Our expert says:
If you eat right ( see http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf) and exercise, and your cholesterol is under control, and your blood pressure is still high, the only other thing you can do is to use blood pressure medication and there are plenty available that are safe to use for pilots ( ACE inhibitors, beta blockers, calcium channel blockers and Angiotensin II receptor antagonists). Just remember that you should have your blood pressure regularly taken after 5 minutes rest and when you are relaxed. The average blood pressure over 5-6 readings determine whether you need to change medication or not. 140/80 is borderline, but more than 140 average means that your medication needs to be adjusted.
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