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About High blood pressure

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High blood pressure (hypertension) is a condition in which your heart is meeting too much resistance from blocked or narrowed arteries as it tries to pump blood and oxygen around your body.

Stage 1 hypertension is generally considered to be a consistent systolic reading of 130-139 mm Hg and/or a diastolic reading of 80-89 mm Hg.

Stage 2 hypertension is classified as a consistent systolic reading of 140 mm Hg or higher and/or a diastolic reading of 90 mm Hg or higher.

High blood pressure is a common but serious condition. Almost half of all Americans have high blood pressure. When not treated, high blood pressure can lead to an array of serious health issues including heart attack, heart failure, stroke, and much more. It’s made even more dangerous by the fact that, in some cases, symptoms may be invisible or hard to detect.

High Blood Pressure Symptoms

Blood pressure is called the “Silent Killer”, as it may not produce any noticeable symptoms or signs that anything is wrong. In fact, the vast majority of hypertension patients experience no signs or symptoms of high blood pressure. The symptoms listed below are signs of a medical emergency that warrants a visit to the emergency room.

Signs of emergency-level high blood pressure are:

  • Headaches
  • Changes in heart rate
  • Shortness of breath
  • Chest pain
  • Dizziness
  • Nosebleeds

Again, the majority of patients with high blood pressure will not experience these adverse effects. High blood pressure rarely causes noticeable symptoms. Because of this, it is important to undergo regular check-ups with your primary care provider to test your blood pressure levels. Early detection of high blood pressure can make the condition easier to treat while preventing complications like those listed above.

High Blood Pressure Causes

Primary hypertension, or high blood pressure that's not caused by an underlying health condition, is generally caused by the narrowing of blood vessels. There are any number of reasons that blood vessels might constrict. This narrowing means that the heart has to work harder to move blood throughout the body. This puts strain on the organ, which can lead to heart disease and heart failure.

High Blood Pressure Risk Factors

High blood pressure has many risk factors. Conditions/ factors that may put you at greater risk of developing high blood pressure include:

Age: The risk of high blood pressure increases as you age. Hypertension is more common in older adults than younger adults.

Family history: A family history of high blood pressure, heart disease and high cholesterol can put you at increased risk for developing high blood pressure yourself.

Race: Black people are at greater risk for developing high blood pressure than individuals from other racial identities.

Overweight/ obesity: Being overweight or having obesity is one of the most common factors that leads to high blood pressure.

Lack of physical activity: A lack of exercise can cause you to become overweight. Being overweight changes blood vessels in the body, leading to increased pressure on the heart.

Tobacco use: Tobacco use has been shown to narrow blood vessels and causes the arteries to harden, increasing the risk of high blood pressure.

Alcohol/ substance abuse: Similarly, recreation drug use and the abuse of alcohol has been linked to increased blood pressure.

Stress: Excessive levels of prolonged stress has been shown to cause an increase in blood pressure. In addition, individuals dealing with stress are more likely to forego a healthy diet, cardiovascular exercise, and abuse tobacco/ alcohol.

This is not a complete list of risk factors, although these are the most common. If you have a family history of high blood pressure, or identify with any of the conditions listed above, speak to a health care provider to schedule a blood pressure test. Because high blood pressure rarely causes symptoms, it can be hard to detect until it's too late. Talk to your provider about how often you should undergo blood pressure screening.

Common Medication
Treatment Options

There are a variety of medicines available to treat high blood pressure. The medication that you’re prescribed will depend on many factors such as your age, race, how your body responds to treatment, and more. Many people are prescribed a combination of different medicines.

It is important to note that taking medication is only part of the equation. Equally, or perhaps even more important, is that you make some healthy lifestyle changes, such as eating a diet that is low in salt and unhealthy fats, getting regular exercise, achieving and maintaining a healthy weight, abstaining from smoking, and using alcohol only in moderation, if at all.

Below is a list of medications commonly prescribed for high blood pressure to help you talk to your doctor about what medication will be best for you.

Note that all prescriptions are at your provider's discretion.

Treatment for hypertension requires a combination of lifestyle changes, continued management, exercise, and, in most cases, medication. It's important to follow up with your doctor or a specialist for help managing your condition.
Sesame FAQs

Frequently asked questions about high blood pressure treatment on Sesame

Can high blood pressure be treated online?

Sesame offers convenient and affordable online doctor visits with licensed health providers across the country. If you have a history of high blood pressure or at risk of developing high blood pressure, book a visit right away to discuss diagnosis and testing options.

Online doctor visits can be conducted in the comfort and privacy of your own home. During your visit, you will be asked about your symptoms and health history.

If your doctor determines that you have high blood pressure, they will discuss a treatment plan with you. This may include prescription medication and dietary/ lifestyle adjustments. If appropriate, your doctor can prescribe medication through Sesame. Depending on the medication, you can have your prescription delivered to your home or ready for same-day pickup at a pharmacy of your choice. Book a visit today to get started on treatment right away.

Can I get a prescription for high blood pressure medication on Sesame?

Yes! Sesame makes it easier than ever to get a new prescription or refill a prescription from the comfort of your own home! To discuss a new online prescription or refill, book a video visit with a doctor or nurse on Sesame to discuss a new online prescription or refill. Clinicians on Sesame can prescribe drugs that help treat high blood pressure.

Note that providers on Sesame cannot prescribe controlled substances.

Book a video visit on based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. You can also use Sesame Rx, Sesame’s prescription service, to have your medication mailed to your door for free. If you don’t want to go pick up a prescription in-person or utilize SesameRx, many pharmacies offer a prescription mail service for home delivery so that your medication can be shipped directly to you. Browse services on Sesame, set up an appointment with a real doctor at your convenience, and get the care you need.

How can I get a prescription fast?

Booking an appointment with a doctor or nurse online is typically the fastest way to get a prescription! Sesame offers same-day online doctor prescription and prescription refill appointments with board-certified healthcare professionals. If deemed clinically necessary, Sesame providers can provide prescriptions and prescription refills for most non-controlled substances. They can also provide you with a doctor’s note if necessary.

Most online prescription and prescription refill appointments take around 15 minutes, and providers are able to send a prescription to a pharmacy of your choice right after your appointment.

How much does an online doctor prescription refill visit cost on Sesame?

Sesame offers video prescription refill services at affordable prices starting at just $19. If a new prescription is determined necessary by a provider, clinicians on Sesame can prescribe medication that helps treat blood pressure, infection, allergies, cholesterol problems, thyroid conditions, and more!

Here’s how it works:

  • Search to find the doctor or provider you want to see for the health care service you need.

  • Compare our affordable cash-pay prices. Sesame works with doctors and nurses directly- not insurance companies. That means you can pay up to 60% less than what you’ll find through your insurance network, without the worry of surprise bills and hidden fees.

  • Book at your convenience and pay upfront. Pay the one-time price listed on the site and set up a visit with a real, quality doctor or nurse practitioner on your schedule. It’s that simple.

Sesame offers online doctor prescription refills for a wide range of conditions and ailments. Book a visit (in-person or via video) to get the care you need at one clear, affordable price. No insurance needed.

Can you get a prescription refill at a different pharmacy?

Yep! If you request a prescription transfer, you can easily move your prescription from one pharmacy to another. Plus, many pharmacies now offer mail services for home delivery. Here's how to request a prescription refill at a different pharmacy:

1) Call your new preferred pharmacy to request a transfer.

2) Provide that pharmacy with health insurance/ prescription info

3) Wait for the prescription to be transferred before you pick it up. It usually takes pharmacies a few days to transfer a prescription, but you will get a notification once this step has been completed. Either go pick up your prescription in person or set up home delivery.

If you need a prescription refill, book a visit with a real, quality doctor on Sesame today. Doctors on Sesame can refill prescriptions for high blood pressure, birth control, allergies, and more! Save up to 60% on your prescription refill visit when you book with Sesame.

Can I use any pharmacy when getting a refill?

Yes, your doctor can send the prescription to the pharmacy of your choice.

When will I get my refills?

Refills are shipped at regular intervals for the length of your prescription - depending on how your provider wrote your prescription. Our care team will time it so that your next shipment will arrive before you run out of your current medication.

You'll be sent an email notification about a week before we begin processing your refill. You may find the exact processing date of your next refill in the Your Prescriptions section when you log in to your Sesame account.

Does Sesame offer discounts on prescriptions?

Yes! The SesameRx program offers access to hundreds of FDA-approved generic medications starting at just $5 for a 30-day supply - plus free delivery! Just have your Sesame provider check whether or not your prescription is available through the SesameRx program during your appointment. If your Sesame appointment results in a prescription, we’ll send you an email and text right afterward to complete your purchase.

You can also save up to 80% on prescription medications with the Sesame Prescription Savings Card, which can be used at 35,000+ locations across the country, including major chains like CVS, Walmart, Walgreens, Albertsons, Kroger, H-E-B, Hy-Vee and Wegmans. All you have to do is show the card to your pharmacist when picking up your prescription to confirm whether it can be used at your pharmacy. The best part? Your Sesame savings card works for everybody - friends, family, and co-workers - even if they've never used Sesame before.

What is SesameRx, and how does it work?

SesameRx is a prescription service that makes it easier and more affordable than ever to get prescription medication sent right to your door. We offer hundreds of FDA-approved generic medications starting at just $5 for a 30-day supply - delivered right to your door for free.

  1. Book and complete an appointment with a doctor, specialist, or provider who can write prescriptions through Sesame. Look for the "$5 med" tag on the provider card.
  2. If your appointment results in a prescription, we'll send you an email and text after to complete your purchase.
  3. We'll send your medication right to your door within 4 business days of shipping - with free delivery.

Sesame is not a pharmacy. As part of its prescription services, Sesame facilitates the delivery of prescription medication by its partner, Truepill pharmacy. Please refer to the Sesame terms of service for further information.

What is SesameRx's refund and return policy?

We do not offer a refund or return for medications that have been processed.

Can I have my existing prescription from a non-Sesame provider transferred to SesameRx?

No, Sesame does not currently allow existing prescriptions to be transferred from non-Sesame providers to SesameRx. If you have an existing prescription or prescription refill through a non-Sesame provider, it cannot be filled through the SesameRx program. Instead, you will need to schedule an appointment with a Sesame provider in order to obtain a new prescription. Please note that prescriptions are up to the discretion of individual Sesame providers.

Can I use my health insurance on Sesame?

Sesame does not accept insurance for provider appointments or for medications shipped from our SesameRX pharmacy - however, you can pay with cash, credit, debit, or even your FSA or HSA card since visits and prescriptions on Sesame are considered health expenses.

However, Sesame clinicians can assist with insurance prior authorization specifically for patients who book a weight management service through Sesame’s online weight loss management program.

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