Hello,
I understand your concern. Let me explain this clearly and safely, so you don’t get confused or anxious.
What is happening with your BP? Morning BP: ~130/90 → this is a common morning surge, especially in people with stress-related hypertension.
After taking Normact after food, your BP comes down to ~120/82, which means: 👉 The medicine is working well 👉 Your BP is reasonably controlled overall
Should you take any medicine before food?
No — do NOT add or shift BP medicine on your own.
Here’s why: * Normact is meant to be taken after food for proper absorption and safety. * A morning BP of 130/90 is not dangerously high. * Taking an extra medicine before food can cause: Sudden BP drop Giddiness on standing Risk of falls (especially in the morning)
What you should do instead (safe steps) 1. Continue Normact exactly as prescribed (after food). 2. Measure BP correctly:
After waking, sit quietly for 5 minutes
Then check BP (don’t check immediately on getting up) 3. Reduce morning BP naturally:
5–10 minutes of slow breathing (Anulom Vilom)
Avoid checking phone/news immediately after waking 4. Manage stress (your main trigger): Fixed sleep time Light walk Relaxation at night
When would medicine timing need change?
Only if: 1.Morning BP stays >140/90 consistently
Or you have symptoms (headache, dizziness, chest discomfort)
👉 In that case, your doctor may adjust timing or dose, but it must be done under supervision.
Bottom line (important reassurance)
Your BP readings show good control
You do NOT need an extra medicine before food
Do not self-adjust BP medicines
If you want, you can tell me: * Your age * Whether you feel dizziness on standing * Whether BP rises at any other time
I’ll guide you safely.
Warm regards Dr.Sumi MS(Ayu)
Hello, I totally get what you mean. What you are telling me is that in the morning your blood pressure is around 130/90, and then after taking Normact and having food it drops to 120/82. Actually, such a scenario is very typical for people with long-term blood pressure problems and it is not an indication that a new medicine should be taken before food.
UNDERSTANDING YOUR BP PATTERN
Early morning BP is generally a bit higher due to: Body’s natural cortisol peak in the morning Sympathetic nervous system activation Stress-induced Vata–Pitta dominance
After breakfast + Normact: BP comes back to almost-normal level Morning blood pressure of 130/90 is a borderline case, not a very high one.
Should One Take Medicine Before Food?
❌No, not automatically
If: The current medication is still effective and BP comes down well There are no symptoms such as headache, dizziness, or chest pain There is no organ damage (heart, kidney, eye)
👉 So adding or changing medicine before food is your own decision NOT the doctor’s.
If you change the time of taking your medicine or add another one, you may experience an excessive drop in blood pressure later in the day, which will cause you to suffer from: –Lightheadedness –Dizziness –Falls
AYURVEDIC. PERSPECTIVE
This pattern indicates: –Vyana Vata imbalance (BP regulation) –Stress-related Rajo guna dominance –Mild Pitta association
The main goal is:
To stabilize morning BP To reduce the stress reactivity To support the heart & nervous system
—not necessarily to increase medicines.
SAFE AYURVEDIC SUPPORT (Without Changing Your BP Tablet)
Morning (Empty Stomach) – Optional & Gentle
1.Arjuna Churna – ½ tsp with lukewarm water (Helps the heart to be stronger, normalizes the BP rhythm)
OR
2. Sarpagandha Ghana Vati 1-0-1 after food Morning Blood Pressure Rise Lifestyle Correction (Very Important)
–Wake up slowly – do not jump out of bed –After waking, sit on the bed for 2–3 minutes –Don’t check your BP immediately after you wake up –Measure your BP 30–45 minutes after getting up from bed, when you are relaxed
Stress Management (Main Cause in Your Case)
- 10 minutes slow breathing / Anulom Vilom - Stop using mobile phone immediately after waking up - Light morning walk
Diet Advice
– Keep on eating a healthy diet – Do not use too much salt at dinner –Do not eat late at night and heavy meals
Allow:
Garlic Buttermilk (daytime) Ghee (small quantity)
When to Think About Changing Medicine Timing
⚠️ ONLY WHEN:
For 1–2 weeks morning BP is consistently >140/90
OR symptoms appear (headache, palpitations)
Then:
👉 It is the doctor who decides changing the timing or the dose, not adding medicine blindly.
You are already on the right track by checking your BP regularly and following a good diet. By implementing stress management and taking a bit of Ayurvedic medicine, you will not have to increase your BP medicine as your morning BP will stabilize step by step.
Good health to you
Warm Regards - Dr Snehal Vidhate
