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High blood pressure guide

High blood pressure treatment online in Virginia and West Virginia

This is a home blood-pressure monitoring program, designed and reviewed by a cardiology-fellowship-trained physician. You complete a 7-day home log, and we start one first-line medication — or continue your existing regimen — matched to your health profile. A reading of 180/120 or higher is never treated online; it needs urgent in-person or emergency care.

Start online

Start a $59 online review for High blood pressure (home-monitoring program).

High blood pressure is diagnosed and treated best with readings from home, not a single number in a clinic. This program is built around that idea: you use a validated home cuff to take two readings each morning and two each evening for a week, discard the first day, and average the rest. If your home average is 135/85 or higher, a physician with cardiology fellowship training reviews your log and history and starts a first-line medication chosen for you — or continues the regimen you already take — with the same evidence-based approach used in a cardiology clinic.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response windows

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • A home or clinic blood pressure that runs high (135/85 or higher on a home average)
  • Wanting to start treatment after a high reading found at a checkup or pharmacy
  • Continuing a blood-pressure medication you already take and need refilled
  • Usually no symptoms at all — high blood pressure is often silent, which is why home monitoring matters

May fit online care

  • Adults 18 and older
  • A completed 7-day home blood-pressure log (2 morning + 2 evening readings, day 1 discarded, averaged)
  • A home average of 135/85 or higher, with all readings below 180/120
  • Currently on 0, 1, or 2 blood-pressure medications (not 3 or more)
  • For a water pill, ACE-inhibitor, or ARB: a creatinine and potassium result from within the last 6 months

Look for another care setting

  • Any single reading of 180/120 or higher (needs urgent in-person or emergency care, not online treatment)
  • Pregnant or possibly pregnant (blood pressure in pregnancy is managed by your OB)
  • Already on 3 or more blood-pressure medications, or hard-to-control (resistant) hypertension
  • A history of angioedema, an eGFR under 30, or a possible secondary cause (young age with severe hypertension or low potassium)

What to have ready

  • A validated home blood-pressure cuff and your completed 7-day log
  • A clear photo of a recent creatinine + potassium blood test (within the last 6 months), if you have one
  • A list of any blood-pressure medications you already take and their doses
  • Whether you have kidney disease, diabetes, a gout history, or a past reaction to an ACE-inhibitor

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Recognized with the Act Fast Award for the fastest physician stroke-treatment times (2019–2022) and as the most efficient, highest-rated physician in the HCA LewisGale Alleghany emergency department (2018). Licensed in Virginia and West Virginia — your care is never handed off.

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Why does this program use a 7-day home log instead of one reading?

A single reading — especially in a clinic — can be misleadingly high ("white-coat" effect) or miss the real picture. Averaging two morning and two evening readings over a week, after throwing out the first day, gives a far more accurate number. A home average of 135/85 or higher is what defines treatable high blood pressure in this program, and it is the same standard used to guide treatment in cardiology practice.

What does 'designed and reviewed by a cardiology-fellowship-trained physician' mean?

This program was built by, and every visit is reviewed by, a physician who completed additional fellowship training in cardiology on top of standard medical training. That means the choice of medication is matched to your profile using the same guideline logic a cardiologist uses — for example, a calcium channel blocker or water pill first for some patients, or a kidney-protective medication for those with diabetes or kidney disease.

Which medication will I be started on?

One first-line medication is chosen for you: amlodipine, lisinopril, losartan, hydrochlorothiazide, or chlorthalidone. The choice depends on your age, background, and health conditions — for instance, a calcium channel blocker or water pill is often preferred first-line for Black patients without kidney disease, while an ACE-inhibitor or ARB is preferred when there is diabetes with protein in the urine or chronic kidney disease. Water pills are avoided if you have a history of gout, and ACE-inhibitors and ARBs are never used in pregnancy or after angioedema.

Why do you need my kidney labs?

An ACE-inhibitor (lisinopril), an ARB (losartan), or a water pill (hydrochlorothiazide or chlorthalidone) can affect your kidney function and potassium, so a creatinine and potassium result from within the last 6 months is required before starting or continuing any of them. If you don't have labs yet, we may still be able to start amlodipine, which doesn't require them — but you'll need labs before your next step or refill.