How proactively do you reduce antihypertensive medications when a patient transitions from in-center thrice-weekly hemodialysis to a more frequent home hemodialysis regimen?

How proactively do you reduce antihypertensive medications when a patient transitions from in-center thrice-weekly hemodialysis to a more frequent home hemodialysis regimen?

• Reduce at transition, before BP falls
• Reduce as BP trends down, before it falls below target
• Reduce only when BP falls below target
• Reduce only with symptomatic hypotension
• Other