Health
Related: About this forumBetter to take blook pressure medications in the evening
I once read in the AARP publication that it is better to take the medicine in the evening, before bedtime.
But we visited my spouse's cardiologist who had no preferences. Spouse takes them in the morning.
So I found this article
After an average of 5½ years, study participants who took at least one blood pressure medicine at night had better blood pressure control. They also were about one-third as likely to have a heart attack or stroke or to develop heart failure, as those who took morning pills.
In most people, blood pressure begins to rise just before getting out of bed in the morning, and reaches its peak around mid-day. It falls during sleep, reaching its lowest point of day between midnight and 3:00 or 4:00 am. This drop is sometimes called dipping. But people with high blood pressure often have little or no decrease in their blood pressure at night. One possible reason for this is blood pressure medicines taken around breakfast time have worn off.
https://www.health.harvard.edu/blog/taking-blood-pressure-pills-at-bedtime-may-prevent-more-heart-attacks-strokes-201110253668
Anyone knows anything?
GP6971
(31,159 posts)recommends anytime is good. Just be consistent about the time as the pill is time released.
CaliforniaPeggy
(149,621 posts)And my BP is well controlled.
dixiegrrrrl
(60,010 posts)Might be different for people only taking once a day...dunno.
MichMan
(11,931 posts)Using that logic, if it was taken in the evening, wouldn't it start to wear off around mid day when blood pressure is at it's peak?
question everything
(47,479 posts)so that at its peak it will be lower.
still_one
(92,190 posts)The only way to determine if an individual is in that category is by Ambulatory blood pressure through a monitor which is worn for 24 hours to monitor the patients BP throughout the day and night.
It is also noted that some BP meds are can be taken twice a day, because it has been observed that the BP lowering effect of those meds may diminish near the end of the day, and in those cases it evens out the BP readings throughout the day.
There are some medications which probably should not be taken at night. Diuretics are one class of medications
It would be advisable to consult with one's physician, and discuss the article in question before taking the BP meds at night on your own.
Also notice that the article says to take at least one BP med at night, which implies that the patient is on multiple BP meds, and that may makes sense, but it would also be important to insure that your BP was well controlled during the day and night also
question everything
(47,479 posts)this makes sense.
JayhawkSD
(3,163 posts)Hospital nurses went berserk telling me to take statin (very low dose, 10 mg) at night and never in the morning. I started taking it at night and found myself suffering from muscle pain. Not terrible, but uncomfortable. Went back to taking it in the morning and the muscle pain disappeared entirely. It controls cholesterol very effectively.
still_one
(92,190 posts)just to make sure
question everything
(47,479 posts)muscle pain.
But as with everything we put into our bodies - meds, food - each reaction is different.
eppur_se_muova
(36,263 posts)my doctor added that because I complained about side effects (postural hypotension) with lisinopril. Here's a little discussion, which suggest that *other than side effects*, time of day does not really matter: https://www.pharmacistanswers.com/questions/taking-lisinopril-morning-vs-night-which-is-better
The other effects in the article you cite may be due to the shorter persistence of older medications. See the link for fuller discussion.