Elderly antihypertensive drugs can not say which is good, the elderly commonly used antihypertensive drugs of various types, such as valsartan capsules and other angiotensin II receptor antagonists, metoprolol extended-release tablets and other beta-blockers, etc., the patient’s comorbidities, adverse reactions, high and low levels of blood pressure, etc., will affect the choice of antihypertensive drugs. Comorbidities can affect the choice of antihypertensive drugs, for example, patients with diabetes mellitus and coronary artery disease, it is generally recommended to prefer angiotensin II receptor antagonists (such as valsartan, temsirolimus, etc.) and angiotensin-converting enzyme inhibitors (such as enalapril tablets, etc.); and patients with angina pectoris and a faster heart rate can be considered for beta-blockers (such as metoprolol extended-release tablets, etc.). Antihypertensive drugs may cause patients to develop related adverse reactions, for example, enalapril tablets may cause patients to develop irritating dry cough, if patients cannot tolerate irritating dry cough, they may consider choosing other antihypertensive drugs. For mild levels of elevated blood pressure, a single drug such as those listed above may be chosen; if blood pressure levels are high or poorly controlled by one antihypertensive drug, a combination of two or more drugs may be required. In conclusion, the choice of antihypertensive medication varies from person to person and requires individualized assessment and selection, and should be administered under the guidance of a physician.