Look for the active substances
AHA identifies diet pills and stimulants, natural licorice, and ma huang or ephedra among possible blood-pressure contributors. Caffeine is another relevant exposure. Product categories such as herbal or wellness do not rule these ingredients out. [1]
The total list includes more than supplements
Decongestants, NSAID pain medicines and sodium-containing antacids may also matter. An energy powder plus coffee plus a cold medicine is a different exposure from any one item alone. Bring all packages to the pharmacist instead of reviewing only prescription tablets. [1][2]
Do not stop prescribed treatment independently
AHA recommends asking the clinician or pharmacist which substances may be increasing pressure and continuing prescribed medicines unless advised otherwise. Confirm the product, timing and blood-pressure pattern so the review can identify a plausible contributor. [2]
Make a useful comparison over time
Imagine readings rise after a new pre-workout product is started. Record its ingredient list, serving size and caffeine from other sources, then seek advice about the product. A temporal association is useful to report, but it does not by itself prove the cause. [1][3]
| Option or finding | Practical implication |
|---|---|
| Stimulant or weight-loss blend | Inspect caffeine and other active ingredients |
| Natural licorice | Relevant to blood-pressure review |
| Higher readings after a new product | Report timing and the full medicine list |

Sources for this article
- American Heart Association — Resistant hypertension
Source consulted: 2026-09-20. This is a reference resource, not a claim that we conducted the studies or tested a product. - American Heart Association — Managing High Blood Pressure Medications
Source consulted: 2026-09-20. This is a reference resource, not a claim that we conducted the studies or tested a product. - Dietary Supplements: What You Need to Know
Source consulted: 2026-09-20. This is a reference resource, not a claim that we conducted the studies or tested a product.