Increase Telmisartan or Nabivolol dosage ?

[y777]

Hi guys

Started taking Telmisartan last year to help w hematocrit (keeps it in low 40s from low 50s, even if on 100 mg test TRT ).

During my b&c I’ve titrated it up to 80 mg. But when I ran tren my BP started creeping back up but more impotently my resting HR just exploded higher from 70s to 80s and 90s. That’s when I added 5mg Nabivolol daily.

I liked the Nabivolol profile and esp how it keeps my HR low even off tren. So when I knocked it all down To cruise I took the Telmisartan to 40mg and kept the Nabivolol at 5 mg.

Now , however , I added a bit more test (closer to 300 , from 200) and I’m running 500 NPP. BP is now around 130/70, about 10 points higher. Doing cardio 3x per week.

Should I start taking Telmisartan back up or should I look to take 10mg Nabivolol instead. Thoughts ?

I’m ok w this level BP but a bit paranoid about nandrolone long term effects. I’ve tried running NPP before but never had luck cuz I had mg e2 too high. But now that I’ve had some joint issues I’m a huge fan so I eventually wanna look into permanent add to trt either NPP or deca lower dose.

Anyway. Sorry for longer post

Thank you

TLDR: If BP starts creeping over 130, would you first add more Telmisartan or increase Nabivolol , if you’re on both

 

[AlexDavis43]

Hi guys

Started taking Telmisartan last year to help w hematocrit (keeps it in low 40s from low 50s, even if on 100 mg test TRT ).

During my b&c I’ve titrated it up to 80 mg. But when I ran tren my BP started creeping back up but more impotently my resting HR just exploded higher from 70s to 80s and 90s. That’s when I added 5mg Nabivolol daily.

I liked the Nabivolol profile and esp how it keeps my HR low even off tren. So when I knocked it all down To cruise I took the Telmisartan to 40mg and kept the Nabivolol at 5 mg.

Now , however , I added a bit more test (closer to 300 , from 200) and I’m running 500 NPP. BP is now around 130/70, about 10 points higher. Doing cardio 3x per week.

Should I start taking Telmisartan back up or should I look to take 10mg Nabivolol instead. Thoughts ?

I’m ok w this level BP but a bit paranoid about nandrolone long term effects. I’ve tried running NPP before but never had luck cuz I had mg e2 too high. But now that I’ve had some joint issues I’m a huge fan so I eventually wanna look into permanent add to trt either NPP or deca lower dose.

Anyway. Sorry for longer post

Thank you

TLDR: If BP starts creeping over 130, would you first add more Telmisartan or increase Nabivolol , if you’re on both

My doc fucked around with multiple doses of candesartan and nebivolol until we found a dose that kept me in range. I prefer candesartan (which is similar to telmisartan) but it took moderate doses of both to keep me consistently in range.

My advice: this is a marathon, not a sprint. Try increasing telmisartan for a few weeks. If you don't like the sides, decrease it and try more nebivolol. I'm sure your doc will be flexible on this.

This is all secondary to increasing my cardio/running a lot.

 

[Spaceman Spiff]

TLDR: If BP starts creeping over 130, would you first add more Telmisartan or increase Nabivolol , if you’re on both

Telmisartan to get angiotensin controlled, get diet in check.


The top 2 should fix it.

Can put in a beta blocker but need to watch heart rate.

 

[AlexDavis43]

Telmisartan to get angiotensin controlled, get diet in check.


The top 2 should fix it.

Can put in a beta blocker but need to watch heart rate.

2x diet.

I'm already limiting processed foods because I'm on GH and salty meals cause sides for me.

Maybe outdated evidence that processed foods contribute to hypertension (in a lean/bodybuilding context), but don't really need many reasons to limit them.

No fast food, lots of cardio (6 miles running/d), and 16 mg candesartan was almost able to keep my BP at 120. Needed to add 5 mg nebivolol to get there.

 

[HUGE McBIGLARGE]

What side effects do you get on ARBs?

I can take 100mg losartan or 80mg telmisartan and I feel absolutely nothing from it. But 4mg doxazosin and I feel woozy.

 

[AlexDavis43]

What side effects do you get on ARBs?

I can take 100mg losartan or 80mg telmisartan and I feel absolutely nothing from it. But 4mg doxazosin and I feel woozy.

If you feel nothing from 80 mg telmisartan but it resolves your hypertension, you found a winner.

Woozy = try something else.

 

[ksm2]

What side effects do you get on ARBs?

No sides up to 80 mg telmisartan and 5 mg nebivolol.

TLDR: If BP starts creeping over 130, would you first add more Telmisartan or increase Nabivolol , if you’re on both

I would probably start by adding more telmisartan first, if it doesn't help increase nebivolol instead.

 

[AlexDavis43]

No sides up to 80 mg telmisartan and 5 mg nebivolol.



I would probably start by adding more telmisartan first, if it doesn't help increase nebivolol instead.

That's pretty much my protocol except doc preferred candesartan and at my last appointment it was lowered from 32 to 16 mg. Iirc 32 cande is like 80 telmi.

I got no sides from cande and still none when nebivolol was added. Needed both to keep BP in check.

 

[Ghoul]

The most up to date protocol is to max out the ARB, (Telm to 80mg) first it has a better safety profile, and if that's not enough to reach target BP, increase beta blocker.

UpToDate

www.uptodate.com

 

[DECLAN]

Hi guys

Started taking Telmisartan last year to help w hematocrit (keeps it in low 40s from low 50s, even if on 100 mg test TRT ).

During my b&c I’ve titrated it up to 80 mg. But when I ran tren my BP started creeping back up but more impotently my resting HR just exploded higher from 70s to 80s and 90s. That’s when I added 5mg Nabivolol daily.

I liked the Nabivolol profile and esp how it keeps my HR low even off tren. So when I knocked it all down To cruise I took the Telmisartan to 40mg and kept the Nabivolol at 5 mg.

Now , however , I added a bit more test (closer to 300 , from 200) and I’m running 500 NPP. BP is now around 130/70, about 10 points higher. Doing cardio 3x per week.

Should I start taking Telmisartan back up or should I look to take 10mg Nabivolol instead. Thoughts ?

I’m ok w this level BP but a bit paranoid about nandrolone long term effects. I’ve tried running NPP before but never had luck cuz I had mg e2 too high. But now that I’ve had some joint issues I’m a huge fan so I eventually wanna look into permanent add to trt either NPP or deca lower dose.

Anyway. Sorry for longer post

Thank you

TLDR: If BP starts creeping over 130, would you first add more Telmisartan or increase Nabivolol , if you’re on both

130 isn’t too bad on a blast as long as it doesn’t creep up some more. I would suggest taking out the drugs giving you the issues, you say you’re worried about nandrolone’s long term effect then switch it to a more friendly compound like primo.

We sometimes want to add more drugs to make something work while our aim should be to use the least amount of drugs but get the most benefits out of the minimum.

Just like the other guys said though, diet plays a huge part on lowering bp. For example, when I cut even with fat burners/stims and tren mixed in I have to lower my doc prescribed telmisartan in half because my bp drops to 100/60 because of all the cardio and low carb days on deficit.

 

[iris]

We sometimes want to add more drugs to make something work while our aim should be to use the least amount of drugs but get the most benefits out of the minimum.

This.
+1

 

[Jaxino]

Hi guys

Started taking Telmisartan last year to help w hematocrit (keeps it in low 40s from low 50s, even if on 100 mg test TRT ).

During my b&c I’ve titrated it up to 80 mg. But when I ran tren my BP started creeping back up but more impotently my resting HR just exploded higher from 70s to 80s and 90s. That’s when I added 5mg Nabivolol daily.

I liked the Nabivolol profile and esp how it keeps my HR low even off tren. So when I knocked it all down To cruise I took the Telmisartan to 40mg and kept the Nabivolol at 5 mg.

Now , however , I added a bit more test (closer to 300 , from 200) and I’m running 500 NPP. BP is now around 130/70, about 10 points higher. Doing cardio 3x per week.

Should I start taking Telmisartan back up or should I look to take 10mg Nabivolol instead. Thoughts ?

I’m ok w this level BP but a bit paranoid about nandrolone long term effects. I’ve tried running NPP before but never had luck cuz I had mg e2 too high. But now that I’ve had some joint issues I’m a huge fan so I eventually wanna look into permanent add to trt either NPP or deca lower dose.

Anyway. Sorry for longer post

Thank you

TLDR: If BP starts creeping over 130, would you first add more Telmisartan or increase Nabivolol , if you’re on both

If you are paranoid about steroid use don't blast anything keep 250 test and be fine with that, maybe add HGH.

I would add more Telmisartan if my BP is too high.
I would add more Nebivilol if RHR (when you sleep) are too high.

Also as I wrote on other thread, supplement magnesium, we all lack it and It's the only supplement that helps us on everything, from bp to sleep to performance. 1-2g daily.

 

[Eddie.]

Hello everyone, i'd like to ask you guys who use telmisartan. Is there any difference in potency or whatever if you take lets say two 40mg pill or four 20mg pills if your goal dosage is 80mg? Or it has to be one 80mg pill?

I experience some weird BP measures last days, 3 out of 4 measures throughout the day are in my usual low-normal like 108/60 to 113/63 but there are couple times especially around 21:00 at night i had 2 times a measure of 140/68 which after 5-10 minutes systolic dropped under 120. I don't know why this happened, but damn after i went to take a second or third measure i had +10 pulse higher because of my anxiety lol

I'm about to add nandrolone in a few days and want to buy some telmisartan just in case higher measurements become more frequent. I'm thinking to buy 20mg, if that doesn't do anything can i take 2 of this pills or do i need to buy 40mg tablets? I know it sounds stupid but i'm under the impression some drugs you can't just double the dose or split the tablet in half because they don't work that way. Also i'm gonna grab some nebivolol again just in case RHR shoots higher because it already took a hit and i'm in the 70-75 range and if it gets higher i might start this too. Thanks in advance.

 

[Ghoul]

Hello everyone, i'd like to ask you guys who use telmisartan. Is there any difference in potency or whatever if you take lets say two 40mg pill or four 20mg pills if your goal dosage is 80mg? Or it has to be one 80mg pill?

I experience some weird BP measures last days, 3 out of 4 measures throughout the day are in my usual low-normal like 108/60 to 113/63 but there are couple times especially around 21:00 at night i had 2 times a measure of 140/68 which after 5-10 minutes systolic dropped under 120. I don't know why this happened, but damn after i went to take a second or third measure i had +10 pulse higher because of my anxiety lol

I'm about to add nandrolone in a few days and want to buy some telmisartan just in case higher measurements become more frequent. I'm thinking to buy 20mg, if that doesn't do anything can i take 2 of this pills or do i need to buy 40mg tablets? I know it sounds stupid but i'm under the impression some drugs you can't just double the dose or split the tablet in half because they don't work that way. Also i'm gonna grab some nebivolol again just in case RHR shoots higher because it already took a hit and i'm in the 70-75 range and if it gets higher i might start this too. Thanks in advance.

Yes Telm can be split or multiple pills combined. It does take 4 weeks to see maximum results from a given dose , fyi.

 

[DECLAN]

Hello everyone, i'd like to ask you guys who use telmisartan. Is there any difference in potency or whatever if you take lets say two 40mg pill or four 20mg pills if your goal dosage is 80mg? Or it has to be one 80mg pill?

I experience some weird BP measures last days, 3 out of 4 measures throughout the day are in my usual low-normal like 108/60 to 113/63 but there are couple times especially around 21:00 at night i had 2 times a measure of 140/68 which after 5-10 minutes systolic dropped under 120. I don't know why this happened, but damn after i went to take a second or third measure i had +10 pulse higher because of my anxiety lol

I'm about to add nandrolone in a few days and want to buy some telmisartan just in case higher measurements become more frequent. I'm thinking to buy 20mg, if that doesn't do anything can i take 2 of this pills or do i need to buy 40mg tablets? I know it sounds stupid but i'm under the impression some drugs you can't just double the dose or split the tablet in half because they don't work that way. Also i'm gonna grab some nebivolol again just in case RHR shoots higher because it already took a hit and i'm in the 70-75 range and if it gets higher i might start this too. Thanks in advance.

I think you’re overthinking this. Your blood pressure will obviously vary all day, you can only imagine what’s your bp under the bar doing heavy squats or a huge load on leg press.

For me, as long as my values are good in the am as soon as I wake up, I think I’m good and won’t check again till the next day. Or else it would be a mind fuck game of anxiety and paranoia lol.

I’m prescribed 40mg per day but on bulks I increase it to 80mg especially on 19nors but when I’m cutting with all the cardio and low carbs I cut it to 20mg because my bp drops to 90/60 which I am not comfortable with.

Then same with heart rate, on cycle I increase metropolol but take it off when I stop.

I usually give myself a 2 months break from everything, no aas even trt is stopped. I don’t know if it’s good for me but I feel better knowing I give myself small break from aas use.

My blood pressure would drop to 110-120/70-80 and heart rate goes to 55-65bpm.

 

[Eddie.]

Yes Telm can be split or multiple pills combined. It does take 4 weeks to see maximum results from a given dose , fyi.

Oh wow, that's way longer than i expected. I'll drop my cycle in 6-7 weeks so i guess it's not worth it. From your experience, given my low usual numbers of 110/60 if i start proactively like tomorrow with a dose of 20mg is there any chance to drive my bp low enough to cause issues? I'm really curious though and i can't think what would be the cause of that since before this cycle (with obviously less androgens) i had a consinstent BP throughout the day. Now almost all day long it's fine and in the evening it does spike for a while. Thanks for replying.

I think you’re overthinking this. Your blood pressure will obviously vary all day, you can only imagine what’s your bp under the bar doing heavy squats or a huge load on leg press.

For me, as long as my values are good in the am as soon as I wake up, I think I’m good and won’t check again till the next day. Or else it would be a mind fuck game of anxiety and paranoia lol.

I’m prescribed 40mg per day but on bulks I increase it to 80mg especially on 19nors but when I’m cutting with all the cardio and low carbs I cut it to 20mg because my bp drops to 90/60 which I am not comfortable with.

Then same with heart rate, on cycle I increase metropolol but take it off when I stop.

I usually give myself a 2 months break from everything, no aas even trt is stopped. I don’t know if it’s good for me but I feel better knowing I give myself small break from aas use.

My blood pressure would drop to 110-120/70-80 and heart rate goes to 55-65bpm.

Yeah your probably right. My BP is still fine considering i'm on test/eq/anadrol but i just want to keep it that way. If telmisartan takes 4 weeks to kick in and regulate bp then i don't think i'm gonna take it because before Christmas i'll probably end the cycle and go into cruise.

Most of the times i was getting my BP checked was first thing in the morning but now i'm on higher mg i thought it would be a good idea to start taking random measurements in the day, probably it doesn't worth the paranoia as you said. Thanks!

 

[DECLAN]

Oh wow, that's way longer than i expected. I'll drop my cycle in 6-7 weeks so i guess it's not worth it. From your experience, given my low usual numbers of 110/60 if i start proactively like tomorrow with a dose of 20mg is there any chance to drive my bp low enough to cause issues? I'm really curious though and i can't think what would be the cause of that since before this cycle (with obviously less androgens) i had a consinstent BP throughout the day. Now almost all day long it's fine and in the evening it does spike for a while. Thanks for replying.



Yeah your probably right. My BP is still fine considering i'm on test/eq/anadrol but i just want to keep it that way. If telmisartan takes 4 weeks to kick in and regulate bp then i don't think i'm gonna take it because before Christmas i'll probably end the cycle and go into cruise.

Most of the times i was getting my BP checked was first thing in the morning but now i'm on higher mg i thought it would be a good idea to start taking random measurements in the day, probably it doesn't worth the paranoia as you said. Thanks!

Hmmmn I don’t exactly know how long before it regulates it but I notice the difference in my bp count in a few days when I started telmisartan, this is when I switched from ramipril.

Even when lowering the dosage it didn’t take a week for it to see the change. I don’t maybe for others it does not for me though.

 

[Ghoul]

It's 5 days for Telm blood concentration to reach a steady state. The clinical guidance says 4 weeks to see full effect, but of course it's going to start having an effect much sooner. Perhaps a week to "stabilize" is a reasonable compromise. I'm sure the changes in week 2-4 are much less than in the first week anyway.