A patient with hypertension asks if they can stop their medication because they feel fine. What is the best response?

• A. Do not stop medications without provider; risk of rebound hypertension; schedule follow-up.
• B. Stop taking the medication now since you feel fine.
• C. You can stop after one week of good blood pressure.
• D. Stop only if side effects occur.

Answer: (A)

Maintaining antihypertensive therapy consistently is essential because stopping abruptly can trigger rebound hypertension, causing blood pressure to rise quickly and raising the risk of stroke, heart attack, or kidney damage—even if you feel fine. Hypertension often has no symptoms, so feeling well does not mean the condition has resolved or the medication is no longer needed. If there are concerns about side effects or the regimen, the best course is to contact the provider before stopping so they can assess, adjust the dose, switch medications, or provide a safe taper if needed. In the meantime, keep taking the medication and arrange a follow-up to monitor blood pressure and ensure ongoing control.