Best Time to Take Blood Pressure Medicine
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- čas přidán 27. 03. 2022
- I explain when to take blood pressure medicine. Morning or night? I will review an article published in the European Heart Journal examining the effects of taking blood pressure medication in the morning vs at night.
academic.oup.com/eurheartj/ar...
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I noticed over the years that despite taking my blood pressure medication every morning I always had raised blood pressure while sleeping. I then switched to taking my medication before bedtime and the difference has been just great. More stable blood pressure.
I recently decided to do my own experiment and change the time of taking my blood pressure medication when my doctor said she wanted to increase my dose. For years I have been taking my meds in the morning when I first get up so I decided to try taking them before bedtime and for me personally the results have been amazing! Making that change has resulted in much lower numbers in the morning then I'm accustomed to. After watching your video I'm convinced that at least at this point in my life there's no need to increase my medication. I will be sharing your video with my doctor. I want her to be convinced that this is not just coincidence but I could never explain the scientific aspect of it... I'm going to let you do that LOL! Thank you very much for this video and for your research
what did your dr say?
Thank you for this info!! I had assumed the opposite, so am particularly appreciative to know this.
I love your videos their short and to the point. Thank you. doctor.👌🏼
Great and very informative deep dive information Dr. Peng, Thank You Sir!
I’ve been taking my bp medicine at night for a while now greetings from Scotland 🇬🇧🇬🇧🇬🇧 my mum’s cousin used to stay in the city by the bay
I'm diagnosed and have TIA, I stayed in the hospital for 11 days, and undergo different examinations where my hypertension causes, but everything is ok. In short my doctor prescribed me medicine for my hypertension etc. But I never take them, what I did is search for the best way to deal with my situation in a natural way, so I changed my diet, I fast and lost 13 kg. And changed my diet and I tried what fits me, thank God as he leads me and gives me discernment and answers my prayer 🙏 . I'm fit, I always listen to my body and truck the new food that I eat in that way you can tell which is which, just sharing my experience, kudos to the doctor who recommends the natural way, God bless 🙏
Bravo....
Very clear and helpful advice.
Thank You Dr, Jeffrey Peng.
Very helpful and informative video. Thank you.
Excellent video. Thank you Doctor.
Thanks for this info, doc ❤
Thanks doc, info well explained
Thank you! I needed to hear that! Aussie Lady!
Thank you so much doctor for your advice,have BP and choose my medication at night...it works❤❤
I agree with the night setting.
My blood pressure tends to be higher in the morning and lower in the evening. To manage this, I take my medication earlier in the morning, allowing it time to take effect and reduce the side effects within about an hour. I underwent major heart surgery around five months ago, and since then, my blood pressure has been quite unpredictable. Thankfully, it appears to be gradually stabilizing.
Anxiety also plays a role in my blood pressure fluctuations. Given my tendency for white coat syndrome, I've invested in a home blood pressure monitor. I measure my blood pressure in the morning and again at night to keep track of any changes.
Your blood pressure changes constantly. It is very rare that you could have the same readings if taken back to back. Take your blood pressure medications as prescribed by your cardiologist or other TRUSTED medical professional ONLY.
Mine is opposite. Lower in the morning but high at night.
My doctor told me to take Lisinopril in the morning. It's at that time of the day that most cardiac events take place, he said. BP is lower during the night.
Who knows who to believe when piece of research says white is black and the next that black is white!
I've been on two meds for years now - Amlodipine & Losartan. My doctor advised me to take one in the morning & the other at bedtime to ensure it keeps my blood pressure in check around the clock. I do Amlodipine in the day & Losartan at night. The only negative side effect I get is occasional light headed/dizziness if I stand up or turn my head/spin my body around too quickly. I don't have the other common side effects of swelling, heart palpitations, etc. I first was put on Lisinopril but the coughing side effects were ridiculous. I couldn't sleep at night because I was coughing constantly every few minutes all day & night. It was also disturbing my husband's sleep. My blood pressure was still high because I was so sleep deprived & stressed out form coughing so much. My doctor finally switched me to Losartan & after two weeks, the non stop coughing finally ceased.
I also take these
Thank you for sharing this. I am on three BP medicines a day. I also have the dizziness that you mention. You have assisted me a lot. Thank you again to Dr. and also to you for sharing.
On the same meds. Take both at night, they actually help me relax for sleep.
Garlic and a low sodium diet are the way to go. With these medications your blood pressure will just get worse, as in my case.
@@jessebest3006😂
Very informative video!
Thank you so much for this important information
Glad it was helpful!
Thanks very much.
Thank you… I just started pressure meds last week and I was wondering why the prescription stated to take it at night.
Hi doc thank you for this informative video of yours:)
Wow! Thank you
I think it’s pretty clear that time of day, hormonal cycles, what other medication’s are being taken and the drugs half-life makes a gigantic difference in effectiveness and mitigating side effects, maximizing positive benefits
Thank you Doctor 🙏
Thank you Sir ❤
Thank you 🙏 sir
Thanks!!!👍
Okay. That was a good one!
I take in the morning but i will take in the night may be better! Thank you!🙏🏼
I was taking Doxazosin morning because, I felt that it was already low sleeping so I should take it on the daytime my blood pressure is higher. Taking in the morning my numbers were erratic and too high through the day. I started taking at night and my numbers became moderate and balanced, and lower throughout the day. I went from 140 weekly average to 125 weekly average. Night time made a big difference for me. and this is where a ambulatory tester.
Awesome! Thanks for your comment
@@JeffreyPengMD Does that also pertain the one a day Beta Blockers like Atenolol?
Thank you so much doctor 🧑⚕️
You're most welcome!
Thanks, Dr. Peng! I don't have high bp but I'll remember to take it at night. 😊
If you don’t have high BP then why are you Taking medication?
I was put on Lysinopril and I got every sided effect they listed except for my throat swelling closed in shock. I finally fell off the scaffolding at work because I climbed the ladder with a bucket of cement and when I stepped off my blood pressure dropped badly and I had my brain shut down and I fell off breaking my arm. The side effects were worse than the high blood pressure. I decided to take it at night after my Dr dropped my dose from 20 to 10 mg and I was still getting light headed.
After that I slept through the problems and in the morning I was stable and good to go.
My little sister was on the same stuff as well and suggested I try taking it at night as she and the rest of the family tend to be really sensitive to it and I tend to have white coat anxiety anyways so my numbers are always high at the Dr.
I was unable to take it due to dizziness. Later I found that I didn't need anywhere near a full dose. Relying on just doctor's visits for blood pressure checks and medication adjustments was inadequate.
I got a home blood pressure monitor, the arm cuff style. They are not expensive and they work adequately. Take your blood pressure as many times per day as you can, preferably at the same time and during the same activity, such as upon waking, at lunch or after work, and at bedtime. Remember to relax and breathe. Write down the results and track them over a period of weeks. Try lowering the dose to 3/4 and test for a week, and then 1/2, etc.
I did that process obsessively for two months and now I know precisely how much is needed. I found that taking half my dose twice a day reduced the side effects, and made it more effective.
Also note: all drugs have a half-life rate. So it stays in your body for a certain amount of time. It may take at least a week or more for the new amount to settle in, hence the need for long-term tracking. It's annoying to do but better than being dead from an easily avoidable accident.
Get a Fitbit or similar which can monitor your bp, temp, heartbeat etc. Then you can have it and share with your doctor or anyone else.
76-yr old, two years ago first was prescribed 2.5mg amlodipine a day, than the doze was increased to 2.5mg two times a day (morning and evening). Starting this March, I was prescribed 5mg amlodipine combo pill w/ 160mg valsartan, two times a day cutting in half the tablet. My BP regularly was measured at home below 120/70. Then asked my PCP to lower the doze of valsartan by taking both separately two times a day (2.5mg amlodipine and 40mg valsartan) and see whether my BP maintains not so low from my previous typical physiological level of 130/75 since I was younger. I was Ph.D. Life Science fellow before retirement, read specialized med. literature and trying to be pro-active in maintaining my health, not only following with PCP.
thank you for this video, if one decided to be taking it in the night what about those drugs that causes one to urinate like two three time when one is fast asleep.
Thank you, Doctor, for this information. I am a nurse and this is the first time I have heard about this study. I have HTN and am medication. I will make the switch from am to pm and note the changes.
How's the resuly after switching?
I concur!
Thank you so much for this it works for me Awesome 😊😊
Thanks team ☆☆
Thanks for your comment!
❤😊gracias Dr
I am taking Inditor-SR1.5mg, Bisolol 5 and Cresar 40 in the morning and taking Bisolol 5 and Cresar 40 again in the night.
Hello Dr my doctor put me on valsartan today 40 mg but because I'm sensitive he told me to split in half and take 20 well four hours later my BP is higher is that normal cause I thought soon as you took it it's supposed to lower right away or does it take time eventually I will go up to 40 mg once my body I guess adjust to it thanks in advance answer me asap thank you
Vleaan....pure health. Tips
Thanks Doc for the enlightenment.
Also important to note: discuss your plans of changing the routines of your blood pressure medications with your doctor. Because some medications requires upto three times dosing per day example methyldopa. Don't assume you can take all at night. And some individuals are taking water pills which would make them urinate more frequently thus disturb their sleep if taken at bedtime. Poor slThe result of the stated research would be more favorable for once daily doses of antihypertensives.
Can I take Perindopril at night or in the morning please 🙏 thanks ❤️👍
This was proposed many years prior to this study
Best advice to date.
How about if you are working in the night shift? Do you still take the medicine in the evening? Or in the morning when you are about to sleep?
How does taking them at night compare to taking 1/2 dose AM and PM?
My question is if it's better to take your blood pressure reading sitting up or lying down? I find my blood pressure is almost always lower when I lie flat on my back.
Thank you
I saw a vidio whcib said chronological time for blood pressure reaches peak at 1830
What do you think if taking it ar 1700 ?
Currenlty on atacand 16, taken at 2100.
Kind regards
My Cardiologist told me to take 80mg Telmisartin and 10mg of Amlodipine in the morning. So what are your thoughts on this advice.
A more recent study (TIME study from the UK) did not show a benefit to blood pressure medications being given at night. A third study will be published soon and that may shed more light on the issue. The TIME study did not show any harm with nighttime administration. My take on this is that either time is acceptable but nighttime administration might be worth trying until more information is available.
What do you recommend for people who work nights and sleep in the day? I work 7p-7a. ShouldI take med before going to bed at 10am?
I take losartan at morning i take 1/2 of that 50mg of losartan then halft is taken by night but my schedule is MWF because i mNaged by bp to 120/90 to 120/80 now and 70-85 BPM.
I take enalapril 30 mg n 20 mg of lercanidipine how do you suggest I take these the enarapril is in a 10mg n a 20mg thank you rb
My pharmacist advised me to take lisinopril at night!
Will taking lisinopril also lower pulse rate . Blood pressure is 169/ 116 and pulse 108 .
I take mine in the morning but it causes drowsiness so by the afternoon if I don't keep busy I end up falling asleep. It also gives me such a dry mouth. I'm beginning to think it might be better to take it after my evening meal and I would then be tired by bedtime and hopefully I would sleep off the dry mouth but if I were to go out somewhere in the evening I might not have such a good time if I feel tired. This medication has stabilised my BP so I know it's working
Is it OK to take bpm and cholesterol med together at bedtime?
I take them in the morning, when I get home from work and before I go to bed
0:45 Dr. Peng said: "Take your blood pressure medication whenever you best remember."
So whatever time of day you can remember to take it every single day, just keep taking it at that same time.
If myxray says I seem to have an enlarget heart what to do
currently I am taking ramipril 10 mg, adalat crono 30 mg, doxazosina 2mg and bisoprololo 5mg every morning and in the evening I am taking doxazosina 2mg and atorvastatin 10 mg just wondering if I can take those morning meds in the evening instead and maybe remove some meds? upon research I found that ramipril 10mg has a direct effect on renin angiotensin aldosterone system... Need your input on this Doctor Peng... thanks in advance
Nice pot plant Doctor.
Very interesting sir.
I take two Lisinopril 20mg daily, one in morning and one at night. just had physical 116 over 74. My doctor said the half life of each pill is leveled out better
Sorry studies say doesn’t help. Lisinopril works all day. The md is a Baffoon.
One problem is ACE Inhibitors raise blood sugar especially when taken at night after dinner with no exercise in that part of the day.
There is plenty of evidence that ACE inhibitors lower blood sugar and the onset of type 2 diabetes.
I wish you were my primary physician.
I work the night shift 6pm to 6am. When is the best time to take my blood pressure meds.
any side effects from switching from morning to night with meds
Should i take amlodepine+ telmisartan at night
I’ve been taking Candesartan Cylexetil 8mg and Amlodipine Besilate 10mg for over 20 years now and taking it in every morning.
And?
The study on which this advice is based was published in 2019. But clicking the link to it provided above reveals that subsequently (in 2020), the journal published a correction stating the following: "The editors would like to inform the readers of the article ‘Bedtime Hypertension Treatment Improves Cardiovascular Risk Reduction: Hygia Chronotherapy Trial’ by Ramon C. Hermida et al. Eur Heart J 2020; online that the content and conduct of this randomized clinical trial is currently under investigation. They therefore recommend to interpret the major results and conclusions with caution until further notice." Has any "further notice" appeared yet?
Interesting I wonder what they are investigating, makes this presentation suspect, my Dr advises BP meds in am, to maximise effectiveness for overnight. Lots of contradictory information out there.
The way you explain it almost feels like i am cured😊
My bp and pulse fell dangerously low taking amlodipine 5 before bed. I was told never to take them at night.
For one week i work night shift and one week day. Sleeping time get different every week so when to take medication?
Hi, Dr. I am 73 years old, taking Amlopres AT 5/50 daily one tab in the morning and two Metadoze 850 IPR tabs one in the morning and one in the evening. Can I take half Amlopres AT 5/50 in the morning and remaining half tab in the night to have netter effect on my BP ? Please advise.
Best to discuss with your doc
The best time is what ever my cardiologist scheduled me
What about a amlodipine? Not one listed in the video Thanks.
My blood pressure was really high and I could feel the blood getting to my veins and my heart easing. I love it and so dose my wife.
So what was the answer. I listened but didnt understand what you said. So it better to take it in the morning. I take mine in the morning before I take my daily walk.
what about amlodipine?
What about Thiazides?
well im being reading about lisinopril. two of my primare doctors says its ok but there studies showing opposite, and you read people here and there, saying same, nurse of one friend tell me its bad. imo all meds have side effects eventually bad. if you need it you need it. i tried the plants way but no yet sucessfully. i been trying cucumber lately and it drops a 10 more points in my case. this its funny idk. i get bph then urologist add to my meds taladafil. then when i use a very small piece. vs lisinopril my bp drops a lot. i skip lisinopril when i use it.
Calcium Channel Blockers, such as amlodipine, won't apply to this case?
In theory, it should!
Does this mean diuretics as well? I take mine in the morning, and my blood pressure is low in the morning (before taking my medication). Also I’d rather not pee all night ling.
What about Atenolol, which is a beta blocker?
Mine said to take it twice a day with food, so I’ve been doing one at breakfast and one at dinner, which is about 8 hours apart.
Started taking amlodopine and lisopress for the last 10 days. BP went down from 140/95 to 118/ 80 on average. My body no longer feels tense. Im 39 btw..... was devastated knowing that inhave to live on pills now.
But better safe than sorry.
Should BP medicine take on empty stomach or with food?
What if I work at nighttime do I still need to take the blood pressure at night? I sleep in the morning.
What about Valsartan
Thanks! I already take my BP meds at night. I take Amlodipine, a calcium channel blocker though. Calcium channel blockers don't work by interrupting the renin angiotensin aldosterone system. Does that mean that it doesn't matter when you take your BP medication if you're only taking a CCB?
My case might be different. I had Conn's Syndrome (Primary Aldosteronism). They cured it by removing the adrenal gland which had the adenoma. My RAAS system functions normally now but I still have a little bit of hypertension. They treat it aggressively because the years of undiagnosed Primary Aldosteronism damaged my kidneys. I have enough function left to live a normal life, but I can't afford to lose any more.
I recently change my Dr. my blood preasure is been high becuase i just love food. So now he prescribe me with 200mg Labetalol im kind scared changing my med. my blood preasure is control if i do t eat as much not sure of i should start a new med. my old med was lozartan and amlopidene no side effects.
Hi I'm weight at 120lbs and don't drink alcohol or smoke cigarettes and I'm not diabetes. I sleep enough but I don't know why my bp still high since last November. I just got vitamin d3 and My kidneys function started improving. I went to change food I eat. Dr still give me same medication over and over for bp but I don't see new medication to lower my bp
Best to discuss with your health care provider!
Thank you doctor !!! I am now switching from am to pm....for years I have taken the meds in the morning....now, I hope to do better at night !! . ( maybe perform better too !! Wink wink ❤)
What about 5mg in the morning and 5mg in the evening. Total 10mg a day?
My physician in Pretoria, South Africa referred to a paper related to a trial with 19,000 patients and recommended that I take most of my BP meds in the evening.
As it shares the same number of patients, I assume that the paper to which my physician referred to is the same as to one you discuss here.
I measure my BP most days of the month as follows:-
a. in the evening (around 17:00) just prior to taking meds and
b. again about 4 hours later (to observe their effects).
In the years since I followed that route, my Max Systolic dropped as follows 158 (2021 Aug), 148 (2021 Nov), 126 (2022 May) and is currently around 121.
My Max Diastolic followed a similar trend from 79 (2021 Aug) to the current 62.
All readings in mmHg.
As background, I tend to exercise and walk at least 100 km per month.
I hope this is of interest
I think that it is normal for any BP medicine to cause a drop to a normal range 4 hours after taking it. It's like 10 hours or so later one is back to the 160 range. That's how it is in my case.
@@franklink9582the paper reports the results of effects of taking the meds in the evening
If the time at which the meds were taken, were unimportant then the survey would not have had the results reported.
Hi Dr Peng, can taking (Losartan) 'at night' mean just before bedtime? Thanks in advance.
Yes
I have to take pill 2x a day. When is he best time