Definitely the risk/benefit ratio of being on medications to control blood pressure strongly favors the positive aspects, including reduction of coronary disease, heart failure
. As you age or your body composition changes (for example losing weight or doing significantly more exercise) the requirements of blood pressure medications can change; the most important and practical long-term side effect of all antihypertensives is an increased risk of orthostatic hypotension
(lower blood pressure when changing position) and if not careful falls and injury
, but if acknowledged appropiately. most patients still benefit more from being on the medications than off them.
Dr Brenes-Salazar MD
Mayo Clinic MN