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Pharma:
Azilsartan 80mg, once daily pm
Celnip-T (ciilnidipine/telmisartan) 10/40mg once daily am
Ivabradine 5mg split am//pm (will likely increase to 10mg/day)

You are on 2 ARBs? Azil and Tel?
I have CILNAY-NB from this source 10/5 ciilnidipine/nebivolol. ~$2/strip.

The max IVA i've seen prescribed is 7.5mg, how are you getting 10mg prescribed in US?
Why reta 3x a week?
 
You are on 2 ARBs? Azil and Tel?
I have CILNAY-NB from this source 10/5 ciilnidipine/nebivolol. ~$2/strip.

The max IVA i've seen prescribed is 7.5mg, how are you getting 10mg?
Why reta 3x a week?
Yes right now using two ARB. Mainly because the best price I could find on cilnidipine was for the 10/40 combo. And the extra telmi is active during the day when the azilsartan is fading. I know some people who use 120mg telmi per day but not sure there is much benefit > 80 mg alone or combined.

I got 5mg ivabradine tabs, they are US pharma and scored. Right now I’m breaking in half and taking 2.5 am and 2.5 pm, might try increase to 5mg am and 5mg pm for 10mg total per day.

If you don’t mind can you pm your source for the Cilnay?
 
Yes right now using two ARB. Mainly because the best price I could find on cilnidipine was for the 10/40 combo. And the extra telmi is active during the day when the azilsartan is fading. I know some people who use 120mg telmi per day but not sure there is much benefit > 80 mg alone or combined.

I got 5mg ivabradine tabs, they are US pharma and scored. Right now I’m breaking in half and taking 2.5 am and 2.5 pm, might try increase to 5mg am and 5mg pm for 10mg total per day.

If you don’t mind can you pm your source for the Cilnay?

Its this source.
Just email him for it.
Not in his pricelist.
 
Where do you source your injectable RCs?
I use Modern Aminos SR9009 50mg/ml

And was using Amino Asylums Cardabolic SR9009 10mg and GW510516 8mg per ml… they’re now gone so when my stash is depleted will probably just take GW oral, unlike SR it is orally available but was basically a freebie with the SR from that source. I think Behemoth Labz has a similar injectable.
 
I don't think two ARB's are necessary. Especially with AZ which is ultra strong at max dose. Sure, it's half life isn't as long as tele, but it binds for a longer period of time to the AR that any other ARB's. Meaning that it keeps working one it binds for a longer period of time.

Hence there is a bit more to a drug that simply its elimination half life. I mean you can do it, but I think it would be overkill.
 
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I don't think two ARB's are necessary. Especially with AZ which is ultra strong at max dose. Sure, it's half life isn't as long as tele, but it binds for a longer period of time to the AR that any other ARB's. Meaning that it keeps working one it binds for a longer period of time.

Hence there is a bit more to a drug that simply its elimination half life. I mean you can do it, but I think it would be overkill.
I agree entirely. The advantage of azilsartan is the longer activity on the AR. The PPAR effect is better with telmi.

Definitely no good reason to be using both, but at least among the ones pct24x7 has on the price list, the combo pill was the best priced and I don’t think the extra telmi will cause any problem.

The azilsartan is $50/mi via manufacturer program (insurance of course excludes it) so I might d/c altogether when my supply runs out. Not sure if it is available as an Indian generic, but have noticed it on a few other price lists so maybe it is?
 
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I agree entirely. The advantage of azilsartan is the longer activity on the AR. The PPAR effect is better with telmi.

Definitely no good reason to be using both, but at least among the ones pct24x7 has on the price list, the combo pill was the best priced and I don’t think the extra telmi will cause any problem.

The azilsartan is $50/mi via manufacturer program (insurance of course excludes it) so I might d/c altogether when my supply runs out. Not sure if it is available as an Indian generic, but have noticed it on a few other price lists so maybe it is?
PCT does have it. Both the 40 and 80mg versions. By the same company that has FDA approval to make the generic version in the USA once it is legal to do so. A lot less expensive than the brand name Edarbi US version.
 
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I agree entirely. The advantage of azilsartan is the longer activity on the AR. The PPAR effect is better with telmi.

Definitely no good reason to be using both, but at least among the ones pct24x7 has on the price list, the combo pill was the best priced and I don’t think the extra telmi will cause any problem.

The azilsartan is $50/mi via manufacturer program (insurance of course excludes it) so I might d/c altogether when my supply runs out. Not sure if it is available as an Indian generic, but have noticed it on a few other price lists so maybe it is?

You can msg this source for the combo pill.
Azil + Cilnidipine
either 40/5 or 40/10
~$3-4/strip

Azil 80 by itself is ~3-4/strip.
 
You can msg this source for the combo pill.
Azil + Cilnidipine
either 40/5 or 40/10
~$3-4/strip

Azil 80 by itself is ~3-4/strip.
Great to know, thank you. just ordered a few boxes of the Celnip-T but will do the Azil/Clinidipine next time there is a sale. An 80/10 would be nice but could just double up the 40/5 obviously, and it's generally better to split doses am/pm for unless there is an issue with sleep.

Edarbi 80 is costing me about $16-17/strip (equivalent) from Truax Pharmacy in MN, which administers their manufacturer discount program.

@PCT24X7 PHARMACY could you add azilsartan and the other cilnidipine combo pills to your next price list? that way I won't have to bug you for pricing and availability next time :)
 
Probably have had 20+ orders with PCT24x7 now. Had one pack taken by customs, and he reshipped before I even got the CBP letter.

[Aeroz is good source for specific meds PCT cannot ship, which I use for airplane trips]

Recent PCT24x7 orders included some unlisted drugs he sourced for me including ivabradine and pitavastatin. Turns out I am able to get the ivabradine cheaper via prescription with insurance here in USA, but not pitavastatin (excluded by insurance, there is a manufacturer program via NC pharmacy but they refuse self-written prescriptions for some reason). Last order was for multiple boxes of Celnip-T 10/40mg and pitavastatin 4mg.

This is my current cardiovascular stack - thanks to @Ghoul for improving it. I was diagnosed with diastolic hypertension in my 50s before using PEDs btw, and put on azilsartan for that by a cardiologist. Echo and stress test normal, CCT score = 0. I have an overactive sympathetic nervous system and suppressed vagal system from using GLP1s.

Pharma:
Azilsartan 80mg, once daily pm
Celnip-T (ciilnidipine/telmisartan) 10/40mg once daily am
Ivabradine 5mg split am//pm (will likely increase to 10mg/day)
Ezetimibe 10mg, once daily am
Pitavastatin 4mg, once daily pm
Jardiance (empoglafozin) 10mg, once daily am
Taladalfil 10mg, once daily am
Sildenafil 100mg, once daily pm

(Discontinued: Nebivolol 10mg, once daily am; will use only if taking short term clenbuterol)

Research chems:
SR-9009 30mg, injected 2-3x per day
GW-510516 8mg, injected once per day
Retatrutide 4mg, injected three times per week

Supplements:
Ubiquinol 600mg/day
Pycnogenol 200mg/day
L-citrulline 7.5g/day

This keeps my blood pressure between 120/80 day and 110/60 night, RHR in 65-75 range, LDL/HDL ratio < 1.2, and maximizes NO2.
Thanks flor sharing. Just curious why multiple drugs in the same class? Also why would something like ivabrandine be necessary?... unless u have an irregular heart rhythm?
 
Thanks flor sharing. Just curious why multiple drugs in the same class? Also why would something like ivabrandine be necessary?... unless u have an irregular heart rhythm?
again I was mainly buying the cilnidipine, the telisartan was a freebie. in the future I won't be combining ARBs, will stick with azilsartan or telmisartan, just doing so now since I have both on hand (Edarbi + Cilnep-T) and they are not harmful in combination. Any extra lowering of BP is pretty minimal past 80mg; 40-80mg is the efficacy sweet spot for both drugs.

my RHR was higher than I like on androgens, plus GH & Reta. Not excessively high and no arrhythmia, but sometimes I notice it when I'm trying to fall asleep - and just don't like it in the 80s when I'm sitting around. ivabradine lowered it without any unwanted effects that I can discern, so I use it now.

in reality anything we take that reduces stress on the heart / cardiovascular system without causing other problems (i.e. dizziness, execise intolerance, ED) is a good way to mitigate the greatest single risk for PED users.
 
@Whistles77, is this reference sheet still available? I’m getting an empty sheet using mobile Chrome or DDG.

Thanks.
Same here

Link works for me on every desktop browser (Brave, FF, Edge, Chrome).

I tried on FF mobile and same as you, it was blank (actually there are a couple of cells if i scroll).

I guess CryptPad just isn't very mobile optimized. Sorry. It should work on desktop though.
 
again I was mainly buying the cilnidipine, the telisartan was a freebie. in the future I won't be combining ARBs, will stick with azilsartan or telmisartan, just doing so now since I have both on hand (Edarbi + Cilnep-T) and they are not harmful in combination. Any extra lowering of BP is pretty minimal past 80mg; 40-80mg is the efficacy sweet spot for both drugs.

my RHR was higher than I like on androgens, plus GH & Reta. Not excessively high and no arrhythmia, but sometimes I notice it when I'm trying to fall asleep - and just don't like it in the 80s when I'm sitting around. ivabradine lowered it without any unwanted effects that I can discern, so I use it now.

in reality anything we take that reduces stress on the heart / cardiovascular system without causing other problems (i.e. dizziness, execise intolerance, ED) is a good way to mitigate the greatest single risk for PED users.
Totally understand this. Apologies if you mentioned this and I missed it, but considering this I hope you're at least going beta blocker as a first line before something like Ivabradine.
 
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Totally understand this. Apologies if you mentioned this and I missed it, but considering this I hope you're at least going beta blocker as a first line before something like Ivabradine.

I was using nebivolol (US pharma) but wasn’t getting much result. Also my K+ was getting high using ARB + BB. For me the ivabradine is just way more effective and seems to effect nothing other than RHR. I do know the prescribing indications, this is obviously somewhat of an off-label use.

It doesn’t seem very popular these days but I actually prefer good old propranolol as a BB for prn use, mainly for the calming CNS effect lacking in the newer cardioselective beta blockers. BBs are also now delegated to adjuncts for treatment of hypertension, as you likely know. ARB (or ACE inhibitor) first, Ca channel blocker or diuretic second/third, then BB is what most recently trained cardiologists typically prescribe.
 
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