Medications such as hydralazine, diazoxide, or nitroprusside may be required if the blood pressure is very high. Other medications may include reserpine, rauwolfia alkaloids, or guanethidine. It requires lifelong monitoring, and the treatment may require adjustments periodically. Prevention Lifestyle changes may be helpful to control high blood pressure . Lose weight, if overweight .
Excess weight adds to strain on the heart.
In some cases, weight loss may be the only treatment needed. Exercise to improve cardiac fitness. Dietary adjustments may be beneficial, especially a decrease of sodium in diet . Salt, MSG, and baking soda all contain sodium. Follow the health care provider's recommendations to modify, treat, or control possible causes of secondary hypertension.