The Best Time of Day to Take Your Blood Pressure Medicine
The Best Time of Day to Take Your Blood Pressure Medicine
75 million adults in the US have high blood pressure.
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0.03 -> seventy-five million adults in the US
1.62 -> have high blood pressure that number is
3.419 -> so high seven in ten of those adults
5.4 -> with high blood pressure take medication
7.379 -> to treat it but could taking it at a
9.36 -> certain time of the day actually save
11.46 -> your life so a huge study of over 19,000
14.34 -> patients compared people who took their
16.199 -> BP medicine their blood pressure
17.73 -> medicine at night versus those who took
19.949 -> it in the morning when a lot of folks
21.539 -> take it they found that those who took
23.55 -> their meds at night had a 66% decrease
26.4 -> in the risk of death from heart problems
29.81 -> etc and their risk of stroke went down
32.309 -> by 49 percent just by taking their
34.38 -> medicine at night versus the morning we
36.69 -> have cardiologist dr. Joel Khan via
38.489 -> Skype joining us dr. Khan what's your
41.309 -> take on on this study this is the
44.28 -> Olympics this is the world series of
46.89 -> medical science I mean this is 19,000
49.739 -> people in a randomized study followed
51.96 -> very carefully for six years and lo and
54.989 -> behold the arteries in your brain your
57.48 -> heart throughout your body must just
59.1 -> love a slightly lower blood pressure
61.469 -> during the nighttime hours because these
63.239 -> are huge and real numbers if you
65.189 -> translate this in the United States
66.9 -> we're talking you know possibly hundreds
69.869 -> of thousands of strokes heart attacks
71.52 -> congestive heart failure episodes
73.189 -> avoided by simply setting your phone
75.78 -> alarm to take all your blood pressure
78.24 -> medicines at nighttime and I set my
80.159 -> alarm so seven days a week at 9:00 p.m.
82.53 -> it can go off is there a difference dr.
84.99 -> Khan in terms of what time in the
86.61 -> evening does it matter if it's early in
88.38 -> the evening later before bedtime is
90.72 -> there a difference well we don't know
93.09 -> this was defined as bedtime and that
96.119 -> will vary and of course it's questions
97.86 -> like shift workers should shift workers
99.99 -> take it before they go to bed even if
102.03 -> it's 4:00 in the afternoon we don't have
104.009 -> full data this was pertaining more to
106.619 -> the person on a more normal sleep
108.39 -> schedule I love this study because this
110.759 -> is an example of really well conducted
112.92 -> science so it was a randomized trial
115.079 -> first of all second of all they made
117.06 -> sure that the two populations of people
119.04 -> the night time in the daytime people
120.899 -> were evenly distributed for obesity for
124.079 -> diabetes for the other risk factors and
126.119 -> third of all it wasn't done in a
128.61 -> cardiology office like dr. kanta was
130.979 -> done in primary care offices throughout
132.989 -> this broad
133.77 -> very much imitated what real life is for
137.13 -> most people with hypertension so I think
139.17 -> this data is very applicable to the
141.36 -> general public today and I think you're
143.43 -> eventually going to see prescriptions
145.95 -> that say hey take these once a day it
149.94 -> will ultimately say take these once a
152.67 -> day at bedtime people need twice a day
156.24 -> blood pressure medications I want to ask
157.92 -> dr. Khan in the case of people who need
160.17 -> twice a day how do you adjust for that
163.1 -> you're absolutely right I think there's
165.42 -> two ways with it if you're on an ARB
167.28 -> twice a day take it twice a day but
170.64 -> maybe ask your doctor if you can get
172.23 -> switched to one of the once a day
173.79 -> versions and take it all at night switch
177.45 -> - right you just have to start a new
178.86 -> routine basically for night time put it
180.6 -> next to your toothbrushes all you held
182.22 -> up your toothbrush there yeah what's
186.96 -> interesting about this is it's really
188.4 -> part of a bigger thing called Crono
190.95 -> therapy there's even evidence that
193.41 -> chemotherapy administered at different
195.66 -> times during the day is more efficacious
198.57 -> and less and has fewer side effects
200.82 -> depending on the medication depending on
202.89 -> the medication so we do not know all of
205.47 -> the reasons why but I think this is
207.09 -> opening a new area of research for us to
209.7 -> consider because we know we have changes
212.1 -> in our hormone levels throughout the day
213.87 -> and night and so I think we are going to
215.94 -> continue to learn more but dr. Khan I
217.95 -> think the takeaway for anyone who does
219.39 -> take blood pressure medication is make
221.25 -> sure you talk with your doctor about the
223.5 -> best time for you to take your
225.69 -> medication because it truly may matter
227.91 -> and may change how long you live
231.42 -> dr. Cohn thank you is always for
233.31 -> weighing in doctor Pierrot really
236.76 -> appreciated
246.29 -> you
Source: https://www.youtube.com/watch?v=ko1WhxSs2XQ