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Message:: [QUOTE="Nashville Driver, post: 2296337, member: 69664"]There is no doubt there is a place for "long-term hypertensive drug therapy", but the problem comes with what stage to start drug therapy. So many people are put on medication in the early stages and no mention of life style change is discussed and or the patient is simply medicated because he is going to carrier which requires he/she meet their standard, beyond even what the FMCSA medical doctors feel is safe.The key is to determine what is causing the high blood pressure, is it heredity, inactive life style, smoker, diet, obesity? Or is cause because of renal (kidney) disorders, hormonal disorder's, neurological conditions, etc. I guess that fact that so many doctors with extensive knowledge cannot agree at what stage to start a drug therapy and the recommendations change every few years, send a red flag that we are just treating symptoms, instead of finding the true origins.Some people will never make the life style changes needed to eliminate high blood pressure and in those cases, yes it better to just medicate (better than suffering a stroke) but there are a whole host of people that should never have started a "small dose" drug therapy and could have made some very simple lifestyle changes. Merry Christmas![/QUOTE]