Blood Pressure

[Oig2214]

No I’ve had an ekg done but trying to get my dr to order me an echo is like pulling teeth , going to see if I can get one ordered this winter

Ah ok man. I have read that a diastolic and systolic blood pressure difference that is very high can be seen in things like aortic regurgitation. I’m sure your primary doc or cardiologist would have heard a murmur though. Still maybe worth checking out if the diastolic pressure is consistently that low with a normal or above avg systolic.

 

[Gonz0]

Ah ok man. I have read that a diastolic and systolic blood pressure difference that is very high can be seen in things like aortic regurgitation. I’m sure your primary doc or cardiologist would have heard a murmur though. Still maybe worth checking out if the diastolic pressure is consistently that low with a normal or above avg systolic.

Appreciate the info bro , it’s been roughly a year since I got the ekg done. They didn’t see any LVH or anything but after looking up what an AR is I’m really gonna try and press for an echo because that seems like a much more accurate test.

 

[newguy2]

In my ongoing battle to get my BP down, I got a script for telm at 40, then asked the doc to bump it to 80 as it didn't do a ton.

Then added 10mg of ciln and then bumped to 20mg.

For a few days I had no telm and my bp remained steady. So I have dropped that dose down to 40mg as I don't know if 80 is warranted.

Currently at 40mg telm and 20mg ciln before bed and average morning bp is:
128/78

Seems like this is about as good as it is going to get. Currently off cycle for 5 weeks, just running TRT @ 120mg.

 

[Ghoul]

In my ongoing battle to get my BP down, I got a script for telm at 40, then asked the doc to bump it to 80 as it didn't do a ton.

Then added 10mg of ciln and then bumped to 20mg.

For a few days I had no telm and my bp remained steady. So I have dropped that dose down to 40mg as I don't know if 80 is warranted.

Currently at 40mg telm and 20mg ciln before bed and average morning bp is:
128/78

Seems like this is about as good as it is going to get. Currently off cycle for 5 weeks, just running TRT @ 120mg.

That’s decent BP. Also keep in mind. Changing BP me dose or compounds takes about 30 days to see full effects. Not much Happens within days of a change

 

[Lifting88]

Im on a blast bloodpressure slowly got litlle higher right now 128/135 /65 in the morning at 40 telma 20 clini

Whats next step keep it like this?
Raise telma or add something

Maybe switch telma to olmasartan i know its better for me to lower bloodpressure then telma

 

[keepbashing]

Im on a blast bloodpressure slowly got litlle higher right now 128/135 /65 in the morning at 40 telma 20 clini

Whats next step keep it like this?
Raise telma or add something

Maybe switch telma to olmasartan i know its better for me to lower bloodpressure then telma

Increase the telmisartan dose to 60 mg. If that’s not sufficient, go to 80 mg. Telmisartan has been tested in studies at doses up to 160 mg per day without an increased occurrence of side effects. Personally, I would recommend splitting the dose, for example taking 40 mg in the morning and 40 mg in the evening. With the option of increasing telmisartan to 120 mg or even 160 mg daily, you can initially avoid adding a third agent.

As the next step, I would rather add 1.25 mg–2.5 mg of nebivolol daily instead of using a diuretic. The latter come with side effects such as electrolyte imbalances, increased tendency for muscle cramps, and reduced performance, which are disadvantageous for strength training or bodybuilding.

 

[newguy2]

In my ongoing battle to get my BP down, I got a script for telm at 40, then asked the doc to bump it to 80 as it didn't do a ton.

Then added 10mg of ciln and then bumped to 20mg.

For a few days I had no telm and my bp remained steady. So I have dropped that dose down to 40mg as I don't know if 80 is warranted.

Currently at 40mg telm and 20mg ciln before bed and average morning bp is:
128/78

Seems like this is about as good as it is going to get. Currently off cycle for 5 weeks, just running TRT @ 120mg.

Still struggling with this. Current stack.

250mg test
4iu GH (been titrating up for a couple months)
4mg reta
50mg Anavar

Meds:
40mg Telmisartan
20mg cilnidipine
5mg Cialis

I'm getting readings like 159/85 at times in the morning. Just did a mid day and it was 147/77.

I really don't think I'm holding water anywhere. Maybe I don't know how to identify it. No soft spongey spots.

I'm also going through a divorce, out of the home and looking for a new job. So stress is super high.

I'm going to jump to 80mg telm. I have that on hand

Question
1. How should I dose it? Right now I take it at night to try and get the morning BP down. Thinking about splitting the dose of telm to morning and evening. So 40/10 twice a day
2. Do I need to get a diuretic. I'm nervous about using them but man I need to get this handled.

Any help is greatly appreciated. Any thoughts @Ghoul ?

 

[Photon]

No I’ve had an ekg done but trying to get my dr to order me an echo is like pulling teeth , going to see if I can get one ordered this winter

They can't order it without a diagnostic code.
Just say you have chest pains.

 

[Gonz0]

They can't order it without a diagnostic code.
Just say you have chest pains.

Thanks for the heads up brotha, I’ll make sure to mention that

 

[keepbashing]

Still struggling with this. Current stack.

250mg test
4iu GH (been titrating up for a couple months)
4mg reta
50mg Anavar

Meds:
40mg Telmisartan
20mg cilnidipine
5mg Cialis

I'm getting readings like 159/85 at times in the morning. Just did a mid day and it was 147/77.

I really don't think I'm holding water anywhere. Maybe I don't know how to identify it. No soft spongey spots.

I'm also going through a divorce, out of the home and looking for a new job. So stress is super high.

I'm going to jump to 80mg telm. I have that on hand

Question
1. How should I dose it? Right now I take it at night to try and get the morning BP down. Thinking about splitting the dose of telm to morning and evening. So 40/10 twice a day
2. Do I need to get a diuretic. I'm nervous about using them but man I need to get this handled.

Any help is greatly appreciated. Any thoughts @Ghoul ?

I rarely quote myself, but at this point you can simply read my post and do what I described there. Remember to monitor your blood pressure regularly and wait at least three weeks before making any further dose increases.

Only instead of increasing telmisartan beyond 80 mg, I would start with 1.25–2.5 mg of nebivolol.

Increase the telmisartan dose to 60 mg. If that’s not sufficient, go to 80 mg. Telmisartan has been tested in studies at doses up to 160 mg per day without an increased occurrence of side effects. Personally, I would recommend splitting the dose, for example taking 40 mg in the morning and 40 mg in the evening. With the option of increasing telmisartan to 120 mg or even 160 mg daily, you can initially avoid adding a third agent.

As the next step, I would rather add 1.25 mg–2.5 mg of nebivolol daily instead of using a diuretic. The latter come with side effects such as electrolyte imbalances, increased tendency for muscle cramps, and reduced performance, which are disadvantageous for strength training or bodybuilding.

 

[newguy2]

I rarely quote myself, but at this point you can simply read my post and do what I described there. Remember to monitor your blood pressure regularly and wait at least three weeks before making any further dose increases.

Only instead of increasing telmisartan beyond 80 mg, I would start with 1.25–2.5 mg of nebivolol.

Thanks, I need to get an order in from pct24, kind of broke at the moment.

 

[FuriousAngus]

Been struggling at 130/80 (on a blast right now, high cals high AAS) while on 40mg Telmi.

I added Lercanidipine which is a (far as I know) milder CCB than amlodipine as far as edema sides go. Two days in I had a very hard time staying awake for more than 2-3 hours, it turned me into a complete zombie. I'm going to run Nebi at 2.5mg on top of Ivabradine (HR already at 85 with Iva) but say I decided not to, what's the best course of action here?

Sourcing Ciln is very hard given where I live, but it'd probably give me the same issue as the other drugs in this family, ya?

 

[Gonz0]

Thanks, I need to get an order in from pct24, kind of broke at the moment.

When’s the last time you got labs done ? HCT could be elevated, I also struggle with high blood pressure, while on cycle 80mg telmisartan 5mg nebivolol (both taken am) and 10mg clinidipine (take pm) helps keep me in a good spot. With the current stress you are going through I think nebivilol would be a good option, 5-10mg. I also had to cut way back on sodium. If you want to try something cheap you can grab some taurine and take like 5000-8000mg daily , that can also help.

 

[newguy2]

Been struggling at 130/80 (on a blast right now, high cals high AAS) while on 40mg Telmi.

I added Lercanidipine which is a (far as I know) milder CCB than amlodipine as far as edema sides go. Two days in I had a very hard time staying awake for more than 2-3 hours, it turned me into a complete zombie. I'm going to run Nebi at 2.5mg on top of Ivabradine (HR already at 85 with Iva) but say I decided not to, what's the best course of action here?

Sourcing Ciln is very hard given where I live, but it'd probably give me the same issue as the other drugs in this family, ya?

Do that PCT vendors not ship to where you live? Clin is super cheap from them.

 

[Gonz0]

Been struggling at 130/80 (on a blast right now, high cals high AAS) while on 40mg Telmi.

I added Lercanidipine which is a (far as I know) milder CCB than amlodipine as far as edema sides go. Two days in I had a very hard time staying awake for more than 2-3 hours, it turned me into a complete zombie. I'm going to run Nebi at 2.5mg on top of Ivabradine (HR already at 85 with Iva) but say I decided not to, what's the best course of action here?

Sourcing Ciln is very hard given where I live, but it'd probably give me the same issue as the other drugs in this family, ya?

I would bump the telmi to 80 and either keep the nebivilol and ivabradine doses the same or drop the Ivabradine and increase nebivilol to 5mg. I used amlodipine for 3 days and no drug I have ever taken has given me worse side effects, my legs were so swollen and it took 3 weeks to drop the water. Clinidipine has given me 0 problems, pct247 has it in stock

 

[newguy2]

I would bump the telmi to 80 and either keep the nebivilol and ivabradine doses the same or drop the Ivabradine and increase nebivilol to 5mg. I used amlodipine for 3 days and no drug I have ever taken has given me worse side effects, my legs were so swollen and it took 3 weeks to drop the water. Clinidipine has given me 0 problems, pct247 has it in stock

Good to know thanks.

 

[null88]

Thanks, I need to get an order in from pct24, kind of broke at the moment.

You might as well order 25mg of HCTZ, its super cheap you can split the pill in half. There is minimal risk, it is one of the most prescribed drugs. The only side I get is frequent urination which if you want you can use chlorthalidone instead which reduced that side. I use the combo pill that pct24 sells.

 

[newguy2]

You might as well order 25mg of HCTZ, its super cheap you can split the pill in half. There is minimal risk, it is one of the most prescribed drugs. The only side I get is frequent urination which if you want you can use chlorthalidone instead which reduced that side. I use the combo pill that pct24 sells.

I only see chlorthalidone in the combo pill. I'll probably grab some on my next order.

 

[FuriousAngus]

I would bump the telmi to 80 and either keep the nebivilol and ivabradine doses the same or drop the Ivabradine and increase nebivilol to 5mg. I used amlodipine for 3 days and no drug I have ever taken has given me worse side effects, my legs were so swollen and it took 3 weeks to drop the water. Clinidipine has given me 0 problems, pct247 has it in stock

Sounds like a good plan of action, thanks!

 

[Ghoul]

Good to know thanks.

Keep in mind amlodipine is one of the most widely used meds in existence, and the rare severe side effects usually have more to do with someone who already had severely compromised blood vessels, not the drug itself.

Blood pressure guideline increasingly reserve beta blockers for special cases and long term outcomes are almost always better with a CCB, which is why they’re tried first.

Only the bodybuilding community jumps on slowing heart rate as a first line method of lowering blood pressure, which it does, but introduces other risks.