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I am taking Toprol XL 25 mg in the morning and have found it doesn't last me 24 hours.?
I started taking another pill at night before bed after speaking with the doctor. He also has me taking Altace 2.5 mg at night. I've been taking this for about a week. I check my blood pressure often and last night I had these readings: 101/53 and then it was 94/49 at 5 a.m. I feel fine and don't suffer any low blood pressure symptoms. However, is this range too low? Should I be concerned about my organs overnight not having a high enough blood pressure? So far during the day, my bp ranges from 115/73 to 125/83. It falls anywhere from the 100-130 top number to 65-85 bottom number.
My daytime blood pressure numbers are very good but they are lower at night. I am thinking of taking the Atlace in the morning instead of at night. The doctor originally told me to take 10 mg of Altace but this would be too much of course. The doctors are also frustrating and I've had to do some self diagnosing. First doctor said I needed Paxil because the bp problems were in my head! Second doctor prescribed one 25 mg Toprol a day with 10 mg Altace at night. Toprol was wearing off so we added a second pill but he still wanted me to add the Altace. I suggested the lower mg and that is why I am taking a 2.5 mg in the evening as well. I think I need the Altace for the daytime but maybe not at night. It is supposed to last 24 hours but it appears to have a stronger effect 12 hours after taking it and then it wears off some. I just didn't want the bedtime bp to be too low even if I don't have symptoms because the daytime pressure seems to be good.
1 Answer
- J BLv 71 decade agoFavorite Answer
Those low readings at night might indicate too much blood pressure medication on board because once all your medications begin to work effectively the longer you take them, the lower your blood pressure might go and will give you symptoms such as dizziness upon standing. Most physicians to not recommend allowing medications to push you blood pressure below the 100 systolic (top number) without adjusting the medications. You need to make sure all the blood pressure readings you are taking are at rest (sitting quietly for at least 10 minutes and doing the blood pressure on the same arm always). Record them and talk with your doctor about them. Your blood pressure always elevates in the afternoon and evening and then drops at night so this variable is normal. Your blood pressure when you first get up in the morning, before moving around should be your baseline and your doctor will probably base his decisions on that number.
Source(s): Health care provider
