Before lowering a patient’s blood pressure, …

Yeah, check his/her comorbidities, possible orthostatic hypotension, and daily fluctuations of blood pressure.

Older patients are more likely to have acute reductions in blood pressure and they are more susceptible to side effects of low blood pressure. If they have an average systolic blood pressure <110 mm Hg over the 1-year the risk of serious falls and fainting is 50% greater than in those who have an average systolic blood pressure ≥110 mm Hg. Do not overdo the treatment.

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