Managing blood pressure can be difficult, especially during the holidays and winter months. A change in routine, family visits, traveling, illness, holiday menus and financial concerns can all conspire to derail your best efforts at keeping chronic conditions, like high blood pressure, under control.

If you are one of the millions of American adults with high blood pressure, it is vital to keep your blood pressure stable. Drastic changes can put you at risk for heart attack or stroke.

Here are three ways to control your blood pressure throughout the holiday season from the American Heart Association:

Be Wary of Decongestants

Decongestants are in many over-the-counter cold and flu medications but they have some harmful side effects. They can raise blood pressure and decrease the effectiveness of some prescribed blood pressure medications. It’s best to use them for the shortest duration possible and avoid in severe or uncontrolled hypertension. Consider alternative therapies, such as nasal saline, intranasal corticosteroids or antihistamines, as appropriate.

Keep Track of Medication

The winter months tend to bring an increase in both heart attacks and strokes. According to research from the Journal of the American Heart Association, a 4.2 percent increase in heart-related deaths occurs away from a hospital from Dec. 25-Jan. 7.

“Factors like cold weather, sudden increase in activity like shoveling snow, stress and dietary indiscretion can contribute to a chain of events leading to more stress on the heart during the winter months, potentially triggering a heart attack or other cardiac event,” said Jorge Plutzky, M.D., director of Preventive Cardiology at the Brigham and Women’s Hospital and a volunteer with the American Heart Association.

It is vital to keep track of your medication and take it as prescribed by your doctor to decrease chances of heart attack and stroke. The American Heart Association’s Check Change Control Tracker is one way to monitor your health, as it allows you to set up text message reminders, text in blood pressure readings, connect with volunteers or providers, and receive messages from volunteers or providers.

Maintain Healthy Eating Habits

The holidays can be a bad influence on healthy eating habits. However, it is important to stay active during these times and continue eating healthy. While you are enjoying holiday feasts with family, be aware of sodium, often found in seasonal foods like bread, cheeses and prepared meats, which can increase blood pressure. Don’t feel like you can’t indulge a little, but make sure to incorporate healthy meals.

Staying active while traveling can be a challenge, as well. Try bringing simple exercise equipment like a jump rope or resistance band with you. Consider walking to sights or restaurants nearby, or finding a local park or indoor walking path.

For more information and tools about blood pressure management, visit heart.org/hbp.

Bayer’s Consumer Health Division, maker of Coricidin HBP, is a sponsor of the American Heart Association’s High Blood Pressure website.