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Low dose daily cialis for BP?

OuchThatHurts

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Yes for sure. At least if only used sparingly. If taken on a daily basis, it isn't as bad after a few days. It also makes my skin and eyes red so I end up having to use eye drops (this does not go away for me). So it does come with some downsides.
Your skin and eyes are red because your capillaries on the surface of your skin and in your eyes are dilated and so blood pressure decreases. Beta-blockers and many other BP meds work this way. Others add a diuretic which decreases blood volume also decreasing blood pressure. So you can make the capillaries bigger or make the blood less. Same net effect.

There are many other factors at work like stress for example. When you're stressed adrenaline is released. Since it's a fight or flight hormone, it constricts capillaries so there is less blood loss from your attacker or opponent. Cold is similar as well. It constricts capillaries so most of your blood remains around your organs. Your body knows it can lose fingers and toes. It can't lose a liver or heart.

Vasocontrictors like caffeine, adrenaline, amphetamines, etc will raise blood pressure also.

Alcohol is a vasodilator. Ever notice the cold doesn't feel so cold when you've had a few? Like the St. Bernard with the mini-barrel of brandy around it's neck? Problem there. Yea alcohol will dilate your capillaries, but that just results in you losing heat that much faster. People have frozen to death coming off Mt. Everest because they had too many celebratory drinks at the summit and had no clue they were hypothermic. Whoops! Should have waited for base camp.

Based on what I just said, can anyone tell me why caffeine taken to help give you extra energy to get up a mountain, why it can kill you? Don't worry. This isn't a gotcha question. Just for fun. Anyone?
 

goback2013

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Your skin and eyes are red because your capillaries on the surface of your skin and in your eyes are dilated and so blood pressure decreases. Beta-blockers and many other BP meds work this way. Others add a diuretic which decreases blood volume also decreasing blood pressure. So you can make the capillaries bigger or make the blood less. Same net effect.

There are many other factors at work like stress for example. When you're stressed adrenaline is released. Since it's a fight or flight hormone, it constricts capillaries so there is less blood loss from your attacker or opponent. Cold is similar as well. It constricts capillaries so most of your blood remains around your organs. Your body knows it can lose fingers and toes. It can't lose a liver or heart.

Vasocontrictors like caffeine, adrenaline, amphetamines, etc will raise blood pressure also.

Alcohol is a vasodilator. Ever notice the cold doesn't feel so cold when you've had a few? Like the St. Bernard with the mini-barrel of brandy around it's neck? Problem there. Yea alcohol will dilate your capillaries, but that just results in you losing heat that much faster. People have frozen to death coming off Mt. Everest because they had too many celebratory drinks at the summit and had no clue they were hypothermic. Whoops! Should have waited for base camp.

Based on what I just said, can anyone tell me why caffeine taken to help give you extra energy to get up a mountain, why it can kill you? Don't worry. This isn't a gotcha question. Just for fun. Anyone?
is this why indigenous peoples of the andes chew coca leaves instead of coffee beans ?
 

whacked

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@ OuchTH

Hmmm. I’ll bite on the riddle…

Taking a vasoconstrictor alongside the significant vasoconstriction from the cold = stroke?
 

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Not as effective as telmisartan at all in my experience, but helpful. I notice a drop of around 8-10 points when using cialis
Yep same here…..I believe cialis does work but I personally needed telmisartan with a low dose of cialis to keep my bp in range. 40 mg of telmisartan and 5 cialis daily or 10 cialis EOD is perfect for me but everyone is different.
Cialis (5mg) did nothing for my bp. Telmisartam works fine.

Both taken propilactively(sp), prostate and bp.
Same here, Cialis barely made a dent in my BP numbers where Telmisartan makes a noticeable difference. I use both for BP and other known reason to use either one of them. Happy with the combo of Telmisartan and Cialis together for BP management. This morning I was 127/82 with a HR of 70.

+1 more for TELMISARTAN ..great stuff ..for more than just BP

.
 

heavyhitter

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Your skin and eyes are red because your capillaries on the surface of your skin and in your eyes are dilated and so blood pressure decreases. Beta-blockers and many other BP meds work this way. Others add a diuretic which decreases blood volume also decreasing blood pressure. So you can make the capillaries bigger or make the blood less. Same net effect.

There are many other factors at work like stress for example. When you're stressed adrenaline is released. Since it's a fight or flight hormone, it constricts capillaries so there is less blood loss from your attacker or opponent. Cold is similar as well. It constricts capillaries so most of your blood remains around your organs. Your body knows it can lose fingers and toes. It can't lose a liver or heart.

Vasocontrictors like caffeine, adrenaline, amphetamines, etc will raise blood pressure also.

Alcohol is a vasodilator. Ever notice the cold doesn't feel so cold when you've had a few? Like the St. Bernard with the mini-barrel of brandy around it's neck? Problem there. Yea alcohol will dilate your capillaries, but that just results in you losing heat that much faster. People have frozen to death coming off Mt. Everest because they had too many celebratory drinks at the summit and had no clue they were hypothermic. Whoops! Should have waited for base camp.

Based on what I just said, can anyone tell me why caffeine taken to help give you extra energy to get up a mountain, why it can kill you? Don't worry. This isn't a gotcha question. Just for fun. Anyone?
It raises bp and heart rate while constricting blood vessels leaving you more prone to stroke or heart attack. I’m gonna guess that the additional rbc you’re going to be carrying due to the altitude training will compound this issue. No?
 

OuchThatHurts

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It constricts blood vessels making you colder, burning more energy, but what else is caffeine? Remember, at altitude what does your body do? Makes more RBCs and Hgb right? Of course. So you're blood become thicker to transport more O2 on top of the fact that caffeine iiiiiiisssss..... a natural diuretic! So you add cold temps = higher BP + thick blood + less water.

Uh oh.... You're at 22,000ft, dehydrated with thick blood and it's freezing and your BP is spiking = ☠

And there is nobody going to come for you. You might as well be on the moon. And you're 100 miles from anything resembling civilization.

It's the perfect storm.
 

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That's what is weird with yohimbine. It is a stimulant, but can have a vasodilation effect
 

Ranchhand

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It constricts blood vessels making you colder, burning more energy, but what else is caffeine? Remember, at altitude what does your body do? Makes more RBCs and Hgb right? Of course. So you're blood become thicker to transport more O2 on top of the fact that caffeine iiiiiiisssss..... a natural diuretic! So you add cold temps = higher BP + thick blood + less water.

Uh oh.... You're at 22,000ft, dehydrated with thick blood and it's freezing and your BP is spiking = ☠

And there is nobody going to come for you. You might as well be on the moon. And you're 100 miles from anything resembling civilization.

It's the perfect storm.
How did you come about this observation? Very interesting cocktail of death, putting this all together required some thought and understanding of the mechanics of the body and what altitude will do to you. Back in 2012 I bought a house at 10,650ft to live in the mountains and work fulltime in the ski industry. My house is higher than most ski resorts in the country. Well 10 years later my eyes are constantly blood shot and my hematocrit levels are always pegged to the max, as if I was blood doping. Never had to control BP until living at altitude. I know my hematocrit levels are high because I get my own bloodwork done every year, plus, every time I have to have bloodwork done by a doc they come to me right away as if I'm going to die that day. They always say I should be doing phlebotomy on a regular basis, but everyone here at altitude in the mountains have a high RBC count.
 

alfresco

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How did you come about this observation? Very interesting cocktail of death, putting this all together required some thought and understanding of the mechanics of the body and what altitude will do to you. Back in 2012 I bought a house at 10,650ft to live in the mountains and work fulltime in the ski industry. My house is higher than most ski resorts in the country. Well 10 years later my eyes are constantly blood shot and my hematocrit levels are always pegged to the max, as if I was blood doping. Never had to control BP until living at altitude. I know my hematocrit levels are high because I get my own bloodwork done every year, plus, every time I have to have bloodwork done by a doc they come to me right away as if I'm going to die that day. They always say I should be doing phlebotomy on a regular basis, but everyone here at altitude in the mountains have a high RBC count.

Think the silver miners in South America (Peru, Bolivia?) that work at live at high altitudes and work at even higher altitudes for extender periods of time. They are not dieing of high hetaocrit (which standard test ranges have been lowering over time). When I told to my doctor, he said it was irrelevant. Sheeeez . . .
 

alfresco

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It constricts blood vessels making you colder, burning more energy, but what else is caffeine? Remember, at altitude what does your body do? Makes more RBCs and Hgb right? Of course. So you're blood become thicker to transport more O2 on top of the fact that caffeine iiiiiiisssss..... a natural diuretic! So you add cold temps = higher BP + thick blood + less water.

Uh oh.... You're at 22,000ft, dehydrated with thick blood and it's freezing and your BP is spiking = ☠

And there is nobody going to come for you. You might as well be on the moon. And you're 100 miles from anything resembling civilization.

It's the perfect storm.

Good and valid points. Never put that together like you did.

Caffeine is the only drug / substance that has the ability to enter every cell in your body. Interesting.

Two excellent books on caffeine incase you are interested.
 

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OuchThatHurts

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How did you come about this observation? Very interesting cocktail of death, putting this all together required some thought and understanding of the mechanics of the body and what altitude will do to you. Back in 2012 I bought a house at 10,650ft to live in the mountains and work fulltime in the ski industry. My house is higher than most ski resorts in the country. Well 10 years later my eyes are constantly blood shot and my hematocrit levels are always pegged to the max, as if I was blood doping. Never had to control BP until living at altitude. I know my hematocrit levels are high because I get my own bloodwork done every year, plus, every time I have to have bloodwork done by a doc they come to me right away as if I'm going to die that day. They always say I should be doing phlebotomy on a regular basis, but everyone here at altitude in the mountains have a high RBC count.
I didn't have put anything together because I've climbed at altitude all over this beautiful planet. I've stood at (relative to Earth's center) the highest point on Earth in Ecuador (Chimborazo). But I was out of breath for a day or two even when we landed in Quito Once acclimated to higher altitudes at 10k+ feet life becomes much easier. But yes, BP is going to increase as your blood will become and remain thicker in RBCs responsively to carry more oxygen as the O2 gradually drop as altitude increases.

Consequently, you will also have to take more breaths per minute and performance is reduced due to a lack of acclimatization when going from sea level to altitude. I was short of breath for two days even when we landed in Quito (10,000 ft). And that was just the beginning as I still had to go over 10,000 ft higher in altitude. I lost 40lbs in 4 weeks.
 

OuchThatHurts

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That's what is weird with yohimbine. It is a stimulant, but can have a vasodilation effect
I tried that once and it gave me a splitting headache that lasted hours. I should try it again in a better brand or something.
 

heavyhitter

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I tried that once and it gave me a splitting headache that lasted hours. I should try it again in a better brand or something.
I can’t run yohimbine. It makes me feel awful. Like clen shakes times 2. I feel like I’m on the verge of a panic attack
 

alfresco

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I didn't have put anything together because I've climbed at altitude all over this beautiful planet. I've stood at (relative to Earth's center) the highest point on Earth in Ecuador (Chimborazo). But I was out of breath for a day or two even when we landed in Quito Once acclimated to higher altitudes at 10k+ feet life becomes much easier. But yes, BP is going to increase as your blood will become and remain thicker in RBCs responsively to carry more oxygen as the O2 gradually drop as altitude increases.

Consequently, you will also have to take more breaths per minute and performance is reduced due to a lack of acclimatization when going from sea level to altitude. I was short of breath for two days even when we landed in Quito (10,000 ft). And that was just the beginning as I still had to go over 10,000 ft higher in altitude. I lost 40lbs in 4 weeks.

Cool stuff OTH. When I climbed Kilimanjaro (19,900 ft, not as high as yours 🙁) we went up in 3 days, down in 2. Not recommended, especially if you start at 4,500 ft. like we did. Wish I kept track of my blood pressure but do know my blood oxygen level never dropped below 90 with zero altitude meds. Yes, I did get shortness of breadth but only at about 17,000 ft. At that altitude I had to really pace myself or I got shortness of breadth. And the guides were smoking cigarettes at each and every break, including the top. Go figure.
 

OuchThatHurts

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Cool stuff OTH. When I climbed Kilimanjaro (19,900 ft, not as high as yours 🙁) we went up in 3 days, down in 2. Not recommended, especially if you start at 4,500 ft. like we did. Wish I kept track of my blood pressure but do know my blood oxygen level never dropped below 90 with zero altitude meds. Yes, I did get shortness of breadth but only at about 17,000 ft. At that altitude I had to really pace myself or I got shortness of breadth. And the guides were smoking cigarettes at each and every break, including the top. Go figure.
I passed on Kilimanjaro in 2012 because it was a lot of money for what was basically a high altitude day hike. Yes, the guides do it so much that it's not even close to difficult for them. What I do are usually in winter or alpine ascents. Extremely technical and usually a large degree of planning and calculation is required. I did my first winter ascent on Mt. Washington in the White Mountains in New Hampshire when I was 28. A month later, Mt. Baker in Glacier Peak Wilderness, Northern Cascades with the American Alpine Institute. Man, I was hooked. I'm doing another winter assault on Mt. Rainier in late March. LOL! Joking, you don't assault a mountain, it assaults you. If you don't respect it, it kills you.

That's why cardio is through the roof and trying to suck as much weight as possible right now. I'm using caffeine to burn calories but it's wreaking havoc on my sleep schedule. I bulked up way too much this winter. But I had no idea this spot would have opened up. And I've been with this team before so that puts me at ease. All very competent and fit people. We did an alpine ascent of Mt Shuksan in one day a few years back. The fitness of our lead is in outer space. I think he could run up that mountain. You can see it popping up through the clouds in this photo I took at the Mt. Baker summit below. Consider this another in my series of "Diary Of A Moderator" posts. The photo below that I believe was in South America at sunrise. I'm in the background in the white burgoleen getting my stove ready for breakfast. Dehydrated eggs and rice. Yum. 😜

228731_1030136351232_9477_n_1030136351232.jpg

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