In this case, testosterone replacement therapy may be advised as the first step or provided in mix with other treatments. isosorbide mononitrate
Isosorbide Mononitrate
Isosorbide mononitrate is used to prevent chest pain in patients with a certain heart condition.
Full Answer
Can PDE5 inhibitors help erectile dysfunction in CAD patients?
GEOFFREY HACKETT A common vascular pathology means that many patients with coronary artery disease (CAD) also suffer from erectile dysfunction (ED). The use of oral nitrates in these patients excludes them from the help that a PDE5 inhibitor (PDE5I) could offer.
What is the best medication for erectile dysfunction?
Derek is 60 and has suffered from ED for eight years, achieving success with tadalafil (Cialis) 20mg on demand. Borderline hypertension was noted at the time, but found to be normal on 24-hour monitoring.
Can oral nitrates be used to treat erectile dysfunction?
from erectile dysfunction (ED). The use of oral nitrates in these patients excludes them from the help that a PDE5 inhibitor (PDE5I) could offer. Using a case history, Geoffrey Hackett describes how, with some medicines optimisation, this problem can be resolved. Geoffrey Hackett, Consultant in Urology and Andrology, Good Hope Hospital,
What is the Shim score for erectile dysfunction?
His Sexual Health Inventory for Men score (SHIM) is 9, indicating severe ED. Blood pressure is 120/80, pulse 60, total cholesterol 3.4, HbA1c 6.1 and total testosterone 14.0nmol/l. You explain the links between cardiovascular disease
Can you take Viagra with isosorbide?
Using sildenafil together with isosorbide mononitrate is not recommended. Combining these medications may cause blood pressure to fall excessively, which can lead to cardiovascular collapse.
How do hypertensive patients treat erectile dysfunction?
Men considering medications for erectile dysfunction should check with their doctors first. Erectile dysfunction drugs include sildenafil (Viagra), vardenafil (Levitra, Staxyn) and tadalafil (Cialis). The pill forms are generally considered safe for men with high blood pressure who are in otherwise good health.
How do you fix drug induced erectile dysfunction?
Some possible treatment options that your provider may consider are:Giving your body time to adjust to the new medication or dose.Lowering the medication dose.Switching medications to one that has less risk of causing sexual side effects.Starting a new medication to help fix the sexual side effects.
What can heart patients take for ED?
Pills that are safe for ED after a heart attacksildenafil (Viagra)vardenafil (Levitra)tadalafil (Cialis)
Can I take Viagra while on blood pressure medicine?
Can I take Viagra if I have high blood pressure? For many patients with hypertension, taking Viagra and other ED medication – such as Stendra, Cialis, and Levitra – is safe, effective, and appropriate.
Can ED from high blood pressure be reversed?
ED from high blood pressure can be reversed, especially if you are generally healthy and high blood pressure is the sole culprit.
What is the fastest way to cure ED?
For fastest results, it's best to consult a doctor to get appropriate treatment recommendations, which may include:Lifestyle changes. Maintaining a healthy weight. ... Counseling. ... Medications. ... Vacuum constriction devices. ... Surgery. ... Alternative therapy.
Can drug induced ED be reversed?
Drugs such as antihypertensive and antipsychotic agents may induce sexual dysfunction that can result in patient noncompliance. Usually, drug-induced side effects are reversible with discontinuation of the offending agent.
How much aspirin should I take for erectile dysfunction?
Erectile function among men with vasculogenic erectile dysfunction improved significantly after 6 weeks of treatment with an aspirin dosage of 100 mg/day.
Can you take ED meds with heart problems?
Are ED pills safe for the heart? ED pills are safe for healthy hearts, but all men with cardiovascular disease should take special precautions, and some cannot use them under any circumstances. The problem is their effect on arteries.
Can a heart patient use Viagra?
A new study finds Viagra safe for men with heart disease -- if they're able to exercise without having the symptoms of severe disease. Men taking nitrate drugs (such as nitroglycerin) to ease the symptoms of heart disease can't use Viagra.
How do you get an erection with heart failure?
And erectile dysfunction can be caused or worsened by many of the medications that are commonly prescribed to treat chronic heart failure. Currently, the preferred treatment for erectile dysfunction includes sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis).