Managing High Blood Pressure After 65: Medications, Diet and Monitoring

High blood pressure (hypertension) is one of the most common conditions in older adults. The Healthy Ireland Survey found that over half of adults over 65 have been diagnosed with high blood pressure. The good news is that with the right medication, diet, and monitoring, it can be managed effectively — reducing your risk of stroke, heart attack, and kidney disease.

Understanding your blood pressure readings

Blood pressure is measured in two numbers: systolic (the top number) and diastolic (the bottom number). A normal reading is around 120/80 mmHg. High blood pressure is generally defined as consistently reading 140/90 or above. Your GP may set a target that's right for your age and health conditions — for some older adults, a slightly higher reading may be acceptable.

Common blood pressure medications

• ✓ACE inhibitors (e.g., Ramipril, Perindopril) — relax blood vessels
• ✓Calcium channel blockers (e.g., Amlodipine) — reduce the force of heart contractions
• ✓Beta blockers (e.g., Bisoprolol, Atenolol) — slow the heart rate
• ✓Diuretics (e.g., Bendroflumethiazide) — remove excess fluid
• ✓ARBs (e.g., Losartan, Candesartan) — alternative to ACE inhibitors

Simple diet changes that help

• ✓Reduce salt intake — avoid adding salt at the table and check food labels
• ✓Eat more fruits, vegetables, and whole grains
• ✓Limit alcohol to no more than 11 standard drinks per week
• ✓Reduce caffeine — switch to decaf tea if you drink many cups a day
• ✓Maintain a healthy weight — even small weight loss helps

Monitoring at home

Home blood pressure monitors are affordable and easy to use. Take readings at the same time each day, sitting quietly for 5 minutes first. Record your readings in a notebook or on your phone. HealthLog's notes feature is ideal for this — you can dictate your reading by voice and it's saved alongside your medication list for your next GP visit.