Stopping Blood Pressure Medicine

Author: Dr. Vrolijk   |   Updated: August 23, 2025   |   Disclaimer   |   Review Process   |   References

Author: Dr. Vrolijk   

Updated: August 23, 2025   

Disclaimer   |   Review Process   |   References

Most people will add or change blood pressure medicines at some point. It can be a frustrating and inconvenient process, especially if you have side effects. It’s also the only way to figure out what the best medicine is for your body.

This page covers why changing your medication might help, the different kinds of changes, and what to expect.

Never Stop Your Medication on Your Own

This information is meant to help you understand your options and support you in talking to your doctor. Stopping your blood pressure medication on your own can be dangerous, because your blood pressure can quickly rise. Your medical team can help you make safe adjustments. They can also explain the pros and cons of stopping your medication, including what the risks might be for you.

What Research Shows

There are not many high-quality studies on stopping blood pressure medications. Most studies are from more than 20 years ago. One reason for this might be fear of hurting patients by stopping their blood pressure medicine.

What This Means

We don’t have clear rules about who can safely get off their meds. This is why it’s so important that you work with your healthcare provider if you want to stop your medication. They will help make sure you’re safe while you stop.

Who Might Be Successful in Stopping Medication

The factors below make it more likely that your blood pressure will stay low enough without medicine. But even with these, you might still need medicine. Sometimes other health conditions make it hard to lower your blood pressure enough on your own. Lifestyle changes are still important, though. A healthy diet and exercising can help you take less medication even if you can’t get off it all the way.

  • No heart problems
  • Blood pressure has been normal for a long time on medicine
  • Mildly elevated blood pressure when starting medicine
  • Maintained lifestyle changes (e.g. healthy diet, regular exercise, weight management) for an long time

Read more about lifestyle changes for better blood pressure

How Long Can This Take?

This depends on how much medication you’re taking and how your body reacts. Most people will have to wait 5-7 days between reducing the dose. 

What Can Happen if Someone Stops Their Medication Too Fast

  • High blood pressure returns and increases the risk of serious health problems like heart attack or stroke
  • Some medications can cause dangerous symptoms if stopped too fast
  • Feeling anxious

Quick Answers

Sometimes but it can be hard to do. You have to make major lifestyle changes. For example, eating different foods and exercising. Blood pressure medicine can protect your body while you make these changes. Then, you can take less medicine when it goes down from the lifestyle changes.

Not everyone can lower their blood pressure enough with lifestyle changes. Some people’s bodies don’t respond as much even when they do everything right. This is usually caused by things like genetics that we can’t control.

Most people need to keep taking their medication when their blood pressure is normal. The medicine is why their blood pressure is normal. So, their high blood pressure returns if they stop their medicine. This puts them back at risk for heart attack, stroke, and other health problems.

Stopping a blood pressure medicine all of a sudden can be dangerous. Things we worry about:

  • High blood pressure returning
  • Increased risk of serious health problems like heart attack or stroke
  • Some medications can cause dangerous symptoms if stopped too fast
  • Feeling anxious

The safest way to stop a medication is to slowly decrease the dose. This is why we always encourage talking to your doctor. They can help you figure out the best way to do this.

It’s always a good idea to tell your healthcare provider. They can tell you if the side effect will go away, help you manage it, and understand your options. There are options to deal with side effects. You can read more about common side effects and ways to deal with them here.

Related Guides

Understanding Your Blood Pressure Numbers

Find your blood pressure zone, learn what your numbers mean, and get tips for taking an accurate reading.

Changing Blood Pressure Medicine

Learn why medication adjustments can be helpful, the different types of changes, and what the process usually looks like.

Talking to Your Doctor about Medication Problems

Find ways to start conversations with your doctor about problems with your medication, including scripts to get you started.

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Crisafulli S, Luxi N, Coppini R, et al. Anti-hypertensive drugs deprescribing: an updated systematic review of clinical trials. BMC Fam Pract. 2021;22(1):208. doi:10.1186/s12875-021-01557-y
 

Elliott WJ, Townsend RR, Law K. Tapering and discontinuing antihypertensive medications. UpToDate Retrieved October. 2024;4:2024.

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Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):e13-e115. doi:10.1161/HYP.0000000000000065

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