Beta-blocker responsible for significant ED, searching for BP meds that don’t cause ED.

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t_spacemonkey

Well-Known Member
If it works like Losartan, the exssessive urination will lead to extreme dehydration and electrolyte imbalances.

How does Telmisartan compare side effects wise to Losartan?
i had some initial dizziness and headaches, but that passed quickly.
I had bad losartan s/x, probably dehydration as well (cramps). and awful anxiety
but none of that with telmisartan, might be worth a try
 
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Systemlord

Member
I have been on Tamsulosin (0.4 mg) for little more than a week and very possibly results and no side effects. That’s not all, apparently my fasting glucose dropped dramatically. I read Tamsulosin works very well for type II hypertensive diabetics, metabolic syndrome as well as positive effects on lipids, glucose management and improving insulin sensitivity.

Alpha Blockers and Metabolic Syndrome

 

Systemlord

Member
I would look into Bystolic (nebivolol). It is a 3rd generation beta blocker, is far superior to any of the previous generation BBs, is neutral or beneficial on lipids, glucose and insulin sensitivity, and is the only BB that produces endothelial nitric oxide.
I tried Nebivolol and it kept my heart rate low, I couldn't finish my workouts, like I was out of gas. It caused worsening ED and after stopping it, erections returned.

Bisoprolol allows my heart rate to climb higher.

Nebivolol also caused dehydration, which seems to be a common outcome of most blood pressure medicines for me.
 
Last edited:

BigTex

Well-Known Member
I have to take Metoprolol Succinate (beta -blocker). I was having bouts of tachycardia/a-fib, 3-4 times a year. I take 50mg in the AM and 75mg at PM mostly because my heart seemed to be racing between 2am and 4am. So far this has completely stopped the tachycardia/a-fib.

My sleeping heart rate is around 52, resting 63. When I go to the gym I am able to push my heart rate in the 140's - 150's with no problem. 137 bpm is 90% of my max HR so I have no problem training in the 90% + range, plus I usually train for just over 1 hour. No ED noticed.

I also take Telmisartan 80mg and hydrochlorothiazide 25mg. The only issue I have with the Metroprolol is standing up too quickly after being sitting for a while. I have to stand up and not move for a few seconds or I get damn dizzy.
 

Jim Marlowe

New Member
I was a long time user of Metoprolol Succinate in the 100 to 150 mg range. Metoprolol is a cardioselective beta blocker, so it is definitely a positive for those concerned about more systemic effects (relaxing of the smooth muscle, causing breathing difficulties in those who have asthma or COPD, and ED). However, over time it does tend to have an adverse effect on energy metabolism, and I noticed my HbA1C creeping up without making any dietary changes, as well as fat accumulation. It took years. I switched to Nebivolol because it is the only cardioselective beta blocker that is a beta-3 agonist. In terms of ED, which was the OP's issue, Nebivolol theoretically has the benefit of boosting eNOS. I know there are lots of smart people here, and I'm just providing my experience.
 

t_spacemonkey

Well-Known Member
I tried Nebivolol and it kept my heart rate low, I couldn't finish my workouts, like I was out of gas. It caused worsening ED and after stopping it, erections returned.

Bisoprolol allows my heart rate to climb higher.

Nebivolol also caused dehydration, which seems to be a common outcome of most blood pressure medicines for me.
i tried bystolic as well. hell on earth. depressed, can't workout. cant lift can't bike. i decided i stick to telmi and try to bring it down naturally, and temporary run higher. there is no good addition to ARB's. maybe amlodipine
 

MDavidW76

Active Member
I take Losartan, it doesn’t make me piss all day, I don’t think they mix it with a diuretic like Telmisartan. If they do, I’m not on that version.
 
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