Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 7/7/2025

Chapter Title: Guidelines for Coffee Consumption in Hypertensive Patients

Introduction to Coffee Consumption

  • The American College of Cardiology/American Heart Association (ACC/AHA) indicates that moderate and habitual coffee consumption is not contraindicated in individuals with hypertension and does not increase cardiovascular risk, as long as blood pressure is controlled 1, 2, 3, 4

Recommendations for Coffee Consumption

  • The American College of Cardiology/American Heart Association (ACC/AHA) recommends limiting caffeine intake to less than 300 mg/day 2, 3
  • The American College of Cardiology/American Heart Association (ACC/AHA) advises avoiding coffee consumption in patients with uncontrolled hypertension 2, 3
  • The American College of Cardiology/American Heart Association (ACC/AHA) suggests that coffee consumption in hypertensive patients is associated with acute increases in blood pressure, but long-term use is not associated with increased blood pressure or cardiovascular disease 1, 2, 3, 4

Considerations for Patient Subgroups

  • For patients with controlled blood pressure, moderate coffee consumption (1-3 cups/day) is considered safe 1, 2, 3, 4
  • For patients with uncontrolled hypertension, it is recommended to avoid high doses of caffeine and consider reducing or temporarily eliminating coffee consumption until blood pressure is controlled 2, 3