Hypertension is the most common type of cardiovascular disease, according to the latest data from the China Center for Chronic Disease Control and Prevention, the number of hypertension patients in China has exceeded 330 million people, drug therapy is an important means of hypertension treatment, the patient’s perception of hypertension medication often affects the effectiveness of hypertension treatment. Whether or not to take antihypertensive drugs depends on the specific situation “Does early hypertension need medication?” There are two common misconceptions among hypertensive patients: one is that hypertension must be treated with medication; the other is that mild or early hypertension definitely does not require antihypertensive medication. Patients with mild hypertension, i.e., systolic blood pressure 140~159 and/or diastolic blood pressure 90~99, need to take antihypertensive medication if they have concomitant target organ damage such as heart, brain and kidney; if there is no target organ damage, non-pharmacological treatment should be carried out first by improving lifestyle habits, diet and environmental factors after diagnosis, and only consider medication after 3-6 months if blood pressure remains high. Patients with moderate hypertension and severe hypertension with systolic blood pressure greater than 160 and diastolic blood pressure greater than 100 should receive medication to lower blood pressure immediately after diagnosis. In addition, asymptomatic hypertensive patients, the need for drug treatment is not determined by the presence or absence of symptoms, if hypertension is not treated in a timely manner, blood pressure at a high level for a long time, will cause heart, brain, kidney, systemic vascular and other target organ damage and retinal hypofunction, and even lead to coronary heart disease, stroke and other high-risk complications. Young patients found hypertension do not rush to take antihypertensive drugs If young patients found hypertension, do not rush to take antihypertensive drugs, should first exclude the following two special cases: a situational hypertension, that is, pseudohypertension, is not in need of drug treatment. Pseudo-hypertension is not true hypertension, but rather due to life circumstances or lifestyle leading to emotional changes that cause blood pressure to rise, such as patients due to the “white coat effect” to see the doctor’s emotional tension caused by the rise in blood pressure, due to poor night rest caused by the rise in blood pressure; the other is secondary hypertension, caused by other diseases. The other is secondary hypertension, which is caused by other diseases. Secondary hypertension is not treated only by lowering blood pressure, but also by actively looking for the underlying disease and treating the cause. The treatment of hypertension frequent change of medication should not How to change medication for hypertension is a popular issue of concern to many hypertensive patients, antihypertensive drugs do not produce resistance and dependence, hypertensive patients who take one or a combination of several antihypertensive drugs, after taking the effect is better, blood pressure is stable, to achieve control goals, generally does not advocate easy to change medication. Frequent drug changes may lead to fluctuations in blood pressure, causing harm to target organs. As for the question of whether a patient’s blood pressure needs to be changed when it rises or fluctuates, many factors in life may cause blood pressure to rise, such as colds, insomnia, joint pains and the use of certain medications that can cause blood pressure to rise. Therefore, first of all, we should clarify whether the rise and fluctuation of blood pressure is caused by changes in hypertension, if there is no change in the condition, it is not recommended to change the medication, if there is a change in the condition, only under the diagnosis of the doctor to change the medication or make other treatment. Not all antihypertensive drugs can lead to impotence Because of the youthful trend of hypertension in recent years, it is not uncommon for impotence to result from taking antihypertensive drugs. Some diuretics and beta-blockers among antihypertensive drugs inhibit sympathetic excitation and may lead to impotence, but will return to normal after stopping the drugs. If a patient with hypertension has symptoms of impotence, the first thing that should be clarified is whether the appearance of such symptoms is due to the side effects of antihypertensive drugs, and not all antihypertensive drugs can cause impotence. In this case, the patient should seek help and consultation from a professional cardiologist. If it is confirmed that the impotence is caused by antihypertensive drugs, it is necessary to change the medication, and if it is a combination of drugs, the drugs that are likely to cause impotence and have poor antihypertensive effect can be withdrawn according to medical advice.