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.
Pressure medication is it in the morning or at night does it even make a difference in the european heart journal the data has definitely changed how i counsel my patients it may change your mind as well let’s get started now if this is the first time you are watching one of my videos my goal is to help each and every
One so if that’s something you’re interested in please consider subscribing to my channel okay so we’re going to dive into a study looking at whether taking a blood pressure medication in the morning or at night gets better results but let me say this real quick before we get into the study the best time to take
A blood pressure medication is whenever you best remember because the most important thing when it comes to taking medications is compliance and what do i mean by compliance that just means how often you take your medication and how often you forget to take your medication that is by far the most important factor
In determining what kind of results you will get from your medications okay with that reported this was a multi-center study of 19 they were divided into two groups group one at bedtime while group two took all their blood pressure medications after waking up in the morning presumably if it doesn’t matter
When you take your blood pressure medications we would not see any differences in outcomes between these two groups so the researchers followed these people for over six years and looked at who ended pressure namely who ended up with a heart attack a stroke heart failure coronary revascularization or cardiovascular
Death and they found that the people who took their blood pressure medications at bedtime had significantly better control of their blood pressure and subsequently had much less risk of developing major cardiovascular disease events this is actually quite an amazing finding if we can decrease a person’s risk
For a heart attack and a stroke just by switching when a blood pressure pill is taken without any other adjustments to dose then of course we should make this change and it’s an easy change to make now how can we explain this finding one potential explanation is that the renin-angiotensin aldosterone system has its
Peak activity during sleep now for those people staring at me blankly the renin-angiotensin-aldosterone system is an extremely important regulatory system in our body that controls blood pressure it helps control fluid balance and it helps regulate electrolytes and because of this many first-line blood pressure
Medications target this system to help lower your blood pressure a common class of drugs that do this include the angiotensin-converting enzyme of these include lisinopril benazepril or enalapril another common class of drugs that also target the renin angiotensin aldosterone system is the angiotensin ii receptor
Blockers or arbs these include valsartan losartan and olmesartan all of these medications when taken at night seem to help lower bad outcomes related to high blood pressure in fact researchers have discovered that nighttime blood pressure may be a significantly disease when compared to daytime blood pressure
At night you are ensuring the medications pressure controlled when it matters most lower your blood pressure daily exercise such as walking is also extremely important so check out this video next to learn how many steps you should walk per day to stay healthy thanks for watching
Transcribed from video
I Explain When To Take Blood Pressure Medicine By Jeffrey Peng MD
