What are the best herbs for managing hypertension (high blood pressure)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: April 15, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

The most effective herbal approach to managing hypertension, based on recent evidence, involves the use of garlic, hibiscus tea, olive leaf extract, hawthorn, and ginger, as these have shown promise in reducing blood pressure and improving cardiovascular health 1. When considering herbal remedies for hypertension, it's essential to understand that they should complement, not replace, conventional treatments. The herbs mentioned have various mechanisms of action, including vasodilation, diuretic effects, and reducing inflammation or oxidative stress.

Key Herbs for Hypertension Management

  • Garlic: Aged garlic extract (600-1,200 mg daily) may reduce blood pressure by 5-8 mmHg.
  • Hibiscus tea: Consumed as 1-2 cups daily, it has demonstrated blood pressure-lowering effects through its natural ACE inhibitor properties.
  • Olive leaf extract: Contains oleuropein, which helps dilate blood vessels (500-1000 mg daily).
  • Hawthorn: Improves blood vessel elasticity and acts as a mild diuretic (500-900 mg of standardized extract daily).
  • Ginger: May help reduce blood pressure by improving circulation (1-2 grams of fresh or powdered ginger daily). It's crucial to consult with a healthcare provider before starting any herbal regimen, especially if you're taking blood pressure medications, as some herbs can interact with conventional treatments or may not be appropriate for your specific health situation 1.

Lifestyle Modifications

In addition to herbal remedies, lifestyle modifications are critical for managing hypertension. These include weight loss if overweight or obese, a Dietary Approaches to Stop Hypertension (DASH)-style dietary pattern, reducing sodium intake, increasing physical activity, and limiting alcohol consumption 1.

Monitoring and Referral

Regular monitoring of blood pressure and referral to a specialist if targets are not achieved are also important aspects of hypertension management 1. By combining herbal remedies with lifestyle modifications and conventional treatments under the guidance of a healthcare provider, individuals with hypertension can better manage their condition and reduce the risk of cardiovascular complications.

From the Research

Herbs for Hypertension

Some herbs have been identified as potentially beneficial for hypertension, including:

  • Ma huang, which may cause important consequences in hypertensive patients 2
  • St. John's wort, which may interact with cardiovascular drugs 2
  • Yohimbine, which may cause significant interactions or effects on hypertension 2
  • Garlic, which may have a clinical impact in hypertensive patients 2
  • Licorice, which may cause important consequences in hypertensive patients 2

Mechanisms of Action

The mechanisms of action of these herbs are not fully understood, but they may involve:

  • Reduction of oxidative stress 3
  • Inhibition of vascular smooth muscle cell proliferation 3
  • Modulation of nitric oxide levels 3
  • Anti-inflammatory effects 3

Traditional Medicine

Traditional medicine has been used for centuries to treat hypertension, and many medicinal plants have been shown to have hypotensive or antihypertensive properties 4

  • These plants may have active substances with pharmacological and prophylactic properties that can be used in the treatment of hypertension 4

Comparison with Conventional Treatments

Some studies have compared the effectiveness of herbal remedies with conventional treatments, such as diuretics and ACE inhibitors 5

  • The ALLHAT trial found that diuretics were more effective than ACE inhibitors in reducing systolic blood pressure 5
  • The ANBP2 trial found that ACE inhibitors were more effective than diuretics in reducing the risk of cardiovascular events in elderly hypertensive patients 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Herbs and alternative therapies in the hypertension clinic.

American journal of hypertension, 2001

Research

Medicinal Plants in the Treatment of Hypertension: A Review.

Advanced pharmaceutical bulletin, 2021

Research

ACE inhibitors versus diuretics: ALLHAT versus ANBP2.

Expert opinion on pharmacotherapy, 2003

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.