
What Causes High BP During The Night?

Question: I have had totally controlled HBP (with meds) for about 45 years. In July, I was diagnosed with A-fib and the doctors doubled my metoprolol from 50 to 100 mg daily and also added Flecainide and Xarelto. Over the past 2 months, my blood pressure is fine during the day and at night but is very high immediately when I get out of bed in the morning (165-190 over 93-109). After I'm up for 1/2 hour or 45 minutes, then back in the normal range. Why would it be so high when I just wake up?
Brief Answer:
Increase dosage of anti-hypertensive drugs/start ACE-inhibitors
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
If I was your caring doctor would advise to run Holter blood pressure monitoring to evaluate your current condition.
I also advise to :
- increase the dosage of the antihypertensive medications you are currently taking
- start an ACE-inhibitor or ARB-inhibitor drug
in order to control your blood pressure.
Hope it was of help!
Dr.Benard
Increase dosage of anti-hypertensive drugs/start ACE-inhibitors
Detailed Answer:
Hi,
I have gone through your medical history carefully and understood your concerns.
If I was your caring doctor would advise to run Holter blood pressure monitoring to evaluate your current condition.
I also advise to :
- increase the dosage of the antihypertensive medications you are currently taking
- start an ACE-inhibitor or ARB-inhibitor drug
in order to control your blood pressure.
Hope it was of help!
Dr.Benard
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
