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Related Experiment Video

Updated: May 8, 2026

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension
05:57

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension

Published on: May 17, 2024

[Antihypertensives: better evenings than mornings].

N P Riksen1, J Deinum

  • 1UMC St Radboud, afd. Algemeen Interne Geneeskunde, Nijmegen.

Nederlands Tijdschrift Voor Geneeskunde
|August 23, 2013
PubMed
Summary

Taking blood pressure medication in the evening may improve outcomes for patients with resistant hypertension. This chronotherapy approach shows promise for individuals lacking a nocturnal blood pressure dip, a key indicator of cardiovascular risk.

Area of Science:

  • Cardiology
  • Pharmacology
  • Chronobiology

Background:

  • Hypertension affects 10-30% of patients, often proving resistant to treatment.
  • Nocturnal blood pressure is a stronger predictor of cardiovascular events than daytime readings.
  • A lack of nocturnal blood pressure dip is associated with increased cardiovascular risk.

Purpose of the Study:

  • To investigate the efficacy of evening administration of antihypertensives.
  • To explore chronotherapy as a strategy for therapy-resistant hypertension.
  • To determine if evening dosing improves nocturnal blood pressure control.

Main Methods:

  • Review of randomized, non-blinded studies on antihypertensive chronotherapy.
  • Analysis of blood pressure patterns in patients with therapy-resistant hypertension.

Related Experiment Videos

Last Updated: May 8, 2026

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension
05:57

The Antihypertensive Effects and Mechanisms of Huotan Jiedu Tongluo Decoction in Rats with H-Type Hypertension

Published on: May 17, 2024

  • Comparison of cardiovascular event rates based on medication timing.
  • Main Results:

    • Antihypertensives demonstrate a stronger effect on nocturnal blood pressure when taken in the evening.
    • Chronotherapy may lower cardiovascular risk in specific patient groups.
    • Evening dosing is a promising strategy for patients with resistant hypertension and absent nocturnal dip.

    Conclusions:

    • Evening administration of antihypertensives represents a promising chronotherapeutic strategy.
    • This approach may be particularly beneficial for patients with therapy-resistant hypertension.
    • Further research is warranted to elucidate the mechanisms and optimize chronotherapy protocols.