TL;DR Version
Blood Pressure (BP) is a complex vital sign, and cannot be easily taught and all encompassed within even several pages of text. You could take an entire semester long course in college learning the physiology of blood pressure and still not know everything about it. The point of my post and this section of the wiki is NOT to completely educate anyone about BP, but to teach anyone willing to learn how to (fairly) easily manage their BP on their own without a doctor (although if you feel comfortable going to your doctor to get BP medication while on AAS, then by all means please do) and know a thing or two about what they are doing.

Different steroids WILL require different BP medications

Trenbolone: This is where you will want Nebivolol 5 or 10 mg every day (or higher if need be, 20 mg being the highest you should ever go). Nebivolol is a selective (the most) beta blocker that will slow down the increased Heart Rate (HR) you experience on tren. As a beta blocker, Nebivolol is a bit more difficult to use than other BP medications, as it will require a taper off period.

The taper is SIMPLE.

Example: You are on 10 mg Nebivolol every day.

Week 1 of the taper you will take 10 mg Nebivolol for 4 days, then 7.5 mg for 3 days

Week 2 you will take 7.5 mg every day

Week 3 you will take 5 mg every day

Week 4 you will take 2.5 mg every day

Week 5 you will take 2.5 mg every OTHER day

DONE

This taper guideline is a GENERAL EXAMPLE and can be customized to fit your own needs, but every taper should look fairly similar to this. Larger dosages will take longer to taper off of.

All other steroids: Use a simple ACE I such as Lisinopril or an ARB such as Losartan every day to manage BP. These drugs help the kidneys and liver function better as well. If this does not cut it, you must read my above post to consider duplicate (2 drugs) or triple therapy to manage your BP.

Disclaimer: all of the above from me are just RECOMMENDATIONS and ADVICE. I am not a doctor nor a medical professional, and you should trust their judgment (but also use your own) when managing your life and BP. If you do not feel confident that you know how to take BP meds after all your research, ask in the Ask anything threads for help, or go to a real doctor. Do not take them blindly.

More on Blood Pressure
Taking your BP once a day is not enough, as this is only a time snapshot of what is occurring in your body. You want to take your BP 2-4 times per day. Ideally once in the morning, once in the afternoon, once before bed. The more the better.

When you take your BP, the first reading doesn't count. You could be anxious, nervous, what have you. Take your BP a total of 3-4 times, with the first time not counting. Write down each reading, and average them. This is your current BP at that time.

Take your BP after 5 minutes of sitting and relaxing, doing something that calms you down. Watch a funny TV show, read a book, meditate, sudoku, whatever tiny little hobby you like. Heck read some reddit. You want to be seated, straight up, back against support like a good chair, both feet planted flat on the floor. Your arm should be rested on a table of appropriate height, with your elbow 100% supported and you are giving no though or energy to keeping your arm up. Use a BP machine on your upper arm (no wrist ones) to take the readings. Make sure the cuff you are using is large enough.

BP should be managed FIRST with cardio done 5-7 days per week (the more the better) and an active healthy lifestyle and diet low in sodium and caffeine and ZERO other drugs of abuse. BP can then be attempted at management with supplements, such as CoQ10, hibiscus tea, Garlic extract, etc etc the list goes on. These supplements do very little/basically nothing for MOST people who are natural. Imagine how much they actually do for people on steroids, with AAS induced HTN. Most people on AAS are likely to encounter some time period that they need or should be on legitimate BP medications. Do not feel like you are a loser because you need real BP meds while on AAS. However, definitely try cardio and adding 1-2 supplements to your daily regimen to see if they help you before admitting defeat and taking real BP meds.

Hypertension (HTN or high blood pressure) is known as the silent killer, because you may never know you have it but it is very bad for your heart and body and organs. There is a way to possibly be able to tell your BP is high without taking it: when you lay down at night and everything is dark and calm and you are rested, and you can feel your veins pulsing and beating in your head or ears when you're on the pillow, this is a plausible indicative sign your BP is too high, and you should start using a real machine to monitor it.

Cialis For Blood Pressure
Cialis (Tadalafil) DOES NOT lower BP. AT ALL, EVER. Anyone who tells you otherwise is lying, right to your face, or otherwise ill informed. Read my submitted post above for a full explanation on this.

Package insert for Cialis, FDA approved.
Taken directly from page 7:

Effects on Blood Pressure

Tadalafil 20 mg administered to healthy male subjects produced no significant difference compared to placebo in supine systolic and diastolic blood pressure (difference in the mean maximal decrease of 1.6/0.8 mm Hg, respectively) and in standing systolic and diastolic blood pressure"

Until someone shows you scientific data done on many people showing proof that Cialis lowers blood pressure, don't believe it. Do not attempt to use Cialis to control BP.

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