A few days ago, at almost 12 pm, a friend tweeted me that he was dizzy and his blood pressure was high again. When I asked him what was wrong, he said he had stopped taking his blood pressure medication for 10 days. This friend is less than 50 years old and has a family history of hypertension. 2 years ago, his blood pressure started to rise and he started taking medication a year ago and after treatment, his blood pressure was stable. A while ago, he thought his blood pressure was fine, so he stopped taking the medication, but his blood pressure rose again. On Monday, I met a patient who was almost the same as him. This patient is also in his 40s and has had hypertension for more than a year. Through exercise, diet control and medication, his blood pressure is also well controlled. Some time ago he forgot to bring his medication on a business trip, and his blood pressure was not high even after stopping the medication for a few days, so he thought his blood pressure was cured and did not continue to use the medication when he returned from the business trip. Last weekend, he felt a little dizzy, but he didn’t care at the time. On Sunday night, he couldn’t sleep, and his headache and dizziness were so bad that he measured his blood pressure at 180 mmHg, which was the same as the highest before. These two people are both successful in their careers, the cost of medication is nothing to them, not to mention that they have medical insurance. When I asked them why they stopped taking the medication, they both had almost the same reasons: they were reluctant to start taking the medication at such a young age, and they were worried that long-term medication would damage their liver and kidneys. Should I control my high blood pressure? I often encounter such hypertensive patients in the clinic, thinking that they have no discomfort and nothing affects them, so why do they have to use medication. This is an old topic, a large number of facts have proved that long-term hypertension certainly lead to damage to the heart, brain and kidneys, and by the time the harm is felt, often the health is already irreversible. My friend’s father is perennial high blood pressure control is not good, two years ago found renal artery stenosis, one side of the kidney atrophy, chronic kidney failure, the old man regrets not pay attention to blood pressure control when he was young. We should all reflect on why we have to wait until the harm occurs before we think of escaping the danger? Heart attack, brain infarction, brain hemorrhage, kidney failure and other cardiac, cerebral and renal complications of hypertension, any one of which occurs, treatment will require a great deal of treatment costs, spending much more than the usual regular use of antihypertensive drugs. Even if you don’t care about money, can you spend more money to get your health back? Hypertension is a lifelong disease that cannot be cured at this time. The best response is to use drugs for life to control blood pressure up to the standard, which is the same as myopic eyes wear glasses for life to correct normal a reason. The antihypertensive drugs listed in the past 20 years are long-acting drugs, which can be taken once a day, and are convenient to take orally in the morning on an empty stomach. The side effects of these antihypertensive drugs are minimal, compared to the complications of hypertension. Lifetime use of the medication as directed will not cause liver or kidney damage. Does it cost less to take the medication or to treat complications? Is the usual medication simple or is the treatment of complications simple? Whether it is a cost-benefit analysis or a pros and cons analysis, I believe that many people will come to a conclusion.