Doctor insights on:
Morning High Blood Pressure Causes
Wake up in the morning with high blood pressure for about 10 minutes. Should I be worried about this? What causes it?
Hypertension: Hypertension is diagnosed when the basal (ie lowest) BP is consistently elevated. If you're normal throughout the day, I wouldn't give it another thought. When you sleep, you're not necessarily relaxed or at basal conditions. Sleep apnea should be considered/excluded. If you take BP meds, try shifting one to bedtime so it's still working in the morning. ...Read more
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Blood presssure: When you're asleep there is less stimulation in the system. When you first awaken there is a tide of stimulation flooding into the consciousness and unconsciousness and this stimulates the BP to rise somewhat. ...Read more
No: Never double the dose. Resume your regular dose as usual. ...Read more
What is the best time to take the medication for high blood pressure? Morning or evening? After food or before food?
BP medication: Very good question. Data show that taking BP meds in the evening after food is best. Many BP pills though are not 24 hour pills. Amlodipine is about 18 hours duration. Taking it in the evening is best. ...Read more
I accidently took my high blood pressure pill 100mg metoprolol at 500am this morning instead of my hydrochorathyazide 25mg pill?
Well??: Are you supposed to take both everyday? ...Read more
Accidentally took wrong high blood pressure pill 100mg metoprolol at 500am this morning instead of my hydrochlorthyazide 25mg pill what shti do?
Be Smart: You'll probably be all right. The metoprolol will wear off within 12 hours (24 hours if it's toprol xl or Metoprolol Succinate instead of tartrate) and it's extremely unlikely to cause serious problems if all you took was one. Pick up the correct regimen tomorrow. That said, usual disclaimers: my advice here is generic and not specific to your case, and you should see an er if you have symptoms. ...Read more
My mom (59) had very high blood pressure yesterday (180/110). Although she took ENAP her reading this morning was 140/100. Please tell me what to do?
More info: If ENAP is a new med, stay on it and bood pressure will continue to drop over 2 weeks. If this is a chronic med, talk to your doc about raising dose or adding another med. ...Read more
Should I take my high blood pressure and/or heart medicines the morning of the sigmoidoscopy procedure?
Medications: Yes, you should. Ideally with just few sips or water and at least 2-3 hours earlier than you procedure. ...Read more
Female age 50.I take amlodipine 5mg and losartan 50mg for high blood pressure. . Is it best to take at night or in the morning,?
Doesn't matter: There are no scientific data indicating that morning versus evening intake of meds are any different in terms of BP control and cardiovascular outcomes. The important thing is to take medicine regularly. ...Read more
85 yr, history of high blood pressure, has morning sinking spells, low BP, faints, lethargic, weak, BP goes up by noon, ran tests, nothing major?
Get a 2nd opinion: If you have a blood pressure machine at home, please check it before you get up in the morning (lying down position). Then get up slowly with blood pressure cuff on. Repeat it about 3-5 minutes after you get up. Check if you have any symptoms between lying down and getting up. Record everything and talk to physician. Medications may be the problem. Or baroreceptor reflex may be problem. ...Read more
I'm on bystolic (nebivolol) 10mg daily for high blood pressure. Now doc prescribed Benicar 20 mg to take @ night along with bystolic (nebivolol) in morning. Are these good?
Both are: Very effective BP medications with favorable side effect profiles. ...Read more
Can I take dayquil after taking a Mucinex (guaifenesin) dm this morning. I also take daily metoprolol for high blood pressure?
Active ingredients in dayquil include:
acetaminophen 325 mg
dextromethorphan hbr 10 mg
phenylephrine hcl 5 mg
fd&c red no. 40, fd&c yellow no. 6, gelatin, glycerin, polyethylene glycol, povidone, propylene glycol, purified water, sorbitol special, titanium dioxide
mucinex dm has:
dextromethorphan hbr 30 mg
guaifenesin 600 mg.
40 mg total of dm shouldn't be too much, but caution with phenylep. ...Read more
Genetics/lifestyle: More than 90% of HTN is essential (primary) in nature. This implies that it occurs on its own. The remaining 5-10% is secondary htn, which means another primary medical problem is driving the high BP (example renovascular, endocrine, catecholamine-induced, sleep apnea). Essential HTN usually based on increased vasoconstriction. This is made worse by obesity, salt/alcohol intake, sedentary, . ...Read more
Not directly: Carbonated beverages have been blamed for many health issues. However, there is no known direct cause and effect relationship between them and high blood pressure. Having said that, excessive intake will likely lead to weight gain and obesity increases your risk of hypertension and cardiovascular diseases. ...Read more
A better answer is what foods can reverse high blood pressure. This includes the dash diet:
fruits: 4-5 servings/day
vegetables: 4-5 servings/day
whole grains or fiber: 6-8 servings/day
dairy (low fat): 2-3 serving/day
meat (lean): 2 servings/day
lower dietary sodium intake
low fat (<6% of daily calories)
low cholesterol intake (<150 mg/day)
low sodium intake (<2.4 grams/day). ...Read more
Not likely: Unless the pressure is staggeringly high, there is usually no effect on the vision. Wavy vision should be investigated by your ophthalmologist especially if it is of recent onset. Blood pressure does need control for other reasons (heart, brain) but not for alterations in eye vision. ...Read more
Yes: Anger and stress can increase BP temporarily, and chronic anxiety can do this long-term. Be worth seeing a licensed psychologist for advice on anger and stress. However, most people with high blood pressure also have a genetic background that means hypertension will not normalize with stress management. So drug therapy may well be needed too. ...Read more
The most common cause is called essential hypertension- 90% is of this type. This type is mostly from genetics. Some people are born with an inherent sensitivity to salt. So there is an environmental (diet, stress) component in some.
Other causes include a narrowing of the arteries supplying the kidneys called renal artery stenosis. Other causes are hormonal, obesity/metabolic, or certain meds. ...Read more
Multiple causes: There are many causes of high BP. Aging and hardening of arteries are the most common causes. Very few have cure. The treatments can be directed to the specific causes, if known. However, essential hypertension is one when the cause is unknown. Most high BP can be controlled but not cured by behavioral treatment, lifestyle modification, diet, exercise, weight loss and medication. ...Read more
Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...Read more
High Blood Pressure (Hypertension) (Definition)
Also known as hypertension, high blood pressure occurs when blood pressure is 140/90 or higher. A systolic blood pressure (top number) is the pressure the blood exerts on the artery when the heart is at maximum contraction and a diastolic blood pressure (bottom number) is the pressure the blood exerts on the artery when the heart is at maximum relaxation. ...Read more
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