The Bedtime Administration Ameliorates Blood Pressure Variability and Reduces Urinary Albumin Excretion in Amlodipine-Olmesartan Combination Therapy

Sep 11, 2010Clinical and experimental hypertension (New York, N.Y. : 1993)

Taking amlodipine-olmesartan at bedtime reduces blood pressure swings and kidney stress

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Abstract

Bedtime administration of amlodipine-olmesartan reduced morning blood pressure surge by 24.2 ± 13.5 mmHg compared to 32.3 ± 14.2 mmHg in the morning.

  • Bedtime dosing significantly decreased morning blood pressure surge with a p-value of < 0.001.
  • In patients who do not dip at night, bedtime administration improved nocturnal blood pressure patterns.
  • Nocturnal blood pressure did not decrease in patients who experience dipping.
  • The urinary albumin-to-creatinine ratio was lower with bedtime dosing at 42.5 ± 59.9 mg/g compared to 75.3 ± 26.4 mg/g in the morning with a p-value of 0.044.
  • These findings suggest that bedtime dosing may better achieve therapeutic goals in managing hypertension.

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