Concerns›Heart, blood sugar & weight

High blood pressure

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Bottom line

For high blood pressure, start with Omega-3, Pycnogenol (French maritime pine bark extract), Coenzyme Q10 (CoQ10). The first one to look at is Omega-3 — 1,000 mg for maintenance, 2,000–3,000 mg for a stronger approach (EPA+DHA combined); Right after a meal. If you take 2+ capsules, split them across meals.

Supplements ranked for this concern

AWell researchedBSome evidenceCLimited evidence
#SupplementEvidenceWhenHow muchCaution
1 Omega-3
Helps keep blood vessels flexible and supports circulation and triglyceride levels. A foundation for blood vessel care.
A Right after a meal. If you take 2+ capsules, split them across meals. 1,000 mg for maintenance, 2,000–3,000 mg for a stronger approach (EPA+DHA combined) If you have an irregular heartbeat, stay under 3,000 mg a day. With blood pressure medicine, watch for dizziness. Compare products
2 Pycnogenol (French maritime pine bark extract)
Many studies suggest it supports the inner lining of blood vessels, helping them widen, and may help with blood pressure.
A With or without food. If you take 2+ capsules, morning and evening. Usually 100 mg a day (start at 100–200 mg, up to 400 mg) Be careful if you have low blood pressure. If your readings go over 150–160, medicine comes first, not supplements. Details
3 Coenzyme Q10 (CoQ10)
Supports heart energy and helps blood vessels relax, which may help with systolic (top number) blood pressure.
A After breakfast or lunch (at night it can disturb sleep) 100–200 mg a day. Split doses above 200 mg. With blood pressure medicine, it may cause dizziness or headaches. Check your blood pressure often. Compare products
4 Aged garlic extract
May relax blood vessels and curb blood clots, which can help with blood pressure and cholesterol.
A After meals. If you take several capsules, split between morning and evening. 2–4 capsules of 300 mg a day If you take a blood thinner or aspirin, it may raise bleeding risk. Talk to your doctor. Details
5 Magnesium
May help relax blood vessels and keep calcium from building up in them.
B After meals. If you take 2+ capsules, split them. 200 mg for maintenance, 400 mg if you're low (start at 50–100 mg if you have low blood pressure) If you have heart or kidney disease, talk to your doctor first. Compare products
6 Vitamin K2
Helps send calcium to your bones instead of your blood vessels, which may slow calcification of the arteries.
B Once a day, with a meal 100–200 mcg a day (as MK-7) If you take warfarin, it can affect how the drug works. Always talk to your doctor first. Compare products
7 Nattokinase
May break down blood clots and relax blood vessels, which can support circulation and blood pressure.
B On an empty stomach (1 hour before or 2 hours after a meal) 2,000 FU a day as a baseline (2,000–6,000 FU) Don't take it with blood thinners or aspirin. Details
8 L-arginine
Raises nitric oxide to widen blood vessels and may lower blood pressure slightly.
B On an empty stomach or between meals, during the day rather than at night 1 g for maintenance. Blood pressure studies used 3–6 g. Avoid it if you have low blood pressure or take erectile dysfunction medicine. Details

Medications to watch out for

If you take any medication, talk to your doctor or pharmacist before starting.

Blood thinners such as warfarin (Coumadin)Omega-3 · Pycnogenol · Aged garlic · NattokinaseTheir anti-clotting effects add up and may raise bleeding risk.
Warfarin (Coumadin)Vitamin K2It can affect how the drug works. Always talk to your doctor before taking it.
Antiplatelet drugs such as aspirinNattokinase · Omega-3 · PycnogenolBruising and bleeding such as nosebleeds may increase. Talk to your doctor before taking high doses.
Blood pressure medicineCoQ10 · Magnesium · Pycnogenol · L-arginineBlood pressure may drop further and make you dizzy. Don't cut back on your medicine on your own.
Erectile dysfunction drugs such as sildenafil (Viagra)L-arginineBoth widen blood vessels, so blood pressure may drop too low. Don't take them together.
Being treated for kidney diseaseMagnesiumMagnesium may build up in your body. Talk to your doctor first.

Before supplements: daily habits

  1. 01Cutting back on salty food and eating out is the most direct way to help your blood pressure.
  2. 02Measure your blood pressure at the same times each morning and evening, and keep a log.
  3. 03Stacking several blood-pressure-lowering supplements can cause dizziness or headaches. Add one at a time.
  4. 04Eat polyphenol-rich foods like olive oil, green tea and onions often.
  5. 05Supplements can't replace medicine. If your readings are high, see a doctor first.

Product comparison

ProductFormPer servingCountCost per day
Burp Less Ultra Omega-3 from Fish Oil 1400 mgBest value
Nature Made
EE (ethyl ester), enteric-coated935 mg90 Low Amazon →
Triple Strength Omega-3 950 mg
Solgar
EE (ethyl ester)882 mg100 Low Amazon →
Triple Strength Omega-3 Fish Oil 2400 mg, Lemon
Nature's Branch
Form not listed, lemon flavor1440 mg180 Low Amazon →
Extra-Strength Omega-3 Fish Oil 1000 mg + Vitamin E, Lemon
NatureWise
EE (ethyl ester), lemon flavor1000 mg60 Low Amazon →
Triple Strength Omega-3 Fish Oil 1250 mg (Wild Alaska Pollock)
Sports Research
rTG (re-esterified triglyceride)950 mg90 Average Amazon →
Triple Strength Omega-3 Fish Oil 2000 mg
Dr. Tobias
Form not listed, enteric-coated1400 mg180 Average Amazon →
Burp Less Omega-3 Fish Oil 1400 mg Minis
Nature Made
EE (ethyl ester), mini softgels930 mg60 Average Amazon →
Triple Strength Omega-3 Fish Oil 3000 mg, Lemon
BioSchwartz
Form not listed, lemon flavor2100 mg90 Average Amazon →

Compare all Omega-3 products →

Cost per day is relative — compared with other products of the same supplement. Check Amazon for the current price. Some links are affiliate links.

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