 Baseline Data and Randomization: Demographics, Glasgow Coma Scale GCS and National Institutes of Health Stroke Scale NIHSS scores both of which are part of routine stroke patient assessment, time of symptom onset and diagnostic CT scan will all be recorded. If the CT scan is completed within 6 hours of onset and confirms evidence of a primary ICH, patients will be randomized. Where patients are incompetent and surrogate decision makers are not immediately available, randomization will occur using a deferred consent procedure. Stroke risk factors, past medical history and medications, with emphasis on antihypertensives, as well as standard clinical blood work complete blood count and coagulation profile will be recorded after randomization in order to avoid delays to BP treatment. 