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. 2011 Oct 5;2011(10):CD004184. doi: 10.1002/14651858.CD004184.pub2

Comparison 1. evening versus morning dosing regimen.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 24 h mean systolic blood pressure 21 2152 Mean Difference (Random, 95% CI) ‐1.71 [‐2.78, ‐0.65]
1.1 β‐blockers 1 82 Mean Difference (Random, 95% CI) 1.4 [‐3.60, 6.40]
1.2 α‐blockers 1 39 Mean Difference (Random, 95% CI) ‐5.1 [‐8.43, ‐1.77]
1.3 ACEIs 5 277 Mean Difference (Random, 95% CI) ‐0.93 [‐3.11, 1.24]
1.4 ARBs 6 632 Mean Difference (Random, 95% CI) ‐0.87 [‐2.12, 0.38]
1.5 CCBs 7 951 Mean Difference (Random, 95% CI) ‐1.64 [‐3.39, 0.12]
1.6 Diuretics 2 171 Mean Difference (Random, 95% CI) ‐6.22 [‐9.34, ‐3.10]
2 24 h mean diastolic blood pressure 21 2158 Std. Mean Difference (Random, 95% CI) ‐1.38 [‐2.13, ‐0.62]
2.1 β‐blockers 1 88 Std. Mean Difference (Random, 95% CI) 1.1 [‐2.27, 4.47]
2.2 α‐blockers 1 39 Std. Mean Difference (Random, 95% CI) ‐2.7 [‐5.17, ‐0.23]
2.3 ACEIs 5 277 Std. Mean Difference (Random, 95% CI) ‐1.56 [‐3.18, 0.06]
2.4 ARBs 6 632 Std. Mean Difference (Random, 95% CI) ‐0.72 [‐1.86, 0.43]
2.5 CCBs 7 951 Std. Mean Difference (Random, 95% CI) ‐0.61 [‐1.58, 0.35]
2.6 Diuretics 2 171 Std. Mean Difference (Random, 95% CI) ‐5.60 [‐6.82, ‐4.38]
3 morning mean systolic blood pressure 3 391 Mean Difference (Random, 95% CI) ‐1.62 [‐4.19, 0.95]
3.1 β‐blockers 1 82 Mean Difference (Random, 95% CI) 1.5 [‐2.15, 5.15]
3.2 CCBs 2 309 Mean Difference (Random, 95% CI) ‐2.68 [‐4.46, ‐0.89]
4 morning mean diastolic blood pressure 3 391 Mean Difference (Random, 95% CI) ‐1.21 [‐3.28, 0.86]
4.1 β‐blockers 1 82 Mean Difference (Random, 95% CI) 0.4 [‐2.09, 2.89]
4.2 CCBs 2 309 Mean Difference (Random, 95% CI) ‐1.87 [‐4.32, 0.58]
5 overall adverse events 5 702 Risk Ratio (M‐H, Random, 95% CI) 0.78 [0.37, 1.65]
5.1 ACEIs 1 120 Risk Ratio (M‐H, Random, 95% CI) 0.5 [0.10, 2.63]
5.2 CCBs 2 403 Risk Ratio (M‐H, Random, 95% CI) 0.52 [0.11, 2.49]
5.3 Diuretics 2 179 Risk Ratio (M‐H, Random, 95% CI) 1.66 [0.56, 4.90]
6 withdrawals due to adverse events 6 1042 Risk Ratio (M‐H, Random, 95% CI) 0.53 [0.26, 1.07]
6.1 ACEIs 1 120 Risk Ratio (M‐H, Random, 95% CI) 1.0 [0.06, 15.62]
6.2 ARBs 2 375 Risk Ratio (M‐H, Random, 95% CI) 0.30 [0.06, 1.41]
6.3 CCBs 3 547 Risk Ratio (M‐H, Random, 95% CI) 0.59 [0.26, 1.33]