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Telmisartan for high bp causes fatigue
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<blockquote data-quote="Wilson7" data-source="post: 239391" data-attributes="member: 39729"><p>ARBs and ACEi have been shown to cause anemia in some populations and in some circles Telmisartan is recommended to combat HRT related erythrocytosis. There has never been a study to support that contention. Personal experience was that it did nothing for Hb/HCT related to HRT and had little effect on BP and as others have noted, I just didn't feel good on it (fatigue). ACEi for me work better, but again have had no effect on Hb/HCT. In fact I dropped the ACEi while using Bactrim for an UTI (risk of hyperkalemia), interestingly there was no effect on BP, but I am prone to PACs and the ACEi helps to reduce them. That I did notice when I stopped the ACEi for a few weeks. Probably reduced sympathetic drive via reduced ANGII unrelated to BP. Given that ANGII is in part responsible for ventricular remodeling, IMO us older guys on HRT should be using a low dose ARB/ACEi under medical supervision for that reason regardless of BP.</p></blockquote><p></p>
[QUOTE="Wilson7, post: 239391, member: 39729"] ARBs and ACEi have been shown to cause anemia in some populations and in some circles Telmisartan is recommended to combat HRT related erythrocytosis. There has never been a study to support that contention. Personal experience was that it did nothing for Hb/HCT related to HRT and had little effect on BP and as others have noted, I just didn't feel good on it (fatigue). ACEi for me work better, but again have had no effect on Hb/HCT. In fact I dropped the ACEi while using Bactrim for an UTI (risk of hyperkalemia), interestingly there was no effect on BP, but I am prone to PACs and the ACEi helps to reduce them. That I did notice when I stopped the ACEi for a few weeks. Probably reduced sympathetic drive via reduced ANGII unrelated to BP. Given that ANGII is in part responsible for ventricular remodeling, IMO us older guys on HRT should be using a low dose ARB/ACEi under medical supervision for that reason regardless of BP. [/QUOTE]
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General Health & Fitness
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Telmisartan for high bp causes fatigue
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