Many patients ask: "Doctor, I'm already on three BP medications. Why won't my numbers go down?" It's not your fault — you may have "resistant hypertension."
What Is "Resistant Hypertension"?
Medical definition: BP remains above target despite taking three or more antihypertensives (one must be a diuretic) at maximum tolerated doses.
About 10-20% of people with hypertension have this type.
Why Won't Your BP Come Down? 5 Common Causes
1. Poor Medication Adherence (Most Common)
It's not that the drugs don't work — it's that they aren't taken consistently. Over half of "resistant" cases are due to non-adherence.
2. Secondary Hypertension (Curable)
About 5-10% of hypertension is "secondary" — caused by an underlying condition like renal artery stenosis or sleep apnea.
3. True Resistant Hypertension
When all above are ruled out — advanced treatments like RDN (Renal Denervation) may be needed. This is a minimally invasive procedure.
How Does TEDANCD Treat Resistant Hypertension?
- Step 1: Screen for secondary causes (blood tests, imaging)
- Step 2: Optimize medication combination
- Step 3: Evaluate suitability for RDN procedure
- Step 4: TCM adjunctive therapy
Which Type of Hypertension Do You Have?
Send us your recent BP logs and medication list. Our expert team will assess.
Free Assessment →