In your judgment, what is the criteria of prescribing hypertensive pills?

if patient's BP is 140/90 and symptom free.In your judgment, what is the criteria of prescribing hypertensive pills?
In my opinion run his family h/o hypertension, risk factor are important back going directly for medication.
If the risk factors are positive than I will support him to reduce immensity, diet, salt , smoking etc and re examine him again after one month, meanwhile I will instruct him to monitor BP each day . If BP is 120/80 or 110/70 is attained, he can go prescription free with the present regimen.
Vice versa he can be placed on minor dose of Hypertensive prescription.
most docs look at 120/80 to be normal.
regrettably, we are all different surrounded by our makeup.
some folks run above the norm,some below.
if your reading persists over an extended extent of time,
perhaps an antihypertensive is surrounded by order.
restrict your brackish intake,get some exercise,satisfactory to raise your heart rate above 110bpm for approx.30 minutes, don't smoke, and maintain an accurate record of your bp at equal time each time.
let your doctor know the results after 2-4 weeks.
hopefully, you will not experience any serious problems.
joe
It should be prescribed at that elevation. Being symptom free is irrelevant. Most hypertension is symptom free. Lifestyle change need to be taken to try to bring it down inside a normal stock.
If no other risk factors - try lifestyle change first, low salt diet, exercise, etc.
With risk factor - start medication, probably an ACE inhibitor such as Lisinopril.
Most cases of hypertension are symptom free right up until they have a stroke. I would still recommend they try to bring the pressure down some.