Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: she should be on regular medications for hypertension. short information about progress of weakness. *Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. weakness or neurological deficit in a hypertensive patient is a dangerous sign and need to be managed as soon as possible to avoid brain hemorrhage I suggest my patients the following : lower blood pressure to a reasonable level, follow up conscious level and weakness. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about other comorbidities like diabetes, hyperlipidemia etc , also you didn t mention the fate of weakness or investigations done. *Conclusion: I suggest you consult your physician about your aunt antihypertensive medications . If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish your aunt good health.