A combination of genetics, diet, and lifestyle certainly play a large role in the development of high blood pressure. It is very important to point out that if you develop hypertension at a young age or the hypertension develops suddenly , your doctor should carefully evaluate you for causes of hypertension that are potentially reversible. You may need special studies that will evaluate the vessels that supply blood to your kidneys and for other potential disorders in your endocrine system. This means losing weight, increasing the amount of exercise you get, and changing your diet. There are a variety of different medications available and your doctor will prescribe the medication that is best for you.
Some medications are better for people with diabetes, heart disease, kidney disease, etc.
If you cannot tolerate a certain medication because of adverse side effects, there are other options. Many people are often opposed to taking a pill every day. Please, please, please remember that taking a pill every day can be a much better option than developing a stroke, heart attack, or needing to have kidney dialysis because your blood pressure ran out of control for too long. The prevalence of hypertension in African Americans is among the highest in the world. Have your blood pressure checked and if it is elevated discuss treatment options with your doctor.