Blood Pressure Meds (ARBS). Has anyone had a POSITIVE experience?

Posted by lilac2025 @lilac2025, Oct 31, 2025

At 65 years old, I’ve waffled back and forth with my blood pressure for years, often on high normal. I actually think I have Stage 1 hypertension but I’m not on any medications. My doctor agreed that I lose weight first, then we re-visit it this December 2025. I have 13 pounds to go! I’ve already lost 29 lbs in about 1.5 years. It was tough at my age and body type, but I did it! I need to get down to 135 lbs. I may STILL need meds, though. Because of that, I’ve done some research on the different types of blood pressure medications (even months ago I did so). The ARBS seem to have the lowest side effects, and yet I have read many discouraging comments on YouTube about those on Losartan having some serious side effects. Not sure what their dosage was. Has anyone done WELL on Losartan? That was the one I was considering, but I’m not ruling out others. How about any of these ARBS? (see below list) I find it overwhelming to even think about and I’m very nervous about side effects. I’d love to hear from others who are having a POSITIVE experience. I’d rather not be scared away from NEGATIVE experiences. I’m here to get some reassurance from those who are BENEFITTING without any serious side effects. I look forward to reading your stories and replies!
Generic Name
Losartan (Cozaar)
Valsartan (Diovan)
Irbesartan (Avapro)
Candesartan (Atacand)
Olmesartan (Benicar)
Telmisartan (Micardis)
Azilsartan (Edarbi)

Thank you! I hope this helps others who are on the fence and considering lowering their blood pressure with the help of medical science. This will be my very first medication ever in my life. So far, just vitamins and supplements. I accept that at 65, I may not be able to keep down my BP with just beet root capsules or powder in my smoothies, a low-salt whole food plant based diet and exercise. Sometimes, genetics rears its ugly head. That may be my case. I don’t want to harm my coronary arteries as I age.

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

Profile picture for con123 @con123

@unmanageable Continue working with your doctor. Do you see a cardiologist? There are reasons BP can be hard to control. Also some people, like me, have to take several different classes of medication and split between am and pm dosing. I and being evaluated for some rather rare conditions like a neuroendocrine tumor and FMD. Those can be treated with minor surgeries. It would be great not to require so much medication but I do tolerate propanol, olmesarten and hydralazine well.

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@con123
Thank;you for advise but i don't see a cardiologist as yet,got to wait until doctors transfer me .For now i see normal GP.I will try the hydrazaline 25mg that the doctor added to my 2 meds,but how does hydrazaline make you feel

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Profile picture for unmanageable @unmanageable

@con123
Thank;you for advise but i don't see a cardiologist as yet,got to wait until doctors transfer me .For now i see normal GP.I will try the hydrazaline 25mg that the doctor added to my 2 meds,but how does hydrazaline make you feel

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@unmanageable I have no side effects from hydralazine and I take 50mg twice a day. If I get a spike in the afternoon, I can take an additional 50mg. It is a pretty high dose but I tolerate it just fine. Good luck - mention cardiology to your GP. Mine sent me to endocrinology for a workup due to so many spikes (one sending me to ER). Now if I have one, it is seldom and not terribly high. They added a very small dose of an alpha blocker as well. I hate all these meds but as long as I don't have side effects, I'll do what I need to.

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Profile picture for Sue, Volunteer Mentor @sueinmn

@lilac2025 I can tell you a little of my journey. At 50, with a stressful joband limited time for exercise, my BP was moderately high and my family histories (both sides) of cardiovascular disease was awful, so I began taking a low dose of losinopril. It was okay except for a nagging cough, which I attributed to, my asthma and allergies. Then I learned it was a common side effects of the medication.

At 57, I had an unfortunate medical situation that caused a very rapid heartbeat, so this was switched to metoprolol. Around that time, my asthma became more difficult to control. Seven years later, in consultation with a clinical pharmacist, my primary did a med review to figure out why I was having so much trouble. It turned out the metoprolol was fighting my asthma meds and I was switched to Losartan.

Losartan hasn't caused any issues, and last year I was diagnosed with coronary artery disease (thank you genetics!) The cardiologist was happy with the BP control the low dose of the drug provided, and didn't change it.

I consider it a success story. I continue to try to maintain a healthy diet and weight, and get good exercise and sleep.

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@sueinmn I'm the complete opposite. I'm on Metoporol 25mg and Elquius 5mg morning and night. I too am asthmatic. They were worried it would aggravate my asthma but I also have AF and it was controlling my heartbeat really well and didn't affect my asthma. Yay. I have been on BP meds from the age of 29 I've just reached the age of 73. Caduet 10mg BP 10mg cholesterol. Recently my BP had been hard to control and my kidney levels were dropping so I'm seeing a kidney specialist. He's put me on APO - Irbesartan 150mg morning and night to get it down but hasn't worked so I have another tablet Moxonidine 30mg once per day. It concerns me being on so many BP meds so I'm seeing my GP next Tuesday to get this BP sorted. I also have Atrial Fibrilation diagnosed this time 2024 so I have had a pacemaker installed. We have a history of heart in our family dads side. I really do not like this getting older. Lol

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Profile picture for con123 @con123

@unmanageable I have no side effects from hydralazine and I take 50mg twice a day. If I get a spike in the afternoon, I can take an additional 50mg. It is a pretty high dose but I tolerate it just fine. Good luck - mention cardiology to your GP. Mine sent me to endocrinology for a workup due to so many spikes (one sending me to ER). Now if I have one, it is seldom and not terribly high. They added a very small dose of an alpha blocker as well. I hate all these meds but as long as I don't have side effects, I'll do what I need to.

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@con123
Thank you for great advise .Let me get started on hydrazaline. Will be back to let you know on Bp effects.

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Profile picture for ann3838 @ann3838

@sueinmn I'm the complete opposite. I'm on Metoporol 25mg and Elquius 5mg morning and night. I too am asthmatic. They were worried it would aggravate my asthma but I also have AF and it was controlling my heartbeat really well and didn't affect my asthma. Yay. I have been on BP meds from the age of 29 I've just reached the age of 73. Caduet 10mg BP 10mg cholesterol. Recently my BP had been hard to control and my kidney levels were dropping so I'm seeing a kidney specialist. He's put me on APO - Irbesartan 150mg morning and night to get it down but hasn't worked so I have another tablet Moxonidine 30mg once per day. It concerns me being on so many BP meds so I'm seeing my GP next Tuesday to get this BP sorted. I also have Atrial Fibrilation diagnosed this time 2024 so I have had a pacemaker installed. We have a history of heart in our family dads side. I really do not like this getting older. Lol

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@ann3838 I got my best advice on BP meds from a Clinical Phramacist who reviewed all of my meds, then communicated with my cardiologist to get it all sorted out.
If you are on Medicare and more than 5 prescriptions, you can request a medication review once a year. Try to get it from someone connected to your doctors, not an insurance company.

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Profile picture for Sue, Volunteer Mentor @sueinmn

@ann3838 I got my best advice on BP meds from a Clinical Phramacist who reviewed all of my meds, then communicated with my cardiologist to get it all sorted out.
If you are on Medicare and more than 5 prescriptions, you can request a medication review once a year. Try to get it from someone connected to your doctors, not an insurance company.

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@sueinmn
Thanks Sue I'll talk to the GP next Tuesday about getting BP meds reviewed.

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Profile picture for ann3838 @ann3838

@sueinmn
Thanks Sue I'll talk to the GP next Tuesday about getting BP meds reviewed.

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@ann3838 The pharmacist, or a specially trained RN, will review ALL of the meds (Rx and over-the-counter) and supplements you take. They will look for possible interactions, over/under medication and MAY be aware of newer drugs they can bring to your doc's attention.

This has been helpful for both me and my husband as we get older. With their suggestions and my doctors' consent, I have weaned off three meds and have stopped 2 supplements that were interfering with my medications.

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Profile picture for Sue, Volunteer Mentor @sueinmn

@ann3838 The pharmacist, or a specially trained RN, will review ALL of the meds (Rx and over-the-counter) and supplements you take. They will look for possible interactions, over/under medication and MAY be aware of newer drugs they can bring to your doc's attention.

This has been helpful for both me and my husband as we get older. With their suggestions and my doctors' consent, I have weaned off three meds and have stopped 2 supplements that were interfering with my medications.

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Thank you. I'm seeing Dr next Tuesday and I'll get him to review. Annette

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Profile picture for Sue, Volunteer Mentor @sueinmn

@lilac2025 I can tell you a little of my journey. At 50, with a stressful joband limited time for exercise, my BP was moderately high and my family histories (both sides) of cardiovascular disease was awful, so I began taking a low dose of losinopril. It was okay except for a nagging cough, which I attributed to, my asthma and allergies. Then I learned it was a common side effects of the medication.

At 57, I had an unfortunate medical situation that caused a very rapid heartbeat, so this was switched to metoprolol. Around that time, my asthma became more difficult to control. Seven years later, in consultation with a clinical pharmacist, my primary did a med review to figure out why I was having so much trouble. It turned out the metoprolol was fighting my asthma meds and I was switched to Losartan.

Losartan hasn't caused any issues, and last year I was diagnosed with coronary artery disease (thank you genetics!) The cardiologist was happy with the BP control the low dose of the drug provided, and didn't change it.

I consider it a success story. I continue to try to maintain a healthy diet and weight, and get good exercise and sleep.

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@sueinmn Thank you for sharing that, Sue, and I apologize for my delayed response. That is surely a success story and one of the best so far I've heard on Losartan. You sound like you are doing all the right things to help support a healthy life. Sorry to hear about the coronary artery disease -- I sympathize as I had a calcium score a year ago which was a shock and a scare for someone who eats a plant-based diet for over 30 years. I've since improved it even MORE. My cardiologist has said it could be from uncontrolled high blood pressure. My doc is allowing me to drop my weight, (13 lbs to go), then we re-evaluate if I should go on Losartan. I managed to get my ApoB (sticky LDL cholesterol), down from 96 to 80 through diet & exercise. Keep up the good work with healthy lifestyle choices. I'm also trying to make sure I get enough sleep, as that can negatively impact SO many parts of our bodies, including our BONES! I had no idea! All the best!

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Profile picture for marybird @marybird

I've taken Losartan ( 100mg/day, then cut back to 50mg when other medications were added) for high blood pressure for many years and have never had any side effects I can identify from this medication. Losartan is one of a number of medications I take for high blood pressure and other cardiac issues, and the losartan seems to get along very well with those other meds.

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@marybird Thank you for that reassuring response. I am happy for you that the medication is working well with others. I wish you continued good health!

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