Youth does not mean health, young people in their thirties have now become “regulars” in hypertension clinics, and young people who have symptoms do not take hypertension seriously. According to statistics, China now has close to 300 million people with hypertension, of which only 30 percent are informed and actively controlled, leaving 70 percent of people completely unaware of the fact that they have entered the ranks of hypertension! Young people who exclude secondary factors causing hypertension, such as excluding kidney disease, thyroid disease, tumors, etc., have primary hypertension, which requires long-term medication. Hypertension often has no uncomfortable symptoms when it first occurs and does not attract attention, but it can cause many cardiovascular and cerebrovascular diseases, so it must be taken seriously. Primary hypertension in young people is largely associated with poor lifestyle habits, such as stressful study and work, excessive smoking and drinking, high salt and calorie diet, and obesity. Therefore, the first step should be comprehensive lifestyle modification as the basic treatment, low salt and low calorie diet and weight control. Reduce mental stress and ensure sleep. If the blood pressure is still high after a month or two of doing this, medication is needed to control it. How is medication used for primary hypertension? Generally speaking, under the guidance of a doctor, start with first-line drugs. There are five major categories of commonly used antihypertensive drugs, such as metoprolol tablets, amlodipine, valsartan, perindopril, and hydrochlorothiazide tablets, etc. Start with low doses, and blood pressure attainment is the goal. When one drug cannot control blood pressure, a combination of drugs with different mechanisms can enhance the efficacy and reduce adverse effects. Conventional treatments cannot cure hypertension, so long-term standardized medication is especially important. Patients with essential hypertension require long-term treatment. Irregular medication is the biggest problem that primary hypertension is not easily controlled. Some patients only consider the effect of lowering blood pressure, thinking that the faster the blood pressure can be lowered, the better, and some patients will stop taking medication as soon as their blood pressure drops a little, these practices will affect the effectiveness of treatment. Patients with primary hypertension, if it is the first occurrence and the degree of hypertension is mild, can generally receive non-pharmacological treatment for 6 to 12 months through the adjustment of diet, exercise and lifestyle habits, and if they cannot achieve significant blood pressure lowering effect, they need to take blood pressure lowering drugs for a long time. In general, most patients’ blood pressure may return to within the normal range after receiving blood pressure lowering treatment, and once they stop taking medication, their blood pressure will rise again. In addition, if the patient has already suffered damage to the heart, kidneys and other organs due to hypertension, even if the blood pressure returns to normal, the damaged cardiovascular lesions cannot be restored to normal, which requires long-term treatment to slow down the progress of the damaged organ lesions and improve the symptoms and treatment effect. According to the length of duration of blood pressure lowering drugs, they can be divided into long-acting antihypertensive drugs and short-acting antihypertensive drugs. For patients with primary hypertension, it is best to take long-acting antihypertensive drugs. Long-acting antihypertensive drugs are more gentle than short-acting antihypertensive drugs, with less fluctuation in blood pressure and less likely to damage the cardiovascular system.