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.