Hello @bobinnevada
In my view most us KTR will have some BP both pre & post transplant.

Here is my encounter with BP meds:

Type of medications prescribed is quite a in interesting challenge both for the Doctor & the patient as there are many variables that need to be factored in the decision making. Either way as we all know the BP has to be controlled.

- I took 50 mg of beta blockers prior to the transplant and I wanted to get off them after the transplant - reason was they slow down the heart rate which does affect the BP ( high) but trade off is it protects an heart event.

With support from my cardiologist I slowly phased to 25mg and then stopped it. So now the heart runs around low 70s from high 50s. So it is a trade off higher the heart rate, BP is better.

- Of course after Post KT, typically one needs combination of Meds to tame the BP, In my case I now take ARBs (angio receptor blocker (losartan) 100mg. which served well for me & is the main stay for BP control.
- Other supporting medications I take is 180mg of Diltiazem ( is a CCB calcium channel blocker) with the am Tacrolimus & Mycophenolate... I have been told that Diltiazem has benign impact on maintaining tacrolimus levels.
Both my wife (donor) and I are careful of diet (Lentil/Vegetables / salmon & also have adequate intake of potassium (potassium helps to lower BP naturally too) use only olive oil) / keep steady weight We both walk around 4 miles every day... so far so good will be completing 4 years in July.

I must share one more data point .. even though my family history is filled with cardiac events (most probably affluent lifestyle in my view as life span has varied from 60 to 94 yrs) but no diabetes .. so far I have been fortunate ... no cardiac event. If there is history of cardiac problems then the medicine regime could change.
Good Luck