Subject: RE: Hypertension meds I'm an internist and endurance athlete. No official medical opinion here without knowing you personally but...High Blood pressure is a serious disease but easily treated in most patients. Believe me, I struggle to get my patients to exercise and lose weight at all.
Agree, I wouldn't put an endurance athlete or a younger patient on a beta-blocker because of the possible blunting effect to HR and other side effects--low libido... and especially if they used a HRM to monitor performance. Diuretics bad idea for obvious reasons and some people get a sun-sensitivity rash from some.
There are other meds that work very well in younger patients (I don't know why I'm assuming your young--but anyway ). Other posters mentioned ACE-I/ARBs/Calcium-Channel antagonists )--all these work very well. Very few side effects and benefit compliance with just being once a day. plenty of cheaper generic substitutions also.
Follow-up with your family doc and ask questions about all the meds.
One general recommendation: buy a BP monitor to use at home and perhaps before/after exercise to see what the numbers are doing. Be careful with too much sodium intake as well--both in regular diet and supplements during racing--check a see what it does to your BP. Be careful with the vino/beer if you imbibe.
Good Luck.
Doc |