Is withdrawal of antihypertensives in older people feasible?

Hypertension is an important risk factor for subsequent cardiovascular events, including ischaemic and haemorrhagic stroke, myocardial infarction, heart failure, chronic kidney disease, cognitive decline and premature death. Overall, the use of antihypertensive medications has led to reduction in cardiovascular disease, morbidity and mortality. However, the use of antihypertensive medications is also associated with harms, especially in older people, including the development of adverse drug reactions, drug–drug interactions and increased medication‐related burden. As such, discontinuation of antihypertensives may be considered and appropriate in some older people.