• Losing weight if you are overweight or obese.
• Quitting smoking.
• Eating a healthy diet, including the DASH diet (eating more fruits, vegetables, and low fat dairy products, less saturated and total fat).
• Reducing the amount of sodium in your diet to less than 1,500 milligrams a day.
• Getting regular aerobic exercise (such as brisk walking at least 30 minutes a day, several days a week).
• Limiting alcohol to two drinks a day for men, one drink a day for women.

In addition to lowering blood pressure, these measures enhance the effectiveness of high blood pressure drugs.

Drugs to Treat High Blood Pressure

There are several types of drugs used to treat high blood pressure, including:

• Angiotensin-converting enzyme (ACE) inhibitors
• Angiotensin || receptor blockers (ARBs)
• Diuretics
• Beta-blockers
• Calcium channel blockers
• Alpha-blockers
• Alpha-agonists
• Renin inhibitors
• Combination medications

Diuretics are often recommended as the first line of therapy for most people who have high blood pressure. 

However, your doctor may start a medicine other than a diuretic as the first line of therapy if you have certain medical problems. For example, ACE inhibitors are often a choice for a people with diabetes. If one drug doesn't work or is disagreeable, other types of drugs are available.

If your blood pressure is more than 20/10 mmHg higher than it should be, your doctor may consider starting you on two drugs or placing you on a combination drug.

High Blood Pressure Treatment Follow-Up

After starting high blood pressure drug therapy, you should see your doctor at least once a month until the blood pressure goal is reached. Once or twice a year, your doctor will check the level of potassium in your blood (diuretics can lower this, and ACE inhibitors and ARBs may increase this) and other electrolytes and BUN/creatinine levels (to check the health of the kidneys).

After the blood pressure goal is reached, you should continue to see your doctor every three to six months, depending on whether other diseases such as heart failure are present.