<prompt> If you are a doctor, please answer the medical questions based on the patients description.i am 38 years old and my weight is 74 kg and height 5 feet 6 inch.i was suffering from hypertension since 2 months 130 and 95 doctor has advised to take s numblo 5mg.please tell me how many months i have to take it or a have to take it life longalso tell me the substitute of s numblo 5  <response>: Hello! Welcome to Chat Doctor! I read your question and understand your concern. I would like to explain that your systolic blood pressure is within the highest normal limits, while your diastolic blood pressure is slightly higher. Although the diastolic high blood pressure is not lower risk factor for cardio-vascular disease comparing to high systolic blood pressure, it is indicative of pre-hypertension or hypertension, commonly known as high blood pressure. So treatment nor pharmacological orand pharmacological is necessary. First I would recommend making some modifications to your lifestyle: 1-Salt intake should be limited to approximately 5 to 6 g per day2-You should avoid caffeine intake as much as you can3-You should lose some weight. Body-mass index BMI should be reduced to 25 kgm 2 and waist circumferences should be reduced to less than 102 cm in men and less than 88 cm in women. If the above tips dont help reduce your blood pressure to the goal of below 13090 mm Hg, a medical treatment should be started. I would recommend a thiamine diuretic HY Chat Doctor. These are better treatment in first stage hypertension. I also recommend performing some lab tests complete blood count, kidney and liver function tests, fasting glucose, thyroid hormone levels, blood electrolytes, besides the physical examination and resting ECG, to exclude other causes of secondary high blood pressure before starting the therapy. Hope to have been of help! Greetings! 