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Our blood pressure fluctuates during the day, so when you start tracking your blood pressure, you should check it at different times of the day, about 5-6 times. Once you establish a routine of checking your blood pressure and have gained a better understanding of the numbers, you can begin checking it once or twice a day, at the same time each day.
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If it has already been determined that you have high blood pressure, it is important to measure your blood pressure at roughly the same times each day. This will provide consistent readings less affected by other factors, and therefore show how well your medication and dosage are working.
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If taking high blood pressure medication, your blood pressure measurements should coincide with your doses. The best time to check it is before you take your medication. It is at this point that the level of medication in your body will be at its lowest. This is known as a trough value. Measuring your blood pressure before you take the next dose will demonstrate how well the medication has been working.
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If you are experiencing a symptom of high blood pressure, it is a good idea to take a measurement then. Of course, if symptoms are severe, contact your doctor or seek immediate assistance.

Common symptoms of high blood pressure include:

    Intense headaches
    Pounding in your chest, neck, or ears
    Irregular heartbeat
    Fatigue
    Vision problems
    Chest Pain
    Breathing issues

Measuring your blood pressure while experiencing these symptoms can help determine if high blood pressure is the cause. It is also possible that your medication has lowered your blood pressure too much. A blood pressure reading during symptoms can also help determine if an adjustment to your medication is needed, either in dosage or time of day it is taken.
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