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I take Olmesar A 20/5 and Metoprolol 25 in the morning. My blood pressure stays normal until 6 PM, but by 6 AM it rises to 180 and sometimes 200. Why is this happening?
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I take Olmesar A 20/5 and Metoprolol 25 in the morning. My blood pressure stays normal until 6 PM, but by 6 AM it rises to 180 and sometimes 200. Why is this happening?
Asked by Male, 55 · 4 months ago
Your blood pressure pattern suggests poor 24-hour control (nocturnal hypertension), which means the effect of your morning medicines may be wearing off by evening or night. This can occur due to shorter medication duration, high salt intake, stress, sleep problems, or conditions such as sleep apnea or kidney disease. You should not adjust your dose on your own. Consult your doctor or cardiologist, who may review your medication type, dose, or timing, or add a night-time dose for better round-the-clock control. Regular blood pressure monitoring, a low-salt diet, good sleep, and stress management are essential for maintaining safe, stable blood pressure.
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Understanding Blood Pressure Patterns
- Blood pressure can naturally vary throughout the day. A common phenomenon is the "morning surge," where levels rise in the early hours.
Possible Reasons for Early Morning Rise
- Factors include medication timing, hormonal changes, and possibly inadequate nighttime control.
Role of Current Medications
- Olmesartan A and Metoprolol help manage blood pressure but may not cover the early morning period effectively.
Importance of Medication Timing and Dosage
- Adjusting the timing of doses might improve overnight control. Discuss this with your doctor.
Recommendations for Further Evaluation
- Consult your healthcare provider for a medication review and consider ambulatory blood pressure monitoring.
When to Seek Immediate Medical Attention
- Seek urgent care if you experience severe headaches, chest pain, or shortness of breath with high readings.
Lifestyle and Monitoring Tips
- Regularly monitor your blood pressure at home. Maintain a healthy lifestyle and adhere to your treatment plan.
Relevant Medical Specialties
- Consider consulting a cardiologist or an internist for specialized care.
Answered 4 months ago