How do you reduce high blood pressure?

Lifestyle, then meds: Therapeutic lifestyle changes like weight loss, exercise, sodium restriction (see dash diet) are first, but looking for adverse effects of medications, kidney or hormonal issues, or blood vessel blockages to the kidneys may be culprits as well. If the blood pressure is still elevated and confirmed by home or ambulatory monitoring, then medications (often several in lower doses) may be indicated.

Depends --: Most hypertension that i see in my practice is what's called essential or primary hypertension -- and one needs medications to control this condition -- but there are secondary hypertension such as secondary to stress or diet or obesity etc.