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Dr. Abby
Dr. Abby, US Board Certified MD
Category: Medical
Satisfied Customers: 10330
Experience:  Family Physician practicing medicine for over 10 years, United States
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My blood pressure is 138/78....should i be on medication?

Customer Question

My blood pressure is 138/78....should i be on medication?
Submitted: 7 years ago.
Category: Medical
Expert:  Dr. Abby replied 7 years ago.

Your blood pressure is classified as "pre-hypertension" or pre-high blood pressure.
Any blood pressure that has a top number between 120-139 OR a bottom number between 80-89 falls within this classification.

We do not start blood pressure medication in people who have prehypertension unless they have underlying health problems such as chronic kidney disease, diabetes or cardiovascular disease, such as prior heart attack.
However, we do recommend lifestyle changes.

Exercising is very important, so starting a walking program is great.
Decreasing your salt intake to 2.3 grams per day may also help lower your blood pressure.
Adopting a DASH diet has been shown to help reduce blood pressure. Here is a link that describes this diet.

Decreasing alcohol intake may also help (no more than one drink per day in women)

A normal blood pressure is considered to be less than 120/80

Feel free to ask any follow up questions you may have,

Dr Abby

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