What time of the day should you take your blood pressure medication: morning or evening?

It is a common question for many people. When should the blood pressure medications be taken?

High blood is quite common in the General population. High blood pressure can cause blood vessel damage, heart problems and brain damage.

First of all , Taking medication regularly, at any time of the day, is more important than forgetting to take the medication every day.

If one does take the blood pressure medication regularly, then taking it at evening seems to be more beneficial than taking the medication in the morning.

A Japanese study assessed blood pressure of patients continuously at home. All patients in the study underwent 24-hour ambulatory BP monitoring at baseline. Patients were then followed every year to determine the rate of heart and blood vessel complications .

The Japanese study found that high nightime blood pressure readings were an important sign of future heart problems.

A review by the renowned Cochrane group found that “better blood pressure control was achieved with bedtime dosing than morning administration of blood pressure (antihypertensive) medication”

So if possible taking the blood pressure medication at bedtime makes sense .

References:

(1) Nighttime Blood Pressure Phenotype and Cardiovascular Prognosis. Practitioner-Based Nationwide JAMP Study. Kazuomi Kario, et al. On behalf of the JAMP Study Group.
Originally published2 Nov 2020. https://doi.org/10.1161/CIRCULATIONAHA.120.049730Circulation. 2020;142:1810–1820

(2). Zhao P, Xu P, Wan C, Wang Z. Evening versus morning dosing regimen drug therapy for hypertension. Cochrane Database of Systematic Reviews 2011, Issue 10. Art. No.: CD004184. DOI: 10.1002/14651858.CD004184.pub2

Disclaimer: Please note- This blog is NOT medical advice. This blog is purely for information only and do check the the sources where cited. Please DO consult your own doctor to discuss concerns and options relevant to you.

The views expressed in this blog represent the author’s views held at the time of drafting the blog and may change overtime, particularly when new evidence comes to light. The blog is not necessarily endorsed by any organisation the author is associated with and views are not substitute for professional advice.

COVID-19 infection affects brain and mental health

A recent paper published in Lancet Psychiatry reports that at least 1 in 3 patients , who have recovered from severe COVID, have substantial neurological and psychiatric problems during the next six months .

This report is very worrying .

If study findings are confirmed by other studies, this would be yet another substantial reason to consider getting the vaccine as soon as it is offered.

References

Guardian. One in three survivors of severe Covid diagnosed with mental health condition
Study finds 34% developed psychiatric or neurological conditions after six months
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Sarah Marsh
@sloumarsh
Wed 7 Apr 2021 06.00 BST

BMJ. Covid-19: One in three has neurological or psychiatric condition diagnosed after covid infection, study finds
BMJ 2021; 373 doi: https://doi.org/10.1136/bmj.n908 (Published 07 April 2021)
Cite this as: BMJ 2021;373:n908

Taquet M, Geddes JR, Husain M, Luciano S, Harrison PJ. 6-month neurological and psychiatric outcomes in 236379 survivors of COVID-19: a retrospective cohort study using electronic health records. Lancet Psychiatry 2021 (published online 6 Apr). doi:10.1016/S2215-0366(21)00084-5. https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(21)00084-5/fulltext.

Disclaimer: Please note- This blog is NOT medical advice. This blog is NOT a expert medical opinion on various topics. This blog is purely for information only and do check the the sources where cited. Please DO consult your own doctor to discuss concerns and options relevant to you. The views expressed in this blog represent the author’s views held at the time of drafting the blog and may change overtime, particularly when new evidence comes to light. The blog is not previewed, commissioned or otherwise endorsed by any organisation the author is associated with. The authors views are not in way intended to be a substitute for professional advice.