At bedtime, to curb the early morning blood pressure surge on awakening that correlates with a higher incidence of heart attacks and strokes around 8 – 12 am. Taking long acting calcium channel blickers e.g. amlodipine and/or longacting diuretics e.g. chlorthalidone is helpful too.
Early morning blood pressure surge can be avoided by dosing carvedilol in the evening see http://www.med.or.jp/english/pdf/2005_08/398_403.pdf
From Morning Surge in Blood Pressure and Cardiovascular Risk
From The Morning Risk Zone
Higher incidence of heart attacks early morning see Circadian Variation – Increased Morning Incidence of Acute Myocardial Infarction in Patients with Coronary Artery Disease
The best time is when your doctor or pharmacist told you you should take them, not what random people on the internet recommend.
If your doctor or pharmacist didn’t tell you or if you forgot, ask them.
I know this is a really generic answer, but these sorts of questions really are best answered by medical professionals who know what they’re doing, know your medical history and know why they’re prescribing this specific medicine.
It really depends on which medicines you are taking. Through experience, we recommend that beta blockers are best taken in the morning as they can cause sleep disturbances in the night as a side effect. Diuretics are also better taken in the morning as you don’t want to make multiple trips to the bathroom at night. Other meds like amlodipine can be taken at night to help control the early morning rise in BP.
Is it better to take the blood pressure medicine in the morning or at night?
Take them anytime but best taken at night.
Taking care of patients with chronic diseases as family physcian, I have realised the best time to take medicine is when it is most convenient for you & when you are most likely not to miss the dose.
However there are certain medication which are preferred to be take on certain times of the day, e.g Diuretics are preferably taken in the morning as they may cause you to pee a lot ( and may cause sleep disturbance if taken in the evening) and Alpha blockers are preferably taken in the night at bedtime as they may cause postural hypotension ( BP dropping suddenly when you stand up).
Most of the common BP medication ( but not all ) in use today are long acting and such only require a single dose a day.
So as such most of the blood pressure medication can be taken any time of the day as long as the person can remember to take it around the same time on most of the days, preferably everyday.
However if we are talking about the benefits of taking BP medication, then it may be beneficial if the medication are taken at night.
Blood pressure fluctuates during the course of 24 hours and is lowest between midnight & 3–4 AM. This phenomenon is called “Dipping” ( scientists are not very creative in naming things). In many patients with blood pressure this dipping is absent and is associated with higher risk of stroke & hear attacks.
Artificially inducing dipping by taking BP medication in the night has been shown to reduce the risk of stroke & heart attacks.
However a medication taken is still better than a medication not taken at all. So just remember to take it any time of the day.
Should you never stop taking blood pressure medication, even if it has come under control?
When the heart beats, it pumps out blood around the body to give appropriate oxygen and energy it requires. When the blood moves, it pushes against the blood vessels and this strength is called blood pressure. If the blood pumped by the heart is in a large amount and if the artery is, narrow, then your blood pressure will be higher.
This is NOT something you want to ignore (especially when it can be treated). If you’re struggling with blood pressure take a look at this: Blood Pressure Exercises VSL cb
the home health Quality Improvement national campaign welcomes you to blood pressure medication management in this video we will talk about a few different medications used for treating high blood pressure how these medications work and tips on taking your medication high blood pressure is a common condition where the force of the blood in artery walls is high enough to eventually cause health problems such as heart disease blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries the more blood your heart pumps and the narrower your arteries the higher your blood pressure high blood pressure also called hypertension generally develops over many years oftentimes without any symptoms even without symptoms damage to blood vessels and your heart continues uncontrolled high blood pressure increases your risk of serious health problems including heart attack and stroke fortunately high blood pressure can be easily detected and once you know you have high blood pressure you can work with your doctor to control it there are a variety of different medications used to reduce blood pressure here are a few examples of medications and how each works in your body beta blockers reduce nerve impulses to the heart and blood vessels they cause the heart to beat slower with less force and blood pressure drops allowing the heart not to work so hard some of the beta blockers prevent the formation of a hormone which normally causes the blood vessels to narrow others can either cause the blood vessels to relax or widen or open blood vessels by relaxing the muscle in the vessel walls and your pressure goes down a diuretic or water pill works in the kidney to flush out extra water and sodium from the body through the urine there are many other diuretics available to lower blood pressure and they work in various ways sometimes people need to take two or more medications to bring their blood pressure down to a safe level when you start a medication work with your doctor to get the right medication and dose that’s right for you you can take medications as the doctor ordered but still not have your blood pressure under control it’s important to check your blood pressures often and keep a record of the results so you can see when your blood pressures go higher if your blood pressure is going up talk with your doctor about a blood pressure goal for the top number and the bottom number so you’ll know when you should notify the office talk to your doctor nurse or therapist about different lifestyle modifications that can help lower your blood pressure you may want to watch the how to check my own blood pressure video to learn more if you’re worried about the cost of your blood pressure medication tell your doctor or pharmacist there may be a less expensive medication or a generic form that you can use instead never stretch out your medicines or skip doses remember it’s important that you take your medications as prescribed to prevent a heart attack or stroke proper usage of medications has been associated with improved health increased physical function and decrease in Falls improved mental awareness and increased driver safety for older adults you may be asking what about side effects of my medication if you have side effects tell your doctor nurse or therapist be sure your healthcare team knows about other medications you’re taking including over the counter medications vitamins and dietary supplements some over the counter medications such as arthritis pain and cold medicines can raise your blood pressure it is easy to miss taking a dose of your medications what steps are you taking to remember your medications try to associate medication times with something you do on a daily basis such as eating meals reading the paper when you first get up or when you go to bed it’s easy to forget to take medicines but just like putting your socks on in the morning and brushing your teeth taking your medicine needs to become part of your daily routine where do you store your medication in the kitchen bedroom bathroom check with your pharmacist to see if there are any special recommendations for where to store your medication sometimes the moisture in a bathroom or kitchen is not good for certain medications establishing a safe place for your medication and a routine for taking them is very important for your safety many people have multiple medications and might need help with organizing the pills for the week don’t be afraid to ask for assistance with setting up a medication schedule there are different devices available at your local pharmacy other stores or online to help with medication management pill boxes with hourly daily and weekly setups can help with timely medication there is other equipment available such as a pill box with a timer and audio reminder or a watch with timed vibration use notes and other reminders to help you remember to take your medications ask your family to help you with reminder phone calls and messages remember medication habits are unique to you so work on a daily routine that best fits your lifestyle when routines are disrupted medication habits can also be disrupted talk with your doctor about what you would do if you forget to take your blood pressure medicine don’t forget to refill your medication each time you pick up a refill make a note on your calendar to order and pick up the next refill before the medication is due to run out if you have a hard time reading the small print on your pill bottle request large print labels from the pharmacy also ask for the easy off caps if you have arthritis or difficulty opening the childproof bottles a pharmacist can also be helpful for you with your medication management plan thank you for watching this video blood pressure medication management the message we want to leave you with is that high blood pressure can be easily detected and once you know you have high blood pressure you can work with your doctor to control it along with taking medication talk with your doctor nurse or therapist about lifestyle habits to lower your risk for heart attack and stroke you.
Generally one should not stop medication without informing the doctor. Get the BP checked by your physician and if he observes it is normal or below normal then gradually you could stop the meds.
However from experience ,it is very rare for the BP to become normal by itself. Unless some very drastic change has occured in the body the chances of BP becoming normal are very small , hence be careful and consult before stopping.
Is it true that once you start blood pressure drugs you can never stop?
I took the medication for a couple of weeks but all the time I was thinking deeply about the whole thing and was requesting the indweller for the right guidance.
I realised that the whole thing was a test for me, my attachment to my body, my family etc. and my choice was clear – depend on the fellow human beings and take the decisions as per their advice or listen to the inner voice and surrender to the advice coming from there. I decided to listen to the indweller.
I stopped taking the medicines and waited for one week before going to my doctor who also happens to be my good friend. I did not tell him that I stopped taking the medicines including the medicines for hypertension. I just waited for him to complete the check up including measurement of blood pressure and it was normal.
He told me that my BP was normal and asked me to continue the medicines. Then I confessed to him that I stopped taking the tablets a week ago. I asked him whether I can continue to be free of the medicines but be monitored by him and the cardiologist. He agreed. Later, the cardiologist also confirmed that my BP is normal and he too agreed that I can be free of the medicines.
Thus, I was one of the few in my circles of friends and relatives who was started on medicines for hypertension but who could stop the medicines and be free.
Except my total surrender and detachment to the physical body, there was no change in my life style, in terms of food or exercise.
This happened in 2001 and I continue to be free of medicines. Even my cardiac problem disappeared after a few hours as demonstrated by treadmill test and 2D echo
It very often is so.
But if you have borderline or even stage I hypertension, these non pharmacological measure are helpful and might help you lower your blood pressure to within “normal” range:
Taken from Page on nih.gov
From Hypertension webinar 7-22-15
taken from JCN 8
I’ve seen a man drinking a case of beer daily having a really serious hypertension return to normotension 2 weeks after stopping his alcohol abuse.
Although if one discovers an underlying condition causing hypertension, which is in 5%, so in a minority of people having hypertension, treating this can cure hypertension, in most we just don’t know the cause to have to treat the elevated blood pressure to prevent serious complications like stroke, heart failure, kidney failure, heart attacks etc.
Actually if the BP drugs were prescribed to you that means something is not working well. That is your body is not able to regulate the pressure.
Hence if once the drugs are started you SHOULD NOT STOP THE DRUGS till you have sufficiently changed the situation inside your body.
If the pressure comes down then there is no need for the drugs.