Withdrawal is possible.
Withdrawal of antihypertensive medication: a systematic review
J Hypertens. 2017 Sep; 35(9): 1742–1749. Published online 2017 May 9. doi: 10.1097/HJH.0000000000001405
PMCID: PMC5548513PMID: 28486271
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548513/
Stopping blood pressure medications in older people
Aim
This review aimed to find out if it is possible to stop blood pressure medications in older people. We also wanted to find out the effects of stopping these medications.
Antihypertensives can cause dangerous side effects, such as dizziness and fatigue which might lead to falls. Older people are at greater risk of medication side effects compared to younger people. It is unclear whether the benefits of antihypertensive medications outweigh the harms in older people.
Study characteristics
Our search to April 2019 found six studies, including 1,073 older adults in total. People in the studies had an average age of 58 to 82 years. In three of the studies, the dose of the antihypertensive was slowly lowered before stopping.
Key results
We found that stopping antihypertensive medications is possible in older adults. Most of the older people in the discontinuation groups did not need to restart their medication.
We found low certainty of evidence that stopping antihypertensive medication increased blood pressure by a small amount.
https://www.cochrane.org/CD012572/HTN_stopping-blood-pressure-medications-older-people
Can weight loss reduce the need for blood pressure medicine?
Answer From Francisco Lopez-Jimenez, M.D.
If you're overweight, losing even just 5 pounds (2.3 kilograms) can lower your blood pressure. The more weight lost, the more blood pressure can drop. As you lose weight, it may be possible to reduce your dose of blood pressure medicine. Or you might be able to stop taking blood pressure medicine completely.
J Clin Hypertens (Greenwich). 2003 May-Jun; 5(3): 234. Published online 2007 May 21. doi: 10.1111/j.1524-6175.2003.02403.x
PMCID: PMC8099264PMID: 12826792
Can I Stop Taking This Blood Pressure Medicine?
Raymond R. Townsend, MD 1
In many patients hypertension is weight‐related. If someone has lost 15 pounds (or more), and had modest elevations in blood pressure before therapy, that patient may be a candidate for drug reduction. The same is true regarding salt intake, though my experience has been that weight loss is a more potent blood pressure reduction measure. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) 2 also supports antihypertensive drug reduction particularly in conjunction with successful lifestyle modification.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099264/
Ud. 22.9.2024
pub. 26.9.2022
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