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Internal Medicine • Nephrology • Cardiology • Autonomics and Hypertension • Hypertension • Ambulatory Blood Pressure Monitoring
Do you recommend bedtime administration of antihypertensives in patients who exhibit nondipping on ambulatory blood pressure monitoring?
Answer from: at Community Practice
Those that are non dippers are associated with LVH. It would be reasonable to consider the nocturnal administration of meds. Despite this, I admittedly still focus on optimizing daytime blood pressure readings.
Answer from: at Community Practice
My patients have had improved blood pressure control with night time dosing with the exception of diuretics. However, obviously, not every person is the same, and depending on their AM and PM blood pressure monitoring the doses often have to be split to twice daily.
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