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Chronotherapy With Nifedipine GITS in Hypertensive Patients: Improved Efficacy and Safety With Bedtime Dosing
Blood pressure medicine nifedipine works better and safer when taken at bedtime
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Abstract
Bedtime dosing of nifedipine led to a significant reduction in blood pressure, especially during night time sleep.
- Blood pressure reduction was significantly larger with bedtime dosing compared to morning dosing (P < 0.012).
- More patients achieved controlled ambulatory blood pressure with bedtime treatment than with morning treatment (P = 0.016).
- The prevalence of nondipping blood pressure patterns decreased from 51% to 35% with bedtime dosing (P = 0.025).
- The morning surge of blood pressure was significantly reduced only after bedtime administration (P < 0.001).
- The incidence of edema dropped from 13% to 1% with bedtime dosing compared to morning ingestion (P < 0.001).
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