Do You Really Need Cholesterol Drugs for Blood Pressure?


ving a heart attack. But should you take drugs to control your cholesterol?

You might want want to hold off on taking taking drugs if you have high blood pressure.

Studies have shown that the following blood pressure medications have little effect, if any, on your cholesterol levels, including:

  • Reserpine (Sereplan)
  • Hydralazine (Apresoline)
  • Potassium-sparing diuretics, like spironolactone (Aldactone)
  • Angiotensin-converting enzyme inhibitors (also known as ACE inhibitors) – such as lisinopril (Zestril), ramipril (Altace), quinapril (Accupril), etc.
  • Angiotensin II receptor blockers (also known as ARBs) – includes drugs such as telmisartan (Micardis), valsartan (Diovan), losartan (Cozaar), etc.
  • Calcium channel blockers – such as amlodipine (Norvasc), felodipine (Plendil), verapamil (Verelan)

It’s hard to know which medication to take. I have been on 10+ medications and none of them seem to work – Lisa Ackmann, Boston

Health experts advise to use the following guidelines:

  1. Focus on your risk – Use the American College of Cardiology’s calculator to estimate your 10 year risk of getting heart disease
  2. Don’t take drugs right away – It is better to begin exercising first before you take drugs.
  3. Confirm which medication you should take – Statins like Lipitor and Crestor are recommended by most experts.


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