Lifestyle adjustments and the right combination of medications can help get this condition under control.

By definition, resistant hypertension is high blood pressure that remains above a patient’s target number despite the use of at least three medications, which may include diuretics, beta blockers, angiotensin II receptor blockers (ARBs), calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, or some combination thereof. For most adults, that blood pressure target number is below 140/90; for those with diabetes, it’s below 130/80.

Among the drugs that patients with resistant hypertension should take are thiazide-type diuretics—which help lower blood pressure by reducing water volume in the body—unless there is a specific medical reason why the patient can’t take them, says Cleveland Clinic cardiologist Michael Faulx, MD. …

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