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Ask A. Schuyler, NP Your Own Question
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 15930
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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Hi. Why does advil increase BP and is it true that Aleve is

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Hi. Why does advil increase BP and is it true that Aleve is better on BP? Also, is it wrong to take the BP first thing in the am? Does it go up if you haven't peed or had a bowel movement? So, when should I take it?Thanks



Thanks for using Just Answer. My name is XXXXX XXXXX I will do whatever I can to try to help you.


All anti-inflammatory drugs such as ibuprofen (Advil, Motrin), naproxen (Aleve),celecoxib (Celebrex), meloxicam (Mobic), etc. can increase blood pressure. One may increase it more than others in any given person. Trial and error is the only way to determine that.


The mechanism is a convoluted one involving the NSAIDs (non-steroidal anti-inflammatories like Advil and Aleve) effect on prostaglandins in the kidneys that ultimately lead to an increase in blood pressure.


Blood pressure can be taken at any time of day. Any kind of stress (such as having to urinate or have a bowel movement) may increase it. So will pain, such as a headache, or worry or anxiety, caffeine, smoking, etc. Blood pressure varies throughout the day usually being higher in the afternoon than in the morning. It also varies up and down depending on whether someone has eaten, had something to drink, smoked, talked, had exercise, etc.


To take a good blood pressure reading, wait until 30 minutes after eating, drinking, smoking, etc. Sit quietly in an upright chair with back supported and both feet on the floor for 10 minutes. Don't cross your legs even at the ankle. Both feet should remain flat on the floor. Apply the blood pressure cuff as directed. Support your arm at heart height on a table and engage the blood pressure device - either use the bulb and a stethoscope (difficult to do on yourself) or an electronic monitor.



Choosing the same time each day to record your blood pressure may be most useful if you are keeping a log for your cardiologist.


Please let me know if you have questions.


Best regards,



A. Schuyler, NP and 2 other Health Specialists are ready to help you
Customer: replied 3 years ago.

Thanks! Do you have to wait 30 minutes after drinking water?

Yes, you should wait 30 minutes after drinking anything. Smile




Customer: replied 3 years ago.


Even the difference between the temperature of the water and body temperature can slightly affect blood pressure as your body expends energy to warm the water.


A. Schuyler, NP and 2 other Health Specialists are ready to help you