[header] How to treat malignant hypertension [title] Distinguish between benign and malignant hypertension. [step] With benign hypertension, blood pressure can be gradually lowered over weeks or months with close medical follow-up. With malignant hypertension, urgent management with intravenous blood pressure lowering medications are needed. 
If not, the high blood pressure can damage the blood vessels in your brain, eyes, kidneys, and heart. If you have malignant high blood pressure, your doctor will assess and treat your specific symptoms.