 [ Symptoms ] i may begin bp medication in the near future what are the different classes of bp meds and the proscons of each [ Disease ] most helpful answer this is a great question and one you should ask your health care provider it is a bit too involved to go into here but i will briefly outline some not all of the options and luckily webmd offers this handy comparison of some common blood pressure medications a water pill or diuretic such as hydrochlorothiazide or furosemide lowers blood pressure by getting rid of excess water in your system this essentially lowers your overall blood volume if you have tinnitus or ringing in the ears you should talk to your health care provider about using a potassium sparing water pill because the other type can make tinnitus worse ace angiotensin converting enzyme inhibitors have become a popular choice these medications basically cause your blood vessels to relax which lowers your blood pressure these medications usually have few side effects beta blockers work by slowing down the pace of your heartbeat and also reducing the force at which the heart contracts this combination causes your blood pressure to come down if your doctor suggests a beta blocker be sure to get specific dosing instructions some beta blockers should not be taken when your pulse rate is low again you ask a good question for your doctor if you go on a blood pressure medication be sure to know what it does specifically why it is a good choice for you and what possible side effects you should watch out for hope this helps