Blood pressure is normally higher in the morning. The fact that it is has started climbing in the morning may just mean that the drug regimen needs adjusting. If adjustment's/change's don't work, then there may be a need for a further workup to determine if something has changed in your health to cause this change. Factors that may cause an abnormal daily pattern, such as high blood pressure in the morning, include: * Poorly controlled high blood pressure * Sleep apnea * Tumors of the adrenal gland * Kidney disease * Certain medications, such as corticosteroids * Night-shift work * Caffeine use * Tobacco use * Too much stress