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Old 06-09-2007, 05:14 PM   #1
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When do you find is the best time of day for BP meds (beta blockers)?

Hello to you all. 33 year old newlywed who's been diagnosed with lab coat BP and some general anxiety issues to boot. 119/70 at home 170/70 at the doc's Started on Paxil about 3 weeks ago to see if it would help alleviate my anxiety and BP issues when it comes to stressful situations. Well, it helped me feel calm and collected but my average BP at home didn't improve and in fact it probably went up. Not to mention I couldn't have an orgasm to save my life. My wife is worn out!

Needless to say, Paxil wasn't for me and now I'm about to take Toprol XL 25mg to try and regulate my BP and keep my emotions even keeled. What's the consensus on what time of day is a good time to take Beta Blockers? I'm sure it varies with each individual but I'm curious to hear some feedback. I would imagine I'll feel a bit fatigued at least at first from this so I was thinking bedtime would be best but I want to make sure I'd get a lasting affect throughout the day. Thoughts?

Last edited by Sofa King; 06-09-2007 at 05:18 PM.

 
Old 06-09-2007, 10:33 PM   #2
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Re: When do you find is the best time of day for BP meds (beta blockers)?

Toprol XL was making me extremely tired, so my dr suggested I take mine at bedtime--I'm taking 75mg.

 
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Old 06-10-2007, 07:46 AM   #3
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Re: When do you find is the best time of day for BP meds (beta blockers)?

Quote:
Originally Posted by Sofa King View Post
Started on Paxil about 3 weeks ago ... my average BP at home didn't improve and in fact it probably went up.
What is your average BP at home? How much does it vary? How high does it get? In other words, is your average blood pressure high enough so that you have to get on life-long medications, and have to endure the annoying and sometimes serious side effects?

Quote:
Not to mention I couldn't have an orgasm to save my life. My wife is worn out!
The two best medications that one can take, for both blood pressure and sexual health, are exercise and healthy diet.
__________________
Greatly Improved CHF, A-Fib, HBP, Asthma:

⇒ Eliminate household items that are toxic!
⇒ Balanced, healthy, low glycemic diet
⇒ Lots of Exercise
⇒ Avoid night allergens, toxins
⇒ Coreg!

 
Old 06-10-2007, 10:29 AM   #4
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Re: When do you find is the best time of day for BP meds (beta blockers)?

Sofa King,

If you are a mewly wed, you may want to take something other than a beta blocker if possible. They have sexual side effects.

 
Old 06-10-2007, 06:13 PM   #5
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Re: When do you find is the best time of day for BP meds (beta blockers)?

First, make sure your b/p monitor is accurate. Then take your b/p at different times to get a accurate b/p picture. I would concentrate on weight loss, cut out smoking/alcohol use & stress management. You might try biofeedback. You could ask the Dr. for Lebetalol which is short acting to take before Dr. visits to decrease "cuff anxiety.) The first year of marriage is a adjustment so perhaps a counselor would help. Fam

 
Old 06-10-2007, 07:09 PM   #6
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Re: When do you find is the best time of day for BP meds (beta blockers)?

Quote:
Originally Posted by famnd View Post
... Then take your b/p at different times to get a accurate b/p picture. ... Fam
Hi Fam!

I thought that your entire post was excellent advice, but I really agree with your advice about multiple bp readings per day. How can one fix a problem unless one knows that there is a problem?

If someone's blood pressure is only high, once in a while, for short periods during the day, or just at the doctor's, that person should question whether they should be on lifelong, side-effect ridden blood pressure medications.
__________________
Greatly Improved CHF, A-Fib, HBP, Asthma:

⇒ Eliminate household items that are toxic!
⇒ Balanced, healthy, low glycemic diet
⇒ Lots of Exercise
⇒ Avoid night allergens, toxins
⇒ Coreg!

 
Old 06-11-2007, 04:40 AM   #7
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Re: When do you find is the best time of day for BP meds (beta blockers)?

Sofa King,

I'm going to agree with nova: beta blockers will ruin your sex life. They are murderous to a man's erections.

DON'T medicate White Coat Syndrome:
Quote:
119/70 at home 170/70 at the doc's
The proper way to interpret that is that your BP is 119/70...if your doctor doesn't believe, find a new doctor.

Paxil?
With increased risk of suicide as a side effect, I class it in the category of COSMICALLY BAD DRUGS.

For occasional simple generalized anxiety, ask your doctor for some Xanax or diazapam...a far safer choice and less likely to mess with your sex life.

When to take a beta blocker? In the evening IF they don't cause you insomnia; otherwise at nighttime. But I think beta blockers are best reserved for people with TWO conditions like hypertension AND tachycardia, or hypertension AND angina.

Last edited by Lenin; 06-11-2007 at 04:43 AM.

 
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