When should I take my blood pressure medication?

Mark C. Houston, MD
Internal Medicine
Recent data suggest that it may be best to take most of your BP medications at night to prevent the usual rapid and high BP that occur in the early morning hours between 3 AM and 10 AM each day. This may also reduce the incidence of heart attack and stroke. All BP medications should have at least a 24 hour duration of action. Giving ACEI (angiotensin converting enzyme inhibitors), ARB (angiotensin receptor blockers) and calcium blockers drugs at night may be preferred. Giving diuretics in the morning is preferred to avoid nocturnal diuretic effects.
Ozgen Dogan
Cardiology (Cardiovascular Disease)
It's more effective to take high blood pressure medication in the morning as soon as you get up. During this part of the day the body starts to secrete hormones that increase blood pressure. This is the body's way of getting ready for a new day. It's no coincidence that most heart attacks happen early in the morning. If you're on a diuretic for your high blood pressure, it's always better to take it in the morning rather than at night so you're not up frequently going to the bathroom.
Edtrina Moss
Ambulatory Care

Blood pressure medication should be taken as prescribed by your healthcare provider. You must discuss any concerns regarding side effects with your provider before you stop your medication regimen. If you forget to take your medication, take it as soon as you remember. However, you must not "double up" your dose. If it is too close to the next dose, skip the missed dose and resume the regular schedule with the dose that is due.

It is recommended that you use reminders for medication administration. Also, take your medication at the same time every day. Always keep a list of each medication and share the list with your provider at each visit.

Do not stop taking your medicine even though you 'feel better.' High blood pressure or hypertension is known as the "silent killer." When it is unmanaged, it can cause irreversible damage to vital organs.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.