Timing of blood pressure meds

[NorthantsSteve]

This is interesting. In the media today - reports of research that indicating taking blood pressure meds in the evening halves the risk of heart attack and strokes.

theguardian.com/society/201...

[JonathanH]

Thank you for this valuable link.

[SpiritoftheFloyd]

It is interesting, It's popped up on a few site today, it would have been more informative if the article had specified which BP medication were being used as there are quite a few different medicines for blood pressure

[NorthantsSteve in reply to SpiritoftheFloyd]

Hi SpiritoftheFloyd. The article has a link to the journal with a pdf link embedded that takes you to the paper. Their research looked at hypertensive patients who took 'one or more BP-lowering medications of the major therapeutic classes (ARB, ACE Inhibitor, CCB, beta-blocker, and /or diuretic)' at bedtime or on wakening. They don't specify further beyond the generic drug.

[SpiritoftheFloyd in reply to NorthantsSteve]

Hi NorthantsSteve

Thanks, didn't spot the link in The Guardian.

[lettingoffsteam]

Yes I saw this and I'm very interested to find out more.I take my meds in the morning currently but I would definitely change if it helped.

[AlaninSpain]

I saw the report on the news and noted that the research was carried out here in Spain. I had an ICD fitted 3 years ago here in Southern Spain and have taken my BP medication in the evening since the start.

[MichaelJH Heart Star]

Interesting, I was advised to take them in the morning so that the maximum effect occurred in the day time (because of half life) when you are more likely to experience of stress generated blood pressure highs!

[GolfyGirls3 in reply to MichaelJH]

I was given the same information as you so now I am confused do I take my BP tablet in morning or just before bed!!!!

[MichaelJH Heart Star in reply to GolfyGirls3]

The half life of Bisoprolol is 12 hours (may increase with age) so timing seems unimportant. For other drugs it can be considerably shorter suggesting the morning in line with the comments we received.

[GolfyGirls3 in reply to MichaelJH]

Difficult one because if research is saying best to take in evening maybe we all need to look into this a bit more. BHF may look into this too!!

[NorthantsSteve in reply to GolfyGirls3]

Hi GolfyGirls3. I’m going to raise this with my Doc next time I go but won’t be changing without checking first.

[GolfyGirls3 in reply to NorthantsSteve]

Yes same here best to check out with GP first. Thanks

[Sunnie2day in reply to NorthantsSteve]

Comment of the day, well said!

[Needtodo]

I have always taken my Ramipril at bedtime as advised to do so by Pharmacist when I first started taking it(risk of dizziness).

I also take Amlodipine but in the morning as have found that my blood pressure remains fine through the day as well. My BP isn't especially high but does tend to increase significantly in stressful situations plus I tend to fret about it.

There has been documented evidence previously about benefits of taking anti hypertensive in the evening/at bed time.

[HHH2017]

Im very interested in this research, hubby was all over it & wanted my to change instantly, bless him.

I take Bisoprolol and have tried morning and night with no significant differences. Just stopped Amlodipine due to gum problems & waiting to see if a replacement is needed. I will definitely be discussing with GP best time for any need meds. Thanks for sharing.