Can antihypertensive medications be taken every other day?

Jul 15, 2024 Source: Cainiu Health
Disease description:

I have hypertension and have been taking medication to control it. I monitor my blood pressure daily, and it has been relatively stable. I'm wondering if I can reduce the frequency of medication. May I ask, is it acceptable to take antihypertensive medication every other day?

Doctor's answer (1)
Dr. Wang Xin
Antihypertensive medications are generally not recommended to be taken every other day. The frequency of antihypertensive drug administration mainly depends on the type of medication and its half-life. Long-acting antihypertensive drugs, such as extended-release nifedipine and metoprolol succinate, can maintain their effect for about 24 hours; therefore, they are usually taken once daily to ensure stable blood pressure control. Intermediate- and short-acting antihypertensive medications require more frequent administration because their effects last for a shorter duration. Taking antihypertensive medications every other day may cause blood pressure fluctuations, which is detrimental to the protection of vital organs such as the heart, brain, and kidneys. Frequent blood pressure fluctuations may increase the risk of adverse cardiovascular and cerebrovascular events. Therefore, to ensure stable blood pressure control and reduce the occurrence of complications, it is recommended to strictly follow the doctor's instructions regarding the timing and dosage of antihypertensive medications. Meanwhile, patients should regularly monitor their blood pressure during antihypertensive treatment. If significant fluctuations occur, timely medical consultation is necessary so that the treatment plan can be adjusted according to individual circumstances.