Bedtime May Be Best Time For Blood Pressure Meds
WEDNESDAY, Oct. 23, 2019 — Taking blood pressure medications at bedtime rather than in the morning nearly halves the risk of dying from a heart attack, stroke or heart failure, a large, new study finds.
Researchers in Spain followed more than 19,000 adults with high blood pressure. They found that people who took all their blood pressure meds at night had lower blood pressure around the clock compared to volunteers who took their medication in the morning.
“The findings are highly consistent regardless of sex, age, presence of diabetes or kidney disease, and other major known factors of increased risk,” said study lead author Ramon Hermida.
Hermida is director of bioengineering and chronobiology at the University of Vigo’s Atlantic Research Center for Information and Communication Technologies.
“Conventionally, most patients ingest their medication in the morning,” said Hermida, “although no single trial ever documented this to be preferable.” No guidelines are currently in place regarding the best time to take the drugs, he added.
A New York City heart doctor believes consistency in taking your blood pressure pills will deliver optimal protection.
“The key here is routines,” said Dr. Satjit Bhusri, a cardiologist at Lenox Hill Hospital. “Not missing a dose. We know one thing worse than an elevated blood pressure is swings in blood pressure due to periodic non-compliance.”
To achieve compliance, it’s important to stick to a routine, Bhusri said.
What Hormone Helps Lower Blood Pressure
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The Best Time To Take Blood Pressure Medication
The typical advice for when to take your high blood pressure medication has been to take it in the morning. However, there’s growing evidence that most blood pressure drugs are more effective when people take them at night.
This is largely due to a concept called chronotherapy. It is an approach to the timing of medical treatment based on circadian rhythm, the body’s natural cycle of physical changes that take place every 24 hours. The approach has been used to find the best times of day to treat other medical conditions, including sleep apnea, chronic kidney disease, and diabetes.This article explains how many types of blood pressure drugs work. It looks at how blood pressure naturally tends to rise and fall, and how the best time to take your medication may be influenced by chronotherapy principles.
The Best Time To Take Blood Pressure Medicine
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Timed To Symptoms: Osteoarthritis Meds
According to the research published in Pharmaceutics, osteoarthritis pain peaks in the late afternoon and evening, so its best to start NSAIDs, such as naproxen and ibuprofenthe most widely used meds for osteoarthritisbefore noon, so theyll kick in at the appropriate time. If youre prone to afternoon pain, take meds between mid-morning and noon for evening pain, schedule them for mid-afternoon and for nighttime pain, take them with your evening meal.
What Are Other Ways I Can Lower My Blood Pressure
In addition to taking medicine to control your blood pressure, you can take other steps to help keep your blood pressure levels healthy.
- Get regular physical activity. Staying physically active is one of the best things you can do for your health. Physical activity helps keep your heart and blood vessels strong. It also can help you keep a healthy weight.
- Do not smoke. Smoking damages your blood vessels and greatly increases your risk of not only high blood pressure but also heart disease, heart attack, and stroke.
- Eat healthy foods. Choosing healthy meal and snack options can help you avoid high blood pressure and its complications. Be sure to eat plenty of fresh fruits and vegetables.
- Keep a healthy weight. Having overweight or obesity means your heart must work harder to pump blood and oxygen around the body. Staying at a healthy weight reduces the stress on your heart and reduces your risk for heart disease, heart attack, and stroke.
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Keep Your Doctor Informed
Your doctor doesn’t know everything about your life and your activities. But the more your doctor knows about you, the better they can help. Make sure your doctor knows about these things:
- Other drugs you take, either prescription or over the counter
- Vitamins or other supplements you take
- Herbs you might use
- Alcohol and any recreational drugs you use, or have used
- Other health problems, especially conditions such as diabetes
Other factors in your life that could contribute to high blood pressure, such as difficult family issues, a high-stress job, or a sedentary lifestyle
What Are The Risk To Stop Taking High Blood Pressure Medication
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No Mention Of Timing In Current Guidelines
Prof. Hermida explains that the current guidelines on how to treat high blood pressure do not mention or give advice about the best time of day to take the pills.
Morning ingestion has been the most common recommendation by physicians, based on the misleading goal of reducing morning blood pressure levels, he observes.
However, previous findings from the Hygia project have shown that the most significant independent marker of peoples cardiovascular risk is their average systolic blood pressure during sleep.
This link is independent of blood pressure readings taken during waking hours or at visits to the doctor, notes Prof. Hermida.
Furthermore, he adds, there are no studies showing that treating hypertension in the morning improves the reduction in the risk of cardiovascular disease.
A limitation that he and his colleagues highlight is that, because the participants came from one ethnic group, they cannot say how true the findings might be for other populations.
Paul Leeson, Ph.D., a professor of cardiovascular medicine at the University of Oxford, in the United Kingdom, was not involved in the trial.
He commends the findings and describes the scale, length of follow-up, and effect size as impressive.
Where the benefit comes from remains unclear, Prof. Leeson observes.
Do these effects arise because the drugs improve sleep patterns or because side effects present less of a problem at night? he muses.
Why Is The Timing Of Your Medication Important
According to AARP, blood pressure follows a daily rhythm. It rises higher during the day and falls at night when we sleep.
Since morning blood pressure is usually highest, people often opt to take their medications then. Many also feel that it is easier to remember morning medications.
Also, since many medications cause urination, people may prefer to take them early in the day.
As we age, however, we may develop a blood pressure pattern called non-dipping. Non-dipping blood pressure tends to remain high overnight.
People ages 55 and older with high blood pressure are more prone to non-dipping.
Non-dipping blood pressure is a problem because it is a major risk factor for several conditions, including heart attack, stroke, and kidney disease.
Overnight blood pressure control is important in order to lower your risk.
If your medication wears off before your next dose is due, your blood pressure may be elevated for several hours while you sleep. You may also wake with high blood pressure.
Taking your medication at bedtime may help prevent this issue.
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What Is A Healthy Blood Pressure Reading
Your blood pressure measures the force of the blood being pushed through your body as your heart beats.
The first number is called your systolic pressure. It measures the pressure in your blood vessels when your heart pumps. The second number is called your diastolic pressure, which measures the pressure in your blood vessels in between heartbeats.
A single blood pressure reading in the higher range isnt cause for concern, but if youre regularly getting higher readings, a medical professional will make a plan to help you lower your numbers.
Elevated blood pressure categories include:
Best At Night: Rheumatoid Arthritis Meds
The problem with taking a steroid-based pain reliever like prednisone when you wake up is that most arthritis sufferers experience joint stiffness and pain in the morning. If you take your medication at nightideally, a low-dose, delayed-release formula that takes effect around 3 a.m.it can curb the inflammation that happens while youre sleeping and ease those morning symptoms. Thats what Italian researchers found: They say this timing takes the bodys circadian rhythms into account and can help tamp down inflammatory substances like cortisol and cytokine that can peak during the night. Other research suggests taking nonsteroidal anti-inflammatories such as Motrin and Aleve at night may also reduce pain symptoms before they really kick in.
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At Home With A Monitor
Home monitoring can be a great way to keep track of your blood pressure on a daily basis.
With home monitoring, you can check your blood pressure throughout the day and at times that are convenient for you. It can help you see how your blood pressure changes throughout the day and help you get a sense of your average blood pressure range.
However, youll need to purchase a blood pressure monitor to do this. Youll also need to learn how to use it and how to record accurate readings.
Its not complicated to learn the basics of many home monitors, but it can still be easy to make a mistake.
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Best In The Morning: Adhd Meds
Taking your ADHD meds when you wake up wont just start your day off rightit will also end your day just right. Thats because ADHD drugs, such as Adderall and Ritalin, are stimulants that work to increase alertness and energy levels. If taken in the afternoon or nighttime, you may have difficulty sleeping, says Dr. Ascher, as common side effects are irritability, restlessness, and insomnia. For that reason, Dr. Ascher says its best to take these meds when you first wake up, at least 45 minutes prior to eating.
Medicines For High Blood Pressure
Several types of medicine can be used to help control high blood pressure.
Many people need to take a combination of different medicines.
- if you’re under 55 years of age you’ll usually be offered an ACE inhibitor or an angiotensin-2 receptor blocker
- if you’re aged 55 or older, or you’re any age and of African or Caribbean origin you’ll usually be offered a calcium channel blocker
You may need to take blood pressure medicine for the rest of your life. But your doctor might be able to reduce or stop your treatment if your blood pressure stays under control for several years.
It’s really important to take your medicine as directed. If you miss doses, it will not work as well.
The medicine will not necessarily make you feel any different, but this does not mean it’s not working.
Medicines used to treat high blood pressure can have side effects, but most people do not get any.
If you do get side effects, do not stop taking your medicine. Talk to your doctor, who may advise changing your medicine.
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