Hi @peggynurse. I take my Camzyos at night. That was the recommendation from my cardiologist and also from my nurse case manager. The reasoning was that side effects can include such things as drowsiness, dizziness, and fainting. In my case I have been taking omeprizole, which apparently can increase the severity of these side effects, but my dosage is low, so I was given the ok to stay on it when taking Camzyos. But to be safe, they suggested I take the omeprizole in the morning and the Camzyos in the evening so that if there is a spike in the side effects, I will be more likely to be asleep instead of at the wheel when I'm hit by drowsiness, dizziness or fainting. So far I have not noticed any side effects from the Camzyos whatsoever, even with the omeprazole in on the act. That's my experience, but I would encourage you to ask your cardiologist, nurse case manager, or pharmacist before making changes. (Maybe you are a nurse knowledgeable about such things (@peggynurse?) but I won't make assumptions.)