What can i take over the counter to lower my blood pressure

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Millions of people have high blood pressure. If you’re one of them, you’ll probably have a cold, allergies, or aches and pains at one time or another. Before you reach for help at the drug store, you need to know that some over-the-counter medicines may not be safe for you to take.

It’s good for everyone, whether you have high blood pressure or not, to know that over-the-counter doesn’t mean risk-free. You can learn how to stay safe by talking to your doctor and following a few simple rules.

What Is High Blood Pressure?

High blood pressure, also called hypertension, typically refers to blood pressure that is 140/90 or above. Blood pressure of 180/120 is considered severe hypertension.

The first number is your systolic blood pressure, which is your blood pressure when your heart beats while pumping blood. The second number is your diastolic blood pressure, which is your blood pressure when the heart is at rest between beats.

For reference, normal blood pressure for adults is around 120/80, and this can increase when you’re excited, scared, or active, but should return to normal fairly quickly.

What Is the Difference Between OTC and Prescription Medicines

Over-the-counter (OTC) medicines are drugs you can buy without a prescription from your doctor. Most people have used OTC medicines to relieve a headache, soothe an upset stomach, or treat cold symptoms.

Prescription medicines are drugs that you can only buy with a prescription from your doctor. Many people use them to treat temporary health problems – like taking an antibiotic for strep throat – or to treat an ongoing health condition like high blood pressure.

If your doctor thinks your blood pressure is high enough to need medicine, you’ll get a prescription. There are no FDA-approved OTC medicines for high blood pressure.

OTC Medicines & High Blood Pressure

Some OTC medicines can raise blood pressure, or make the medicines you’re already taking less effective. Many OTC cold and allergy medicines include decongestants, which can help relieve a stuffy nose but can also raise blood pressure. Some OTC medicines also have high amounts of sodium, which can make your blood pressure go up.

Labels on OTC medicines list their ingredients, warnings, and other important facts that you need to know before you take them. Always read the labels and talk to your doctor or pharmacist if you aren’t sure what something means.

Remember: taking OTC medicines without taking to your doctor can put you at risk if your blood pressure is high. Never stop taking medicine for high blood pressure unless your doctor tells you to.

What OTC Medications Should I Avoid with High Blood Pressure?

  • You should avoid any medication that increases your blood pressure or constricts your blood vessels. These are medications such as:
    NSAIDs, like aspirin, ibuprofen, and naproxen
  • Decongestants (frequently found in cough or cold medicine)
  • Migraine medications
  • Weight loss drugs

When Should I Talk to My Doctor?

If you are taking high blood pressure medication and need relief from common health problems, you should always talk to your doctor first, and keep these tips in mind:

  • Tell your doctor about all of the medicines, vitamins, herbs, and supplements you take. This can help your doctor figure out what is safe for you.
  • If your doctor says you can take OTC medicine, take it exactly as you are told. Taking more than the recommended dose can be very dangerous.
  • Remember that vitamins, herbs, and supplements can also interact with the medicines you take. Just because something is labeled “natural” does not mean it is safe for you.
  • Do not start taking something new without talking to your doctor.
  • Never stop taking your blood pressure medicine without talking to your doctor.

Knowing your blood pressure numbers and how to manage high blood pressure is an important part of a healthy life. Visit the UPMC Heart and Vascular Institute or call 1-855-UPMC-HVI (876-2484) to learn more.

"I was recently diagnosed with high blood pressure. I'd like to lower it without medications, if I can. What are the best non-drug ways to reduce blood pressure? Is it possible to do this without popping pills?"

Answer from Craig Walsh, M.D., M.P.H., cardiologist with Providence St. Vincent Heart Clinic and the Providence Heart and Vascular Institute, and Miles Hassell, M.D., director of Providence Integrative Medicine: 

Making healthful changes in your eating and exercise habits is an excellent first step to dealing with your high blood pressure. Your efforts will show results in just a few weeks. Even if your levels don't go down as far as needed, your drug therapy may involve fewer drugs and at lower doses.

If you haven't already done this, it's also a good idea to talk with your doctor about all of the prescription and over-the-counter medicines you take. Some, including common pain relievers and decongestants, can elevate blood pressure.

Research studies have shown that the following strategies can lead to modest but lasting decreases in blood pressure. The payoff is big: Healthy blood pressure reduces your risk of stroke, heart failure and kidney disease.

1. Exercise regularly. Exercise is powerful medicine. Walking briskly for 30 minutes to 45 minutes, five or six days a week, can lower your blood pressure up to 10 points. We recommend combining an aerobic activity that you enjoy – such as walking, swimming, running or biking – with some type of resistance exercise, such as lifting light weights.

During aerobic exercise, work hard enough to break into a sweat, but not so hard that you become out of breath or unable to converse. If you are just getting in shape, start with 20 minutes of aerobic activity, three times a week. Gradually build to 60 minutes daily. Talk with your physician for advice specific to your needs.

For strength training, use light weights and do multiple repetitions. Your muscles should tire after 10 to 15 reps.

Physical activity yields a two-fer benefit for your blood pressure: Exercise is great for arterial health, and it builds muscle and burns stored fat to keep you at an ideal weight.

2. If you are overweight, lose weight. Excess weight raises blood pressure. You can lose pounds, if you need to, by cutting calories, increasing physical activity and eating proper foods.

3. Eat a healthy diet. Food is another powerful medicine. Whether you need to lose weight or not, eating well can improve your blood pressure. That means eating fruits and vegetables, whole grains, healthy oils (such as olive and canola), foods rich in omega-3 fatty acids (salmon, tuna, walnuts and flaxseed, for example) and two or three servings daily of low-fat or nonfat dairy products. It also means avoiding saturated and trans fats.

Researchers studying the effects of diet on high blood pressure created the Dietary Approaches to Stop Hypertension, or DASH diet.  This also is a good diet to help with losing weight. Providence’s medical library offers several tips for following the DASH diet.

4. Limit your salt usage. A sudden jump in blood pressure may be a sign of salt-sensitive hypertension. Overall, about half of Americans with high blood pressure are sodium sensitive; it's particularly common in African-Americans and those over age 65. Cutting the salt in your diet can result in anything from a small to a dramatic improvement in high blood pressure, depending on your level of salt sensitivity.

Keep sodium intake under 2,000 to 2,500 mg daily (one teaspoon of salt is about 2,300 mg). That's far below the 3,300 mg per day that’s typical in the American diet. Count the salt you shake as well as the salt in restaurant meals and processed foods. You'll want to quiz the server, read package labels and emphasize natural, whole foods.

5. Drink alcohol moderately, if at all. Although moderate alcohol consumption does not reduce the risk of high blood pressure, it is associated with a reduced risk of cardiovascular disease. The National Institute on Alcohol Abuse and Alcoholism defines “moderate” consumption as an average of no more than two drinks per day for men and one drink per day for women. Drinking more than a moderate amount increases the risk of high blood pressure.

Some other good moves

Some studies suggest that calcium and potassium supplements lower blood pressure. Because the scientific data are mixed, we can't recommend a dosage or confidently say that calcium and potassium will reduce blood pressure.

For some people, 500 mg of vitamin C and 400 to 800 mg of magnesium oxide are helpful.

Chocolate lovers can celebrate this finding: About an ounce a day of seriously dark chocolate – that’s chocolate with a cocoa content of at least 70 percent – tends to improve blood pressure.

Breathing techniques, such as yoga and meditation, can relax the blood vessel walls and reduce blood pressure. A device called Resperate uses timed breathing three times weekly to effectively help many people reduce blood pressure, as well.

After you've worked on these lifestyle modifications for three or four weeks, ask your health care provider to recheck your blood pressure. Most people can expect to see clear, sustainable improvement.

An aside: We don't much like taking medications, either. But if you end up needing blood pressure medicine to achieve a healthy blood pressure, don't be discouraged. The medicines are effective and safe, and they present only mild side effects, if any. Studies comparing older and newer blood pressure medicines found that one of the oldest and cheapest classes of drugs (the thiazide diuretics, such as hydrochlorothiazide and chlorthalidone) was as good as, or better than, the newer, more expensive ones.

The numbers

It's great that your high blood pressure was diagnosed and that you want to act on it. About a third of Americans with high blood pressure do not even know they have it, and even among those who have been diagnosed, hypertension often remains uncontrolled. Yet it is a serious and very treatable illness.

A few years ago, the federal government revised its high blood pressure guidelines after research showed that even slightly elevated blood pressure starts damaging the arteries and increasing the risk of a heart attack, stroke and kidney failure. The new guidelines specify the blood pressure numbers that indicate when a person is considered “hypertensive,” as well as a new category for “prehypertensive” people who are at risk for developing high blood pressure. The new category is a red flag to spur Americans to make the kinds of lifestyle changes that you are interested in. The idea is to prevent the upward creep of blood pressure that tends to happen with age.

Here are the hypertension categories:

  • Normal: Systolic (top number) 120 or lower, Diastolic (bottom number) 80 or lower
  • Prehypertensive: Systolic (top number) 120-139, Diastolic (bottom number) 80-89
  • High (hypertensive): Systolic (top number) 140 or higher, Diastolic (bottom number) 90 or higher

When you make the lifestyle changes that help reduce your blood pressure, you will be benefiting your health in other ways, too. The recommended diet, weight and exercise guidelines will also lower your risk of developing diabetes, some cancers, dementia and high cholesterol. Good luck!

What over the counter pills can I take to lower my blood pressure?

Are there any high blood pressure medicines that can be bought over-the-counter? The short answer is: No. There are no FDA-approved medicines to treat high blood pressure that do not require a prescription.

What can I take immediately to bring my blood pressure down?

What's the Fastest Way to Lower My Blood Pressure Safely?.
There's no quick and safe way to lower blood pressure outside of a medical setting..
Lifestyle changes that incorporate exercise, diet, and stress-reducing techniques can naturally lower blood pressure over time..