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What time of day is blood pressure normally highest?

Blood pressure has a daily pattern. Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening.

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Does blood pressure have a daily pattern? I've noticed that my blood pressure is always lower in the morning than in the afternoon. Answer From Francisco Lopez-Jimenez, M.D.

Blood pressure has a daily pattern.

Usually, blood pressure starts to rise a few hours before a person wakes up. It continues to rise during the day, peaking in midday. Blood pressure typically drops in the late afternoon and evening. Blood pressure is usually lower at night while sleeping. The blood pressure measurement at night is called nocturnal blood pressure.

Examples of an irregular blood pressure pattern include:

High blood pressure during the night

High blood pressure early in the morning

Less than 10% drop in blood pressure overnight (nondipping blood pressure)

A rise in blood pressure overnight to early morning has been linked to an increased risk of heart disease.

An irregular blood pressure pattern could also mean that you have:

Poorly controlled high blood pressure

Obstructive sleep apnea

Kidney disease

Diabetes

Thyroid disease

A nervous system disorder

Poor diet, lack of exercise and certain lifestyle factors can affect blood pressure pattern, including:

Night-shift work

Smoking

Overweight or obesity

Stress and anxiety

Not taking medications for blood pressure or sleep apnea as directed, or ineffective treatment Your health care provider can tell you if an irregular daily blood pressure pattern needs treatment. Sometimes, a person's blood pressure rises simply when seeing a care provider. This is called whitecoat hypertension. A 24-hour blood pressure monitoring test can be done to measure blood pressure at regular time periods over 24 hours. The test is called ambulatory blood pressure monitoring. It provides a detailed look at blood pressure changes over an average day and night.

With Francisco Lopez-Jimenez, M.D.

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What should you not take with blood pressure medicine?

Some common types of OTC medicines you may need to avoid include: Decongestants, such as those that contain pseudoephedrine. Pain medicines (NSAIDs), such as ibuprofen and naproxen. Cold and influenza medicines. ... Some antacids and other stomach medicines. ... Some natural health products.

Topic Overview

Which over-the-counter medicines can affect blood pressure?

Some over-the-counter (OTC) medicines can raise your blood pressure or keep your blood pressure medicine from working the way it should. So if you have high blood pressure or other heart or blood vessel problems, you need to be careful with OTC medicines. That includes vitamins and other natural health products. Your doctor or pharmacist can suggest OTC medicines that are safe for you.

Some common types of OTC medicines you may need to avoid include:

Decongestants, such as those that contain pseudoephedrine.

Pain medicines ( NSAIDs ), such as ibuprofen and naproxen.

), such as ibuprofen and naproxen. Cold and influenza medicines. These often contain decongestants and NSAIDs. Some antacids and other stomach medicines. Many of these are high in sodium , which can raise blood pressure. So be sure to read labels carefully to check for sodium content. , which can raise blood pressure. So be sure to read labels carefully to check for sodium content. Some natural health products. Examples are ephedra, ma huang, and bitter orange.

How can you know if it's safe to take an over-the-counter medicine?

Always talk with your pharmacist or doctor before you take any new OTC medicine or supplement. He or she can: Check to make sure that the medicine won't interact with your blood pressure medicine.

Suggest OTC medicines that won't affect your blood pressure.

It's also important to make a list of all the medicines you take. Bring it to each appointment, and ask your doctor to review it. Be sure to include all your prescription medicines, OTC medicines, vitamins, and other natural health products.

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