question from a user
Started TRT 5 days ago. Compounded locally 20% cream, 2ml once daily rubbed in thighs. I take Valsartan 80mg and Amlodipine Besylate 2.5mg at bed for high BP. BP has been stable at 128/80 (on meds). However, today, my BP was 106/65. I've been hanging low for 2 days now. Does TRT have that much effect on BP? Should I take BP meds every other day? Cut out the Amlodipine? At what BP should i get concerned?Thanks
AlphaMD's Answer
In general TRT has little effect on BP. Some men's BP is affected by their Testosterone & may adjust once their Testosterone is in a proper range, but this is the exception & not the norm. It sounds like you fall into this category.
The best way to think about this would be to manage your BP & TRT separately. Get your Testosterone to the point that it is ideal for you, then have your PCP who is managing your BP adjust your medications to match what your new norm is. We would not advise adjusting your BP medications on your own, keeping your PCP involved would be the best course of action.
Hypotension is considered anything under 90/60 mm, although you should probably contact your provider now & keep them in the loop, going under that would certainly be a reason to check in with them.
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