What should I do if my blood pressure is still high at night after taking a telmisartan tablet in the morning?
May 11, 2023
Source: Cainiu Health
Dr. Tian Hongbo
Introduction
It is possible that blood pressure remains high in the morning after taking a tablet of telmisartan at night; this may be a normal phenomenon, or it could result from inadequate drug efficacy, concurrent hypertensive crisis, or other causes, requiring targeted treatment based on the specific underlying condition. In addition to these relatively common causes, other conditions such as hypertensive encephalopathy and chronic renal failure may also contribute. If any discomfort symptoms occur, prompt medical evaluation and timely treatment are necessary.
It is possible that blood pressure remains high at night even after taking a telmisartan tablet in the morning. This could be a normal phenomenon, or it might result from inadequate medication efficacy, concurrent hypertensive crisis, or other causes. Targeted treatment should be based on the specific underlying cause. The detailed analysis is as follows:
1. Normal phenomenon
Telmisartan tablets are a common medication used to treat hypertension. If a patient is emotionally agitated during blood pressure measurement, it may lead to elevated blood pressure at night despite taking the medication in the morning. This is considered a normal occurrence and blood pressure typically returns to normal once the triggering factor is removed.
2. Inadequate medication response
In some patients with relatively high blood pressure, controlling hypertension using telmisartan alone may be difficult. In such cases, combination therapy with other antihypertensive medications—such as furosemide tablets or hydrochlorothiazide tablets—may be required under medical guidance to better control blood pressure levels.
3. Concurrent hypertensive crisis
When hypertension worsens significantly and progresses to a hypertensive crisis, patients may experience rising blood pressure at night even after taking antihypertensive medication in the morning. In such situations, medications like nitroglycerin tablets or nicardipine hydrochloride sustained-release capsules may be used under a doctor's supervision to alleviate symptoms.
Besides the above relatively common causes, other conditions such as hypertensive encephalopathy or chronic renal failure may also contribute. If any discomfort occurs, individuals should seek timely medical evaluation and treatment to avoid delays in managing the condition.
