Source: Dr. Zhang Zhiying
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"Is it better to take blood pressure medicine in the morning or in the evening?" This is a question that many people have asked when they find Dr. Zhang, this question seems simple, but the answer is not so simple. Today, Dr. Zhang broke this question for everyone, crumpled and explained it clearly, if you are a hypertensive patient or family member, you must read this article today. #好医生为健康护航#
What is the best time to take blood pressure medication?
1. When to take blood pressure medication?
First of all, the different practices about when to take blood pressure medication cannot be said to be unreasonable. For example, taking antihypertensive drugs in the morning is the most common practice for most patients with high blood pressure, and the advantage of this is that it is easy to remember and more helpful to control the patient's blood pressure during the day.
However, there are also some hypertensive patients who take antihypertensive drugs at night corresponding to this practice, which cannot be said to be unreasonable, because high blood pressure at night often requires antihypertensive drugs at night. At the same time, there are also some medical trials that suggest that it is better to take blood pressure medication at night, such as the MAPEC study and the Hygia study, the picture below is the Hygeia study, which was widely watched in 2019, it is a medical study from Spain.
Of course, there are some people who take blood pressure medication at noon or in the afternoon, and they all have their own time of taking the medicine according to their own conditions.
In 2019, Hygeia research, which has attracted wide attention
2. Latest research
But there have also been some newer, more convincing studies on the question of when to take blood pressure medication at the recent annual meeting of the European Society of Cardiology. At the annual meeting, a British hypertension research project called TIME explored the issue in depth and presented the final results at the annual meeting of the European Society of Cardiology. Studies have found that when to take blood pressure medications, whether in the morning or at night, will not affect the final outcome of patients with high blood pressure. To put it more colloquially, that is, as long as the blood pressure medicine is eaten, whether it is morning or evening, it is good, and there is no difference.
Study on the latest time taken (Time study)
3. My opinion
First of all, in current clinical practice, the regimen of taking antihypertensive drugs at night is not a conventional medication regimen, and only for some special circumstances, such as nocturnal hypertension and some patients with early morning hypertension, can be considered and paid attention to under the guidance of doctors. There is no doubt that morning medication is the regimen for the vast majority of cases.
The reason why the latest TIME study in the UK mentioned above came to such a conclusion is largely due to the use of long-acting antihypertensive drugs, that is, the use of antihypertensive drugs once a day, which is an important guarantee for the relatively stable blood pressure control of hypertensive patients. It is not difficult to understand that for long-acting antihypertensive drugs, most of them can maintain a stable blood concentration in the human blood, and it is not so important when you take them.
However, antihypertensive drugs should be taken at different times, and different choices should be made according to the different conditions of different patients. For example, some people have nocturnal hypertension, and at this time, they are likely to choose to take antihypertensive drugs at night under the guidance of a doctor. Therefore, you should not see the latest hypertension research released in Europe, and think that it is the same when to take blood pressure medications, in fact, it is the best choice for each person and the specific situation.
Whenever you take medicine, be sure to treat high blood pressure early
All in all, when to take blood pressure medication is indeed a science. In order to adjust the time of taking medication, it is often necessary to monitor 24-hour ambulatory blood pressure, and even need to detect polymorphisms in the body's metabolic drug-related genes, and then doctors can make accurate judgments. Of course, it is also common for many friends to find a suitable time for their body to take medicine in their long-term treatment practice. However, each person still needs to be analyzed on a case-by-case basis when it comes to their specific time of taking medication, right?
For more health knowledge about hypertension, you can click on the "High Blood Pressure, 100 Lessons Doctor Teaches You to Understand" column below, which is an explanation video recorded by Dr. Zhang Zhiying himself, with more than 100 courses, full of dry goods: