“Results establish, first, greater ABP control in patients of the bedtime treatment than in those of the awakening-treatment regimen. Here’s what the Spanish investigators explained: We always like to let researchers describe their results in their own words, if they are understandable. The median patient follow-up was 6.3 years. The other half took their drugs in the morning. Half were randomly assigned to take their BP meds at bedtime. The investigators recruited over 19,000 patients with hypertension in northern Spain. In 2008, Spanish researchers undertook a fascinating study called the Hygia Chronotherapy Trial. Research shows that people taking their blood pressure pills in the evening had better BP control and were less likely to have heart attacks or strokes ( Sleep Medicine Reviews, Jan. We are glad to hear that this is working for you. Yesterday, my doctor decided to not to make any changes and I want to thank you for that.Ī. Lately, I’ve been on amlodipine and HCTZ and the side effects seem minimal. I’ve had serious side effects from BP meds in the past and I was apprehensive that my doctor would change my meds.
(Those are averages of about 70 readings before the switch and 21 readings after the switch, measured both before breakfast and before supper.)
My systolic pressure dropped from about 145 to 135. I’d been taking my meds with breakfast and I decided to change that. He wanted me to monitor it every day for a month and check back in.ĭuring that month, I read your article. In January I visited my doctor about another problem, and he became concerned about my blood pressure. I’ve been taking BP meds for about 20 years. I want to thank you for your story about whether to take blood pressure medications in the morning or at bedtime. One Reader Shares his Story: Sometimes an anecdote reveals the science: More important, such a regimen reduces the risk of serious cardiovascular disease (CVD) events. That’s because if you take your BP pills before bed, they appear to improve blood pressure control. One study suggests bedtime might be a much better choice for some meds ( European Heart Journal, Oct. When do you swallow your pills? If you are like most people, you get into the habit of taking all your medications and supplements at breakfast time.
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