How to treat hypertension?

Excellent question!: As with any & all conditions, find out cause and address it first. In young adults, we worry about secondary hypertension, in other words, high blood pressure caused by some other condition, for instance, renal artery stenosis. Don't forget lifestyle eg excess salt & fat. So make sure you've had an appropriate evaluation. If no cause is found, then we diagnose "essential" HTN & prescribe drugs.

Many : Reviewed your information, looks you have had hypertension since you have been on calcium channel blocker, hydrochlorothiazide and telmisartan. All those medications are the right medications. But you have breathless on exertion. So you need to have doctor to work up on your heart condition or lung condition.

Many options: Maintain healthy weight, watch your salt intake, exercise regularly. Often time, medications will be needed to control bp.

Low sodium: Change diet habits - think of salts, try to subsitute sodium salt for potassium salt, eat veg rich in potassium and magnesium both will help lower bp. Take shittake mushroom supplements which has beta glucan this will dilate blood vessels and lower bp. Take n-acetyl cysteine will detox and reduce ros in body, methionine supplements will lower homocysteine and help bp. Bita sitosterols will help.

Lifestyle change/med: Lifestyle change is the first step in treating high blood pressure. Weight loss, regular physical activity, alcohol and salt moderation, and a diet rich in fruits and vegetables (dash diet) can all lower BP significantly. After this, medicines are very effective and required to get the blood pressure to a safe level.