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What range of blood pressure requires medication?

140/90 or higher (stage 2 hypertension): You probably need medication. At this level, your doctor is likely to prescribe medicine now to get your blood pressure under control. At the same time, you'll also need to make lifestyle changes. If you ever have blood pressure that's 180/120 or above, it's an emergency.

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If you ever have blood pressure that's 180/120 or above, it's an emergency. You need medical help right away to get it under control. At this level, your doctor is likely to prescribe medicine now to get your blood pressure under control. At the same time, you'll also need to make lifestyle changes. Have you checked your blood pressure at home, or only in the doctor's office? If you don't already have one, it's a good idea to get a home blood pressure monitor . Lots of people have high blood pressure in the doctor's office because they're nervous. If your home readings are normal, your doctor may decide you don't really need treatment. Do you definitely have high blood pressure ? One high reading isn't enough to know. Your doctor will want to check your blood pressure a few more times -- over weeks or months -- to make sure. While your numbers are important, they don't tell the whole story. Other things affect the decision to take meds. Some issues to think about: Have you already tried lifestyle changes -- and your blood pressure is still high? If your blood pressure is still too high after 3 months of healthier habits, your doctor is likely to suggest medicine. Do you also have other health conditions? High blood pressure raises your chances of getting a heart attack or stroke. If you have other medical problems -- like high cholesterol, diabetes, or heart disease -- your doctor will be quicker to recommend medication. Do you have other reasons your chances of heart attacks or strokes are higher? For example, are you African-American? Are you a man? Do you have a family history of heart attacks or strokes at young ages? Are you overweight? Do you smoke? Each one of these raises your odds of heart disease. The more of these situations you have, the more likely your doctor will prescribe high blood pressure medicine. How old are you? While your odds of heart disease go up as you age, the risks of side effects from blood pressure medications -- like dizziness and falls -- can also get more serious. You need to weigh the benefits and risks. If you're age 80 or older and you have high blood pressure, your doctor may hold off on medication to protect you from side effects. What do you want to do? Your opinion matters. Some people choose to take medicine because they're concerned about the risk of heart attacks and stroke. Others don't like the idea of going on daily medication or worry about the side effects. Talk to your doctor about the pros and cons, and be open about how you feel.

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What medicine can prevent stroke?

Statins are medicines that reduce the risk of heart attack and stroke by helping to lower the amount of cholesterol and other fats in the blood.

Statins are medicines that reduce the risk of heart attack and stroke by helping to lower the amount of cholesterol and other fats in the blood. Experts recommend that if you’ve never had a heart attack or stroke, you take a statin if all 3 of these statements are true:

You’re age 40 to 75

You have high cholesterol, diabetes, high blood pressure, or you smoke

Your doctor has decided that you are at higher risk for heart attack and stroke Statins aren’t right for everyone, and all medicines have pros and cons. When you talk with your doctor about taking a statin, it’s important to discuss your personal preferences as well as your risk for heart attack and stroke.

What do I ask the doctor?

When you visit the doctor, it helps to have questions written down ahead of time. You can also ask a family member or close friend to go with you to take notes.

Print this list of questions and take it to your next appointment.

Am I at high risk for heart attack and stroke?

What do my cholesterol numbers mean?

What do my blood pressure numbers mean?

Do you recommend that I take a statin to help reduce my risk for heart attack and stroke? Why or why not?

What are the possible dangers or side effects of taking statins?

Can you give me some information about statins to take home with me?

What else can I do to lower my risk of heart attack and stroke?

If your doctor recommends that you take a statin, you might want to ask these questions, too.

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