Whether 30-year-old high blood pressure needs to take medication depends on the level of blood pressure, not all 30-year-old hypertensive people do not need to take medication. 1. Do not need to take medication: 30-year-old hypertension, blood pressure for the first level of hypertension (systolic blood pressure <150 mm Hg, diastolic blood pressure <100 mm Hg) and no coronary heart disease, diabetes and other diseases, the first discovery of the first time you can control diet, reduce weight, quit smoking, quit drinking and other life interventions to lower blood pressure, after 1-3 months of intervention, the blood pressure falls to normal is not the need to take medication. 2. Need to take medication: 30-year-old hypertension, through life intervention is ineffective, blood pressure in the second level and above or blood pressure level 1 but have coronary heart disease, diabetes and other underlying diseases, the first discovery is recommended to give drug intervention. Hypertension at the age of 30 is also need to pay attention to, whether to take drugs, take what drugs, according to the patient's situation, under the guidance of the doctor to choose the most suitable treatment program, active treatment, so as not to miss the condition. If there is any discomfort, it is recommended to go to the hospital in time for treatment.