When is blood pressure meds needed?

When BP remains: High despite lifestyle modification.

Meds if over 140/90: Goal BP is under 120/80, and high BP is over 140/90. However, it also depends on whether you have underlying heart disease, kidney disease, diabetes, or prior TIA or strokes. In those more serious conditions we will have tighter control on bp. If you are using any stimulants like caffeine you should eliminate it. BP should be measured on 3 separate occasions in order to diagnose hypertension.