Skip to content

    Hypertension/High Blood Pressure Health Center

    Font Size

    High Blood Pressure Treatment Guidelines - Topic Overview

    Doctors have more than one set of guidelines they can follow for treatment of high blood pressure.1, 2, 3, 4, 5, 6

    The guidelines are based on research evidence and expert opinion, and their recommendations differ in slight ways. But the goal of treatment is the same: to lower your risk of health problems that are caused by, or made worse by, high blood pressure.

    If you have high blood pressure, you'll work with your doctor to lower it. Your doctor uses a guideline to help make a treatment plan that is right for you. No matter which guideline your doctor uses, your treatment plan can help you lower blood pressure and stay healthy.

    Blood pressure classification

    An ideal blood pressure for adults is less than 120/80. High blood pressure is 140/90 or higher.2

    Blood pressure classification
    If the first (systolic) number is: OR the second (diastolic) number is: Your blood pressure is:
    120 to 139 80 to 89 Borderline-high (prehypertension)
    140 to 159 90 to 99 High
    160 or more 100 or more Very high

    Blood pressure goals

    Your doctor will give you a blood pressure goal. You'll want to try to keep your blood pressure below your goal. Your goal is based on your age and health. Treatment guidelines differ slightly about blood pressure goals for certain groups of people. No matter which guideline your doctor uses, he or she will recommend a goal that is right for you.

    If you have a health problem such as diabetes, heart disease, or kidney disease, your goal might be less than 140/90.

    If you don't have another health problem, your goal might be based on your age. For example, if you are over 60, your goal might be less than 150/90.

    Treatment options

    Treatment options that lower blood pressure include lifestyle changes and medicine.

    Your options depend on how high your blood pressure is, whether you have other health problems such as diabetes, and whether any organs have already been damaged. Your doctor may also consider how likely you are to develop other diseases, especially heart disease.

    Treatment options

    Blood pressure


    Prehypertension (120-139 over 80-89)

    Lifestyle changes

    High blood pressure (140-159 over 90-99)

    Lifestyle changes, possibly medicine

    Very high blood pressure (160 over 100 or higher)

    Medicine plus lifestyle changes

    1 | 2
    Next Article:

    High Blood Pressure Treatment Guidelines Topics

    Today on WebMD

    blood pressure
    Symptoms, causes, and more.
    Learn the causes.
    Compressed heart
    5 habits to change.
    Mature man floating in pool, goggles on head
    Exercises that help.
    heart healthy living
    Erectile Dysfunction Slideshow
    Bernstein Hypertension Affects Cardiac Risk
    Compressed heart
    Heart Disease Overview Slideshow
    thumbnail for lowering choloesterol slideshow
    Heart Foods Slideshow
    Low Blood Pressure

    WebMD Special Sections