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.
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Jeffrey Peng MD is a nonoperative orthopedist and sports medicine specialist. He created a YouTube channel and blog to translate cutting edge medical knowledge and clinical research to benefit all those looking to live an active and healthy lifestyle. He focuses on maximizing non-surgical treatments for sports injuries and orthopedic conditions. He specializes in using orthobiologics and ultrasound guided minimally invasive techniques to treat osteoarthritis, tendinopathies, and musculoskeletal disorders.
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Content
0 -> hey everyone dr jeff peng here when
is the best time to take your blood
4.32 -> pressure medication is it in the morning
or at night does it even make a difference
9.28 -> let's review an article that was published
in the european heart journal the data has
13.28 -> definitely changed how i counsel my patients it
may change your mind as well let's get started
25.52 -> now if this is the first time you are watching one
of my videos my goal is to help each and every one
30.16 -> of you live an active and healthy lifestyle
so if that's something you're interested in
34.16 -> please consider subscribing to my channel okay
so we're going to dive into a study looking at
38.4 -> whether taking a blood pressure medication in
the morning or at night gets better results
43.12 -> but let me say this real quick before we get into
the study the best time to take a blood pressure
48.08 -> medication is whenever you best remember because
the most important thing when it comes to taking
53.76 -> medications is compliance and what do i mean by
compliance that just means how often you take
59.12 -> your medication and how often you forget to take
your medication that is by far the most important
65.36 -> factor in determining what kind of results you
will get from your medications okay with that
70.56 -> out of the way let's get into what the study
reported this was a multi-center study of 19
76.16 -> 000 people in spain with high blood pressure
they were divided into two groups group one
80.88 -> took all their blood pressure medications
at bedtime while group two took all their
84.48 -> blood pressure medications after waking up in
the morning presumably if it doesn't matter
90.24 -> when you take your blood pressure medications we
would not see any differences in outcomes between
95.52 -> these two groups so the researchers followed these
people for over six years and looked at who ended
100.8 -> up having consequences related to high blood
pressure namely who ended up with a heart attack
107.44 -> a stroke heart failure coronary revascularization
or cardiovascular death and they found that the
113.44 -> people who took their blood pressure medications
at bedtime had significantly better control of
118.88 -> their blood pressure and subsequently had much
less risk of developing major cardiovascular
124.32 -> disease events this is actually quite an amazing
finding if we can decrease a person's risk
130 -> for a heart attack and a stroke just by switching
when a blood pressure pill is taken without any
135.36 -> other adjustments to dose then of course we should
make this change and it's an easy change to make
140.88 -> now how can we explain this finding one potential
explanation is that the renin-angiotensin
146.96 -> aldosterone system has its peak activity during
sleep now for those people staring at me blankly
153.28 -> the renin-angiotensin-aldosterone system is an
extremely important regulatory system in our
158.72 -> body that controls blood pressure it helps control
fluid balance and it helps regulate electrolytes
164.08 -> and because of this many first-line blood pressure
medications target this system to help lower your
169.44 -> blood pressure a common class of drugs that do
this include the angiotensin-converting enzyme
174.64 -> inhibitors or ace inhibitors and examples
of these include lisinopril benazepril or
180.56 -> enalapril another common class of drugs that also
target the renin angiotensin aldosterone system
186.08 -> is the angiotensin ii receptor blockers or arbs
these include valsartan losartan and olmesartan
193.2 -> all of these medications when taken at night seem
to help lower bad outcomes related to high blood
199.2 -> pressure in fact researchers have discovered that
nighttime blood pressure may be a significantly
204.16 -> better prognostic marker of cardiovascular
disease when compared to daytime blood pressure
210 -> and by taking your blood pressure medication
at night you are ensuring the medications
215.36 -> are doing their best to keep your blood
pressure controlled when it matters most
220.8 -> lastly we know medications are
only one of many treatments to help
225.04 -> lower your blood pressure daily exercise such as
walking is also extremely important so check out
230.56 -> this video next to learn how many steps you should
walk per day to stay healthy thanks for watching
