
Originally Posted by
AnabolicDoc
I would definitely stay away from the blood thinners (and I don't mean aspirin) unless you need them medically. Also intramuscular injections are best avoided while ppl are on blood thinners bc of the tendency to form hematomas. Also, androgens can interfere with some blood thinners (for instance if mixed with Coumadin, the blood thinning effect will be enhanced and there will be an increase in bleeding time.)
Aspirin is recommended for all men over 40 by the US Task Force for Disease Prevention. It tends to be more efficacious in preventing arterial clots (such as a heart attack) rather than prevent clots in the veins (DVTs). I don't know if you should be taking an aspirin when on cycle as it depends on a lot of factors.
Controlling BP is always recommended whether through low salt diet (less than 2gm per day), aerobic activity, and/or medication (under a doctor's supervision). If you're pulse is fast too, consider something like a beta-blocker (and if u have asthma then make sure it's a selective beta-blocker, such as nebivolol, metoprolol, and atenolol). Non-selective beta-blockers, such as carvedilol or propranolol are generally not considered first line agents in treating HBP. Otherwise first line BP meds also include:
1) Diuretics, like hydrochlorothiazide (HCTZ), if you don't mind the constant peeing. And somehow it still works even if you drink plenty of water (except in heart failure patients).
2) Angiotensin 2 Receptor Blockers (ARB's) - the generic ones are losartan, irbesartan, and eprosartan
3) Angiotensin Converting Enzyme Inhibitors (ACE-I's) -they work similarly to ARBs but with increased side effects. They are less expensive however. Almost, if not all of them are available generically.
ARB's and ACE-I's should not be taken in women of reproductive age bc of birth defects.
ARB's and ACE-I's are often found in combo pills with HCTZ because they have a synergistic effect. I think these combo pills are the best for AAS users without a rapid pulse. But they will make you urinate a lot so you need to drink plenty of water.
4) CCB's are also considered first line, but specifically amlodipine (Norvasc). Most of the other CCB's are not considered first line treatments.
5) Tekturna is a direct renin inhibitor that has been approved for first line use. But it only comes in brand and has only been out for less than 5 years I think.
I know many ppl like clonidine bc it can be closely titrated, but it needs to be taken more than once per day and can be too strong for some ppl, even at its lowest dose. It's also not considered a first line BP med.
If you have specific questions, feel free to ask. Also, definitely invest in a blood pressure cuff.