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Methyldopa, which works to lower blood pressure through the central nervous system, has the lowest risk of harming the mother and developing fetus. Other possible safe options include labetalol, beta-blockers, and diuretics.
If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure.
Atenolol was the beta‐blocker most used. Current evidence suggests that initiating treatment of hypertension with beta‐blockers leads to modest CVD reductions and little or no effects on mortality.
Avoid alcohol and limit driving when first starting metoprolol or increasing the dose because of the side effects of drowsiness and dizziness. Depending on the version, metoprolol can cost between $4 and $44 per month. FDA black box warning: Sudden discontinuation of metoprolol can lead to chest pain and heart attack.
Blood pressure is normally lower at night while you’re sleeping. Your blood pressure starts to rise a few hours before you wake up. Your blood pressure continues to rise during the day, usually peaking in the middle of the afternoon. Then in the late afternoon and evening, your blood pressure begins dropping again.
beta-Blockers may interact with a large number of commonly prescribed drugs, including antihypertensive and antianginal drugs, inotropic agents, anti-arrhythmics, NSAIDs, psychotropic drugs, anti-ulcer medications, anaesthetics, HMG-CoA reductase inhibitors, warfarin, oral hypoglycaemics and rifampicin (rifampin).
If you’ve been advised against drinking for very high blood pressure, there may be salvation in one kind of wine: nonalcoholic. One study found that three glasses of nonalcoholic red wine a day over a month led to a significant drop in blood pressure in men with heart disease risk factors.
Beta blockers can reduce blood pressure by making your heart beat more slowly and with less force.
Some examples of aerobic exercise you may try to lower blood pressure include walking, jogging, cycling, swimming or dancing. You can also try high-intensity interval training, which involves alternating short bursts of intense activity with subsequent recovery periods of lighter activity.