Ghoul
Member
I increased Telmisartan to 40mg in December. My labs two weeks later had my potassium out of range. I dropped back down to 20. January slightly out of range and this month finally in range. I like Telmisartan but 20 is the limit.
Funny thing is there's very little additional BP reduction going from 20 to 40 to 80. Mostly an increase in sides. It's like that for many BP meds. That's why the shift to combos of smaller doses of 2 (or 3 or 4) gives the best results, with the fewest sides.
Instead of increasing the Telm or calcium channel blocker dose if more BP reduction is needed, the guidelines suggest adding a low dose diuretic (like chlorathiadone), which has the added benefit of reducing edema risk even further.





