine, or feel stressed. For this reason, it's good to get a blood pressure reading daily and at the same time each day.

 

Hypertension diet

The DASH diet is often used to help people manage hypertension. The eating plan is known as the “Dietary Approach to Stop Hypertension” (DASH) diet. According to research funded by the NIH, utilizing this heart healthy diet can reduce blood pressure by 11 mmHg if you have high blood pressure. Taking control of your high blood pressure could be as easy as considering these simple dietary approaches.

 

The following foods reduce blood pressure:

  • Fruits and vegetables

  • Whole grains

  • Lentils, chickpeas, beans

  • Walnuts, almonds, peanuts

  • Fat-free or low-fat milk and milk products

  • Fish

  • Low salt meals

  • Lean meats

 

Foods to avoid if you have hypertension include:

  • Deli meats

  • Soda

  • Chips Pantry snacks (snack foods)

  • Sugar, sweets

  • Refined grains (white bread, white rice, most forms of pasta)

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When to see a doctor for high blood pressure

Since hypertension can lead to serious complications, early detection is important. This is why the United States Preventive Services Task Force recommends screening all adults older than 18 years of age. Screening involves having your blood pressure checked, which is a simple procedure that you probably have had if you have ever been to a doctor.

When reporting a blood pressure, you will always see two numbers given. The first is the systolic blood pressure, which is the pressure inside your arteries when your heart is pumping. The second number is your diastolic blood pressure, or the blood pressure when your heart is at rest between beats.

Hypertension is diagnosed when either or both of your systolic and diastolic blood pressure numbers are consistently high. Regular blood pressure readings can help you and your doctor notice any changes. For instance, if you have elevated blood pressure at a checkup, your doctor may recommend that you come back in a few weeks for monitoring. This is to see if your blood pressure readings stay elevated or if they fall back to normal.

Related conditions to high blood pressure

High blood pressure FAQs

How can I quickly lower my blood pressure?

Lying down and taking several deep breaths is a quick way to lower blood pressure. Taking a warm bath to relax can help as well.

What is the main treatment of high blood pressure?

There are several high blood pressure medicines that are extremely effective in treating high blood pressure. Taking high blood pressure medication in addition to incorporating healthy lifestyle changes, such as exercising and following a healthy diet, is the most successful approach.

Can you be cured of high blood pressure?

Unfortunately, there is no cure for high blood pressure. However, through medication and lifestyle changes, it is possible to lower high blood pressure, making it more manageable.

Can you feel when your blood pressure is high?

You can have high blood pressure for years without any symptoms. The only way to know if you suffer from hypertension is to consult a doctor. If you are diagnosed with high blood pressure, a one of our board-certified physicians can help provide you with an appropriate high blood pressure treatment plan for your needs.

How do you check your own blood pressure?

Without professional equipment, you will not be able to check your blood pressure from home. Your local pharmacy may have a digital blood pressure measurement machine. Additionally, at-home blood pressure monitors are available at affordable costs.

What is the first choice drug for hypertension?

There are three drug classes that are often used as first line medications for high blood pressure. These include ACE inhibitors, calcium channel blockers, and thiazide diuretics. However, there are several other effective high blood pressure medications including beta blockers, angiotensin II receptor blockers, and others. Speak to one of our trusted, board-certified doctors to find out which option is the best for you.

What is “normal” blood pressure

The following are typical blood pressure ranges:

  • Normal Blood Pressure: 120/80
  • Prehypertension: 120-139 / 80-89
  • High Blood Pressure Stage 1: 140-159 / 90-99
  • High Blood Pressure Stage 2: 160-180100-110
  • Hypertensive Crisis: 180/110 or higher

3 simple steps to get high blood pressure treatment today

How It Works Step 1
Step 1

Book a high blood pressure treatment appointment.

Book a same day appointment from anywhere.
How It Works Step 2
Step 2

Talk to your doctor about high blood pressure symptoms.

Visit with a doctor on your smartphone or computer.
How It Works Step 3
Step 3

Pick up hypertension medication.

We can send prescriptions to any local pharmacy.

High blood pressure treatment pricing details

How pricing works

To request treatment for high blood pressure and get a new or refill on your prescription, join our monthly membership and get discounted visits.

30 days of free membership

  • Same-day appointments 7 days a week
  • Unlimited messages with your Care Team
  • Prescription discount card to save up to 80%
  • Exclusive discounts on lab tests
  • Free memberships for your family
  • Cancel anytime

Paying with insurance

Membership

$19.99

First month free

+

Visits

Copay

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

We accept these insurance plans and many more:


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Paying without insurance

Membership

$19.99

First month free

+

Visits

$129

Visit price without insurance

Initial visits are $129.

Sources:

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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.