Set . Symmetry of gives , so
The requested upper confidence bound is therefore
There is a direction inconsistency in connecting this particular interval to the stated treatment alternative. Since is before minus after, a blood-pressure reduction means . An upper interval excludes the null value zero only when , which instead supports .
For the requested reduction alternative, use the lower 95% interval
It excludes zero in the appropriate direction exactly when
This is the correct level-5% paired one-sided test of no mean change against a reduction. The requested upper bound is valid as a confidence statement, but its ordinary exclusion-of-zero test has the opposite direction.

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