According to my GP 150/90 is about the average threshold reading at which medication may become appropriate. Not always, but it needs monitoring. At 180/120 it needs some serious attention. I've experienced both readings in the past, but thankfully my present cocktail of medication is keeping it down to around 135/80 with no side effects, so I'll soldier on with it, continue moderate exercise (mainly long walks with the pooches), and keep to a sensible diet, so the weight stays off. No complaints, really, as I'm pushing 80 and still fairly active, so I'll just keep taking the tablets. 