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Nebivolol/Blood Pressure Question

Zamun

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Have terrible blood pressure regardless of gear/diet/cardio.. 80mg Telmisartan+10 Cialis gets me down to 144/70

Added in 5mg Nebivolol because it’s supposed to be the most “ selective” but I’m struggling to get my heart rate over 100-110 during cardio. Also feeling breathless/winded during lifting. Anyone else have issues like these?

Im open to other BP recommendations if anyone has any. Can’t do CCB because of ankle swelling. Thanks.
 
Cut it to 2.5mg on Nebilivol as that’s the lowest dosage.

Lisinopril 10mg is also another popular choice and not a beta blocker so won’t slow the HR.

More importantly though, I would see a cardiologist for some testing if those numbers are always high and look at your diet.
 
Why not an ACE inhibitor? WAY more effective than telmisartan. I had to make a similar choice and added 10mg ramipril to telmisartan.
 
Why not an ACE inhibitor? WAY more effective than telmisartan. I had to make a similar choice and added 10mg ramipril to telmisartan.
I wasn’t aware you could combine ace/arb. You find ramipril stronger than telmi?
 
IIRC, ace inhibitors and ARB are generally frontline bp medications

After that, calcium channel blockers

After that, beta blockers and/or diuretics

My PCP just added 5mg amlodipine to my regimen (40mg Lisinopril).

So far, I’m tolerating it very well
 
Why not an ACE inhibitor? WAY more effective than telmisartan. I had to make a similar choice and added 10mg ramipril to telmisartan.
besides the higher side effect for ace inhibitors, would you say ace inhibitors are better than ARBS?
 
He’s already taking an ARB

IIRC, stacking ACE-I with ARB doesn’t work
Several people take an ACE inhibitor with Telmisartan. Take a look around this forum and you’ll see that. It def works and can be cardio protective (Telmisartan).

But my post said “another popular choice”. Not stacking.. lol

Some people will respond better to Lisinopril than Telmisartan for blood pressure management. It looks like you’re one of them based on your post above as your PCP just added it for you.

That’s why I suggested he work with a cardiologist to get to the root of the why.
 
Have terrible blood pressure regardless of gear/diet/cardio.. 80mg Telmisartan+10 Cialis gets me down to 144/70

Added in 5mg Nebivolol because it’s supposed to be the most “ selective” but I’m struggling to get my heart rate over 100-110 during cardio. Also feeling breathless/winded during lifting. Anyone else have issues like these?

Im open to other BP recommendations if anyone has any. Can’t do CCB because of ankle swelling. Thanks.
Yeah it's not really first line for BP, more controlling heart rate (it's not really first line for that either)

Do you have asthma or COPD by any chance? Beta blockers can make that worse (because you said getting winded)
 
Amlodipin trust me.. and lower Nebivolol to 2,5mg.
 
IIRC, ace inhibitors and ARB are generally frontline bp medications

After that, calcium channel blockers

After that, beta blockers and/or diuretics

My PCP just added 5mg amlodipine to my regimen (40mg Lisinopril).

So far, I’m tolerating it very well

One week ago, I added in amlodipine 10mg (CCB) to my already daily Telmisartan 80mg (ARB). In one week, my BP went from 153/99 to 124/83 (BP taken this morning).
 
Why not an ACE inhibitor? WAY more effective than telmisartan. I had to make a similar choice and added 10mg ramipril to telmisartan.
I took lisinopril for years and one day woke with extreme angeoidema. I thought my lips were going to explode. This is actually not uncommon to have a reaction to an ace inhibiter even years after using it. That stuff is poison! I was rushed to ER as the concern was my throat would swell shut. Mine was as bad as many of those in these pics: https://www.google.com/search?q=ang...g&ei=vfTHY86YOqv2kPIPo-GEwAM&bih=617&biw=1366
 
Added in 5mg Nebivolol because it’s supposed to be the most “ selective” but I’m struggling to get my heart rate over 100-110 during cardio
It will reduce your heart rate without lowering your cardio or training output. That is what cardio selective means. And I hope you did not jump straight to 5mg right away. Your post tells me you have not done any research before you decided to take nebivolol.

Combining ACEis with ARBs is just another stupid idea. The risk of getting a life threatening angioodema or life threatening high potassium levels is significantly increased. No real cardiologist would ever describe these two together under normal circumstances.
 
It will reduce your heart rate without lowering your cardio or training output. That is what cardio selective means. And I hope you did not jump straight to 5mg right away. Your post tells me you have not done any research before you decided to take nebivolol.

Combining ACEis with ARBs is just another stupid idea. The risk of getting a life threatening angioodema or life threatening high potassium levels is significantly increased. No real cardiologist would ever describe these two together under normal circumstances.
Did you even read my post? Lmao.

5 MG isn’t a crazy dose to start at. Most here are at 5 or higher. No one is taking 2.5 for blood pressure that’s 150-160.
doctor put me on it. Wasn’t something I ordered and wildly tossed in.


Also I didn’t suggest combining arbs and ace inhibitors. Another poster did and I stated I didn’t think that was allowable.
 
It will reduce your heart rate without lowering your cardio or training output. That is what cardio selective means. And I hope you did not jump straight to 5mg right away. Your post tells me you have not done any research before you decided to take nebivolol.

Combining ACEis with ARBs is just another stupid idea. The risk of getting a life threatening angioodema or life threatening high potassium levels is significantly increased. No real cardiologist would ever describe these two together under normal circumstances.
No, that’s not what cardio selective means. It means up to and including the 10mg dose, it only acts on beta 1, no beta 2
past 10mg it’s no longer selective

btw for anyone else reading, nebivolol is a good choice for controlling bp, but shit for hr
 
btw for anyone else reading, nebivolol is a good choice for controlling bp, but shit for hr

I thought it was the opposite?

It’s been excellent for me for RHR and at only 2.5mg. Maybe I’m a hyper-responder.
 
I thought it was the opposite?

It’s been excellent for me for RHR and at only 2.5mg. Maybe I’m a hyper-responder.
Everyone varies, but speaking in terms of overall clinical data results, there are much better things for heart rate reduction. Nebivolol is great for blood pressure control without sides, the clinical data shows sides are less than placebo (which doesn’t really mean anything other than no sides). It has both the beta 1 selectivity and also induces nitric oxide production.
 

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