Blood pressure does not reduce !!!

[gilmarpersonal]

I'm taking
Olmesartan 20 mg (I don't have telmoisartan,)
Amlodipine 5mg
Nebivolol 5mg

But blood pressure is 130/90

I tried 25mg hydrochlorothiazide but I wake up 3 times a night to urinate. Would it be interesting to add doxasozine?

 

[Ghoul]

What was it originally?

 

[gilmarpersonal]

What was it originally?

My normal blood pressure is 120/80, now I'm using 400mg testosterone enanthate so it went up to 160/90, with the medications it went down to 130/90

 

[Ghoul]

My normal blood pressure is 120/80, now I'm using 400mg testosterone enanthate so it went up to 160/90, with the medications it went down to 130/90

Doxasozine is being removed from treatment guidelines because it increases risk of heart failure.

Indapamide is much, much safer, will drop your BP more, should eliminate the night time excessive urination. Start at 1.25 and if you need to lower BP more after a couple weeks increase to 2.5.

 

[gilmarpersonal]

Doxasozine is being removed from treatment guidelines because it increases risk of heart failure.

Indapamide is much, much safer, will drop your BP more, should eliminate the night time excessive urination. Start at 1.25 and if you need to lower BP more after a couple weeks increase to 2.5.

I took 25mg of hydrochlorothiazide in the morning and I woke up 3 times during the night to urinate. Will the same thing happen with indapamide?

 

[Sicsemptyran]

Ghoul is on point with the drug recs, but there's something else going on here.

On 400mg of testosterone if your BP is shooting up that aggressively and not coming down to Earth on that stack already you should really be double checking cardio, estrogen (is it high/low?), sleep, alcohol intake, sleep apnea, fat levels (could you be served to cut?), etc. You're getting close to the point where you're going to be throwing the kitchen sink at it and not have anything left to leverage.

I'm on 600mg and I'm at the point where I'm having to fight hypotension and drop BP meds. Want to keep some manner in for the anti fibrotic/LVH and kidney protective effects, but am basically at minimum dose without falling over.

 

[gilmarpersonal]

I forgot to mention I also use 25mg of amitriptyline.

 

[gilmarpersonal]

Ghoul is on point with the drug recs, but there's something else going on here.

On 400mg of testosterone if your BP is shooting up that aggressively and not coming down to Earth on that stack already you should really be double checking cardio, estrogen (is it high/low?), sleep, alcohol intake, sleep apnea, fat levels (could you be served to cut?), etc. You're getting close to the point where you're going to be throwing the kitchen sink at it and not have anything left to leverage.

I'm on 600mg and I'm at the point where I'm having to fight hypotension and drop BP meds. Want to keep some manner in for the anti fibrotic/LVH and kidney protective effects, but am basically at minimum dose without falling over.

My estradiol 34
I don't drink alcohol, don't take stimulants

 

[sushak]

Double checked with a different blood pressure monitor?

 

[sionnach]

I forgot to mention I also use 25mg of amitriptyline.

Which can cause BP issues.

 

[Lilpiggy]

Ghoul is on point with the drug recs, but there's something else going on here.

On 400mg of testosterone if your BP is shooting up that aggressively and not coming down to Earth on that stack already you should really be double checking cardio, estrogen (is it high/low?), sleep, alcohol intake, sleep apnea, fat levels (could you be served to cut?), etc. You're getting close to the point where you're going to be throwing the kitchen sink at it and not have anything left to leverage.

I'm on 600mg and I'm at the point where I'm having to fight hypotension and drop BP meds. Want to keep some manner in for the anti fibrotic/LVH and kidney protective effects, but am basically at minimum dose without falling over.

Does low estrogen cause have an effect on blood pressure?

 

[startingover58]

Subbed
Sure ghoul has more knowledge hes gonna throw out there..
@Ghoul seen in another thread where ya said the high BP guidelines changed?
120/70?

 

[Ghoul]

Subbed
Sure ghoul has more knowledge hes gonna throw out there..
@Ghoul seen in another thread where ya said the high BP guidelines changed?
120/70?

American Heart Association guidelines are the most influential in the world, and 2025 revision was released 2 weeks ago, 7 years after the last update.

Normal is now defined as below 120/80.



Hypertension starts at 130/80.

At >140/90, starting on meds immediately is now advised.

Post in thread 'Blood Pressure'

Oct 6, 2025

interesting. ive always used 5mg nebivolol with 80mg telmisartan but clonidine and cilnidipine have definitely sparked my interest. very effective. reading this makes sense though, it’s not that beta blockers are outdated, they just aren’t as much as a priority on the first lines of defense anymore.

it seems you were right about doctors preferring a polypharmacy approach to cardiovascular health over hammering one pathway, and quite frankly when put into practice, it just makes sense.

as far as diuretics, i just consume more and more potassium, and less and less sodium.

FYI...

• Ghoul

• 
• 

 

[startingover58]

Ok,that's where I was..
Must of read it wrong..
Thnx for info ghoul!