Management
Non-pharmacologic management
- Do NOT lie down during the day
- Elevate HOB by 6-9 inches
- ↓ nocturnal diuresis from the high pressures the kidneys see
- Nighttime meal/sweet snacks
- Induce postprandial hypOtension
Pharmacologic management
- 🔑 is timing of daytime pressor agents
- Avoid pressor agents before bedtime (<4h)
- Consider short-acting antihypertensive at bedtime
- Captopril
- Clonidine
- Hydralazine
- Losartan
- Nitroglycerin patch