Beta Blockers or Telmisartan for BP Management?

[thegentleman]

My blood pressure used to average around 149/89, and over the past few months I’ve brought it down to about 134/80 through regular cardio and, especially, reducing my sodium intake.


My doctor is recommending that I start a beta blocker, but I’ve noticed that Telmisartan seems to be more commonly used here. I’m wondering if it would make sense to discuss that option instead.


I’m planning to start my first cycle in the next few months, so I want to make sure my blood pressure is well controlled beforehand.

 

[IndividualMan]

if you can get nebivolol on prescription go get it. Its great.
if yourBP gets high on cycle start discussing adual therapy with your doctor. Boom. both nebivolol and telmisartan on prescription.

But get on a BP medication NOW. you BP is too high 100%

 

[adrenalytic]

if you can get nebivolol on prescription go get it. Its great.
if yourBP gets high on cycle start discussing adual therapy with your doctor. Boom. both nebivolol and telmisartan on prescription.

But get on a BP medication NOW. you BP is too high 100%

doesn't nebivolol cap your heart rate or does it just lower it? I like telmisartan and cilnidipine. zero sides from it.

 

[null88]

My blood pressure used to average around 149/89, and over the past few months I’ve brought it down to about 134/80 through regular cardio and, especially, reducing my sodium intake.


My doctor is recommending that I start a beta blocker, but I’ve noticed that Telmisartan seems to be more commonly used here. I’m wondering if it would make sense to discuss that option instead.


I’m planning to start my first cycle in the next few months, so I want to make sure my blood pressure is well controlled beforehand.

Which beta blocker? Most doctors first choice is metoprolol, but nebivolol is preferred in a fitness context since its cardioselective. An ARB like Telmisartan is preferred with AAS, since AAS will increase activity in the renin-angiotensin-aldosteron system which leads to a lot of the cardiovascular problems.

 

[2ndchancesNK]

I will also add in, if taking Telmisartan, make sure you have a solid baseline of BP before you start.

When I went this route I began at a quarter of an 80mg pill and increased until BP was in range, and this can change depending on my AAS of choice on cycle, which rarely changes anyways at this point.

Then, assess with bloodwork whether or not you are dealing with hyperkalemia as telm can cause elevated potassium levels so you should monitor electrolyte intake carefully if this is you.

 

[Photon]

My blood pressure used to average around 149/89, and over the past few months I’ve brought it down to about 134/80 through regular cardio and, especially, reducing my sodium intake.

My doctor is recommending that I start a beta blocker, but I’ve noticed that Telmisartan seems to be more commonly used here. I’m wondering if it would make sense to discuss that option instead.

There's an influx of random people suddenly looking for beta blockers for no reason at all...you seem like one of them.

So your doctor recommended a beta blocker, and you ended up with nothing? Beta blockers are usually one of the last things to be considered for purely BP management.

 

[IndividualMan]

Which beta blocker? Most doctors first choice is metoprolol, but nebivolol is preferred in a fitness context since its cardioselective. An ARB like Telmisartan is preferred with AAS, since AAS will increase activity in the renin-angiotensin-aldosteron system which leads to a lot of the cardiovascular problems.

I love Nebivolol. Overall an ARB or ACE inhibitor

doesn't nebivolol cap your heart rate or does it just lower it? I like telmisartan and cilnidipine. zero sides from it.

lowers HR quite a bit. Currently on Caffeine, moda and synephrine and my RHR is 65-70. Without any stimulants it was 75+ before nebivolol.
Obviously Telm+ciln is better for BP alone, but goddamnit I love not having the physical symptoms of a panic attack everytime I talk to someone while walking after having a coffee.

 

[King_Cnut]

Telmisartan is preferred from a purely BP lowering perspective. It is more effective than a beta blocker, doesn't lower the heart rate as much and is associated with better cardiovascular adverse event outcomes. It is also reactive/relative – the higher your initial BP, the more it will reduce it by. As also mentioned, it is especially suitable for use with AAS, which primarily increases BP via the RAS system

Having said that, nebivolol also confers several cardiovascular benefits, primarily via its nitric oxide induced vasodilatory properties, amongst others. The two drugs compliment each other in combination.

 

[Barney67]

My blood pressure used to average around 149/89, and over the past few months I’ve brought it down to about 134/80 through regular cardio and, especially, reducing my sodium intake.


My doctor is recommending that I start a beta blocker, but I’ve noticed that Telmisartan seems to be more commonly used here. I’m wondering if it would make sense to discuss that option instead.


I’m planning to start my first cycle in the next few months, so I want to make sure my blood pressure is well controlled beforehand.

ARBs are the best first choice for hypertension. Beta blockers are relatively terrible agents for it and are nowadays only used as a third- or fourth-line option.

Start with telmisartan and if that doesn’t cut it add a low dose calcium channel blocker like amlodipine.

 

[RockyP]

ARBs are the best first choice for hypertension. Beta blockers are relatively terrible agents for it and are nowadays only used as a third- or fourth-line option.

Start with telmisartan and if that doesn’t cut it add a low dose calcium channel blocker like amlodipine.

Agreed. Beta blockers are not ideal for an athlete. ARB or ACE inhibitor.

If using arb be sure to get baseline serum chemistry to check potassium and repeat in 2 weeks after starting the med.

 

[Gonz0]

I’m prescribed 5mg nebivilol , I’m a high strung individual and it also helps with anxiety so I find it useful for that. When I’m on blast I also add in 80mg telmisartan and 5mg clinidipine but you won’t get clinidipine prescribed in the US. The three work together really well but It’s overkill for most people , most drs will start you off on lisinopril or an arb like telmisartan.