You are right to be concerned. Some folks seem to have bad information on this. 120/80 is the maximum healthy BP, not the ideal BP. From 120/80 to 130/90 is considered elevated. Anything past that, either systolic or diastolic, is a stage of hypertension. Five units of BP can increase stroke risk by 30%, so we’re talking about consequential shit here. Getting it under control is a good idea.
The first thing to try to do is decrease dietary sodium intake. A number of anabolics decrease the kidneys’ rate of eliminating sodium, which will cause BP to go up. After that, try to balance sodium intake with a potassium supplement. Easy, no-risk options.
The medical side is somewhat complicated because there are like ten classes of meds here, so selection is usually based on other health characteristics that we don’t know. The two meds you have tried are an ACE inhibitor and a angiotensin receptor blocker. The usual next attempt is either a calcium channel blocker or a diuretic. However, someone on AAS might benefit from a beta blocker more than most people. These have the benefit of decreasing heart rate, which will help prevent heart enlargement, and we’re at elevated risk for that because of gear. A lot of people like nebivolol, because it has some nice side effects, but carvedilol actually decreases BP the most out of the beta blockers. Unless you’ve got uncontrolled asthma, a beta blocker is worth a try.
I take clonidine, personally, despite not having elevated BP. It is helpful for sleep as well as anxiety and ADHD. It can cause rebound hypertension, so it’s not the best BP drug, but it is so fucking helpful with my insomnia that it’s worth it for me. I have run out before, and the catecholamine surge is fucking intolerable.
Many of the anti-hypertensives will have some effect on your blood work, so your usual Na, K, glucose, creatinine, and uric acid all matter and kinda direct the choices. If you’re working with a doctor, he or she is the one who should be steering that ship.
