A common question asked by patients with hypertension is: My blood pressure is normalized, should I continue to take oral antihypertensive drugs? The first step is to identify whether the patient has primary hypertension or secondary hypertension. Secondary hypertension, as the name suggests, is where the cause of elevated blood pressure can be found. Primary hypertension is multifactorial, especially related to genetics and the environment, and there are many people with unexplained elevated blood pressure. We can do adrenal ct to exclude hypertension caused by adrenal occupation, renal vascular ultrasound to exclude whether the patient has renal vascular stenosis caused by hypertension, head ct or head MRI to exclude whether there is cranial cerebral occupation caused by hypertension. If the cause of hypertension is not found through meticulous examination, then it can be initially diagnosed as primary hypertension. If you belong to primary hypertension, don’t be frustrated, as long as you take your medication on time, the harm is still controllable. If you have secondary hypertension, you will not need to take antihypertensive medication as long as you take your medication on time. If you find the cause of your elevated blood pressure and treat it, you may not need to take antihypertensive medication as a rule. Primary hypertension, even if the blood pressure is normal, but also to take medication on time, because the blood pressure is currently normal, most likely due to the body’s antihypertensive drugs have not been fully metabolized, but pay attention to the change in weather, there may be fluctuations in blood pressure, when the weather is warming up, blood vessel diastole, blood pressure is likely to be a little bit lower than in winter, weekdays should be diligently measured blood pressure, when this happens, you need to adjust the dose of medication under the guidance of the doctor, do not ever need to take medication again. When this happens, you need to adjust the dosage of the drug under the guidance of the doctor, and never change the drug or reduce the dosage on your own. Here are two types of hypertension that are often consulted on the Internet: 1. Adolescent hypertension, that is, high blood pressure that occurs during adolescence, is mostly temporary, and usually may not have any symptoms, but only in the exercise of tiredness, or mood fluctuations, dizziness occurs. Such patients should first relax, ensure adequate sleep, regular work and rest, a reasonable diet, blood pressure will gradually recover naturally. If the blood pressure continues not to fall, it is necessary to further identify the causes, if necessary, oral medication, general adolescent hypertension, systolic blood pressure in 140 to 150 mm Hg, diastolic blood pressure is generally not more than 85 to 90 mm Hg. 2.Spiritual and psychological factors caused by high blood pressure Such patients, often have fatigue, stay up late, mental stress, anxiety, or other mental psychological problems. Often complain of unstable blood pressure, high and low, the treatment of such patients, you can let the patient first with an ambulatory blood pressure monitoring, assessment of the overall 24-hour blood pressure, combined with the treatment of mental and psychological aspects of the problem, which will help the blood pressure is stable, if the blood pressure is high when the symptoms are heavy, try to choose a short-acting drugs, because of the blood pressure of such patients, in order to prevent the use of medication after the hypotension, the results of the ambulatory blood pressure monitoring out of After the results of ambulatory blood pressure monitoring, do a systematic evaluation before choosing drugs, this type of patients often have sympathetic excitation, you can choose to inhibit the sympathetic excitability of the drug, such as bethanechol, bisoprolol.