Best Juices for High Blood Pressure

Beetroot juice, pomegranate juice and no-salt-added tomato juice are options for people with high blood pressure, although beetroot juice has the strongest direct evidence.

Juice is a dietary choice, not a substitute for blood pressure medication or medical care. For a broader comparison, see the best drinks for high blood pressure.

To check your blood pressure at home, sit quietly for 5 minutes, then take 2 readings 1 minute apart. The ai symptom analyzer cannot diagnose high blood pressure or replace a clinician or emergency care.

3 juices to consider for high blood pressure

These choices are not equally well supported. Beetroot juice has been studied specifically in people with high blood pressure; research has not established a blood pressure benefit for the other two juices.

Beetroot juice

How it may work: Beetroot juice contains nitrate, which the body can convert into nitric oxide. Nitric oxide helps blood vessels relax, which may lower blood pressure. The nitrate content can vary between products, so two juices may not have the same effect.

Strength of evidence: A 2024 systematic review and meta-analysis of randomized trials found that beetroot juice reduced systolic blood pressure measured in a clinical setting in adults with high blood pressure. The certainty of the evidence was low, results varied between trials, and the review did not find a significant effect on diastolic pressure or on blood pressure measured over 24 hours.

The systolic reading is the top number in a blood pressure measurement; the diastolic reading is the bottom number. A change in one does not mean that high blood pressure is controlled. A European Society of Hypertension position document also identified beetroot juice as a food with comparatively convincing evidence, while cautioning that dietary products must not replace needed medication.

How to use it: Choose a product without added sugar and check the label, particularly if it is a concentrated shot or blend. There is no established juice serving that reliably controls high blood pressure for everyone. If you want to drink it regularly, especially in concentrated form, discuss it with your clinician or a registered dietitian.

Pomegranate juice

How it may work: Pomegranate juice contains plant compounds called polyphenols, which are being studied for their effects on blood vessels. That proposed mechanism does not establish how much the juice lowers blood pressure, or whether it will lower it for a particular person.

Strength of evidence: We found no trial of pomegranate juice. It is therefore not possible to rank its blood pressure effect against beetroot juice on the basis of the evidence presented here. It should be viewed as a fruit juice option rather than a proven treatment for high blood pressure.

How to use it: If you enjoy pomegranate juice, look for 100% juice rather than a juice drink with added sugar. You can include it as part of your fruit choices, but whole fruit provides more fiber than juice from which the pulp has been removed.

A label describing a product as rich in antioxidants does not tell you that it will control your blood pressure. Continue checking your readings and following your treatment plan rather than judging the effect by how you feel.

No-salt-added tomato juice

How it may work: Tomatoes provide potassium, a nutrient involved in blood pressure regulation. Potassium from food can support a blood-pressure-conscious eating pattern for many people, but that does not prove that drinking tomato juice will lower an individual's blood pressure.

Strength of evidence: We found no trial of tomato juice for high blood pressure. Its place on this list rests on its potential role as a vegetable-based choice, not on demonstrated results comparable with the beetroot juice trials.

How to use it: Look specifically for no-salt-added or unsalted tomato juice and compare sodium on the nutrition labels. Some tomato juices and vegetable blends contain added salt. A savory taste or vegetable content does not necessarily mean a product is low in sodium.

Check the full ingredient list if you choose a blend: its sodium and other ingredients may differ from those of plain tomato juice. If you have kidney disease or have been told to limit potassium, ask your care team whether tomato juice fits your eating plan before making it a regular choice.

How much juice should you drink?

There is no established daily amount of any of these juices that treats high blood pressure. The beetroot studies used different preparations, and their findings do not establish a dependable serving for routine care. More juice is not necessarily better, particularly when products are concentrated.

For pomegranate juice, use it as part of your overall fruit intake rather than adding unlimited servings. U.S. dietary guidance recommends getting at least half of your recommended fruit amount from whole fruit rather than juice. Whole fruit is generally the more filling choice and supplies fiber that may be lost during juicing.

For tomato juice, pay particular attention to the sodium in the serving you actually drink. The American Heart Association recommends no more than 2,300 mg of sodium a day and an ideal limit of no more than 1,500 mg a day for most adults, especially those with high blood pressure. Your clinician may give you a different target based on your health needs.

Consider your entire eating pattern as well as the drink. Vegetables, fruit, whole grains and other foods in a balanced diet matter more than adding a single juice. If you have diabetes or monitor your blood sugar, ask a registered dietitian how juice can fit into your meal plan.

Keep taking prescribed medication as directed. If you notice a change in your home readings after a dietary change, record it and discuss it with your clinician; do not adjust or stop medication on your own.

Who should be careful, and when should you get help?

Kidney disease or potassium restrictions: Some juices contain potassium. Too much potassium can be dangerous for people with kidney disease or those taking medicines that can raise blood potassium, including certain blood pressure medicines. Ask your clinician or dietitian about your personal limit before routinely drinking potassium-rich juice.

Blood pressure medicines and other treatments: Tell your clinician about regular use of beetroot juice, particularly concentrated products, and about any dizziness or unusually low readings. A review of beetroot juice benefits and risks notes that research on potential risks from high nitrate intake is limited. Do not use concentrated juice as a way to alter your medication dose.

Pregnancy, breastfeeding and children: Ask a clinician or dietitian before using juice specifically to affect blood pressure. During pregnancy, choose pasteurized juice; treatment of high blood pressure in pregnancy needs medical supervision. Seek urgent care for concerning symptoms such as a severe headache, vision changes or severe upper abdominal pain during pregnancy or after delivery.

Very high readings: If your systolic pressure is higher than 180 mmHg or your diastolic pressure is higher than 120 mmHg, wait 1 minute and measure again. If it remains that high and you have chest pain, shortness of breath, weakness, numbness, a change in vision or difficulty speaking, call 911 immediately. Do not wait for the pressure to come down. If the repeat reading remains that high without those symptoms, contact a healthcare professional immediately.

Seek emergency help for possible stroke or heart attack symptoms even if you do not have a blood pressure reading. Juice is not an emergency treatment.