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High Blood Pressure

To medicate or not



I am a 56 yr. old male, non-smoker. I walk approximately 4-6 times a week for 45 minutes in the morning. Before I start walking, my blood pressure is high, usually around 127/97, give or take. But in the afternoon, after having walked in the morning, it is in the normal range or somewhere around 118/84. Do you think this situation calls for medication? Thanks


You do not need medication at this time.

According to current guidelines, the optimal blood pressure is 119/79 or lower.  Values between 120/80 and 139/89 are considered to represent "prehypertension".  Prehypertension does not require drug therapy, but lifestyle changes are recommended for this group of patients.

Recommended lifestyle changes include:

For more information:

Go to the High Blood Pressure health topic, where you can:

Response by:

Max C Reif, MD Max C Reif, MD
Professor of Medicine
Director of Hypertension Section
College of Medicine
University of Cincinnati