What is a recommended teaching point for patients on ACE inhibitors?

Taking the first dose of ACE inhibitors at bedtime is recommended because it helps to minimize the potential for any initial side effects, such as hypotension (low blood pressure) that may occur after starting the medication. This is particularly important because the body may need time to adjust to the medication, and taking it at night allows patients to rest while their body adapts. It also helps to manage blood pressure more effectively throughout the night and into the day by preventing excessive drops in blood pressure that could occur with the first dose during the day when the patient might be more active. This practice contributes to improved adherence to the medication regimen and enhances the overall safety of treatment for those using ACE inhibitors.

The other recommendations, such as avoiding fluid intake or stopping the medication if feeling nauseous, could lead to complications or result in inadequate treatment. Taking ACE inhibitors with food generally isn’t necessary and may not enhance absorption to a significant degree, depending on specific patient circumstances.