Should antihypertensives be administrated at bedtime?

Ugeskr Laeger. 2024 Jun 10;186(24):V11230700. doi: 10.61409/V11230700.
[Article in Danish]

Abstract

Ongoing monitoring and targeted treatment are important to ensure the best blood-pressure control and thus prevent cardiovascular risks. In this review, we evaluate the findings of four clinical studies investigating the effects of morning versus bedtime dosing of antihypertensives. In three out of four studies, overwhelming results were found favouring bedtime dosing. The same studies have been criticized for mechanistic implausible results and multiple study biases. No harmful effects were reported in relation to bedtime dosing. Thus, antihypertensives can be taken as it is most convenient for the patient.

Publication types

  • Review
  • English Abstract

MeSH terms

  • Antihypertensive Agents* / administration & dosage
  • Antihypertensive Agents* / adverse effects
  • Blood Pressure / drug effects
  • Drug Administration Schedule
  • Drug Chronotherapy
  • Humans
  • Hypertension* / drug therapy

Substances

  • Antihypertensive Agents