Medical treatments: Be prepared to answer questions your doctor may ask, such as: 54 in untreated to 1.

Now there's also Cialis, Levitra, and Staxyn.

ALL RIGHTS RESERVED. To help your doctor select the most appropriate medication for you, tell him or her all the other medications you're taking now — including herbal supplements and over-the-counter drugs. Blood pressure medication has long been warned to have the side effect of reduced sexual desire and erectile dysfunction. Left untreated, high blood pressure can cause ED. If you still have side effects, talk to your doctor about other possible medications that may have fewer side effects. That’s one reason it’s so important to talk to a doctor before starting any treatment for ED, but there’s another critical reason, too.

Even though by name alone it sounds like it should help, not hurt, an erection, high blood pressure prevents the arteries that carry blood to the penis from expanding the way they're intended to.


Some of the treatments available for ED include: For 47 men -- nearly half -- the problem was severe. This causes a lack of blood flow to the penis and stops it from becoming erect. Evaluation and treatment of galactorrhea. Feeling embarrassed about being impotent may prevent many men from seeking the medical attention they need, which can delay diagnosis and treatment of more serious underlying conditions. The amount of each drug used can be changed based on the severity of your ED, by an experienced health professional.

Better options include calcium channel blockers, which lower high blood pressure through a different mechanism. According to the American Heart Association, most people with heart trouble can enjoy sex safely -- and that includes those with high blood pressure. ED can occur from the normal aging process, certain surgeries (such as prostate surgery), and some medications. ED happens when a man isn’t able to get or keep an erection long enough to complete a desired sexual act, such as intercourse.

  • 16 However, compared with patients treated with propranolol, enalapril, had a favorable effect,25 and in cross-over studies where either the ACE-inhibitor, lisinopril, or the angiotensin II receptor antagonist, valsartan, were compared to β-adrenoceptor antagonist, the number of sexual intercourses were higher in the groups of patients treated with lisinopril and valsartan.
  • ACE inhibitors Share on Pinterest A side effect of ACE inhibitors is a dry cough.
  • These can include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes.
  • Erectile dysfunction, previously termed impotence, is a failure of excess blood flow to engorge the corpus cavernosum and cause an erection.


What is medically-induced ED? It is important to communicate openly with your partner. Water pills (diuretics). Exercise frequently. A survey of 104 men with hypertension, published in the October 2020 issue of The Journal of Urology, found that the vast majority -- 71 patients -- had some form of erectile dysfunction. Maintaining an appropriate weight, getting good sleep, learning how to respond rather than react to stress, practicing aerobic exercise at least three to four times per week, and lowering your salt and fatty food intake are all lifestyle choices that keep your body's functioning more in balance. The risk of sexual side effects is increased when an individual is taking several medications. There are several case-reports suggesting heparin therapy is associated with priapism,66 and in a review of 121 cases of priapism, four of the patients were in treatment with heparin.

It’s a situation you’ll always remember and one that half of all U. Heart disease tops the list for the leading causes of death for both sexes, and new research reveals that erectile dysfunction could be an early indicator of this condition in men. 2020 icd-10-cm diagnosis code n52.9: male erectile dysfunction, unspecified, nO plays a crucial role in the molecular mechanism of penile smooth muscle relaxation9, and decreased levels of NO can contribute to ED. And being aware of possible side effects may make a man more likely to recognize them as abnormal.

When the sexual stimulation is removed or when ejaculation occurs, the extra blood drains from the penis and the erection resolves. Whether these drugs have a favourable effect on erectile function similar to α 1 -adrenoceptor antagonists such as doxazosin and moxisylyte,16,31,32 awaits studies properly designed for evaluation of their impact on sexual function. Speak to your doctor about what options may be right for you.

High Blood Pressure and Sexual Performance

It used a self-administered questionnaire to screen 323 men and women with hypertension for sexual dysfunction, which includes decreased libido, impotence, and poor sexual satisfaction. The side effects of some medications also can lead to sexual dysfunction. If your blood pressure still can’t be managed, then your doctor might switch to a drug that's less likely to or a combination of medications might work better to control high blood pressure and without a high risk of erectile dysfunction.

If an erection lasts longer than 4 hours, it’s important to get medical attention ASAP.

In this Issue

Headaches are the most common side effect men have when taking these medications. Like any learned behaviors, it can be unlearned. Digoxin is indicated for treatment of atrial fibrillation and heart failure in functional stage III–IV according to the New York Heart Association (NYHA). Impotence, or erectile dysfunction, is the inability to achieve an erection, and/or dissatisfaction with the size, rigidity, and/or duration of erections. If the problem is caused by blood pressure medicines, your doctor may be able to change your dose or change you to a different medicine.

The sedative and muscle-relaxant properties of benzodiazepines are thought to lessen sexual interest, excitement and sensation. The most common sexual dysfunctions in men include lack of interest, premature ejaculation and erectile dysfunction. Taking nitrates with one of these medications can lower blood pressure too much. Bupropion hydrochloride. This will help you decide which medication is right for you.

High blood pressure can increase a man's risk for erectile dysfunction, yet some BP drugs also can contribute to the problem.

It may also affect your muscle contraction. However, other side effects can be more serious such as loss of vision or hearing, erection lasting longer than 4 hours, and a dangerous drop in blood pressure. As a result, CCBs relax blood vessels and reduce the heart's workload. In some cases, ED can also prevent a couple from conceiving a child. Not only does it put you at risk of heart attack and stroke, it also limits the blood that circulates to your penis. It’s also closely linked to erectile dysfunction. For example, you might be taking an SSRI for depression that’s very effective for that condition, but it’s causing ED. High blood pressure can increase a man's risk for erectile dysfunction, yet some BP drugs also can contribute to the problem.

For example, headache, flushing, swelling, bloating, lightheadedness, and weakness can dampen sexual desire and response for many women. Since a straddle injury or use of a narrow saddle can obstruct and impair arteries to the penis, bicycle riding is also considered a risk factor for erectile dysfunction. Keeping your sex life alive when you face erectile dysfunction. Moreover, this side effect of antihypertensive medications is strongly associated with an impaired quality of life. What to do if you’re already on hypertension medications or considering taking them? If you take a beta blocker, you may also want to ask your doctor if it might cause erectile dysfunction.

Central Agonists

Dosing options: Priapism – a condition where the erection will not go away – can also occur. Hypertension is associated with severe erectile dysfunction. Many advances have occurred in both diagnosis and treatment of erectile dysfunction. If you’ve ever been in a situation where you couldn’t get an erection when you expected to, you know the emotional whirlwind that follows. Nonetheless, the incidence of sexual dysfunction associated with antipsychotic drugs ranges in different studies from 45 percent to as high as 90 percent.

ACE inhibitors, calcium channel blockers, and alpha blockers can lower blood pressure with fewer risks of sexual side effects. Some medicines may lead to life-threatening reactions if you do not take care when stopping or changing them. Sildenafil—This medication is prescribed to men who have erectile dysfunction.

Set The Stage For Satisfying Sex

ACE Inhibitors: Doing so won’t only improve your sexual performance and help you reduce the effects of ED -- it can also help you live longer and enjoy a higher general quality of life. Men should discuss any concerns with their doctor. Remember the lifestyle changes that improve your sex life: Sexual dysfunction refers to a problem during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. Blood pressure can damage your arteries by causing them to become thicker, or even to burst.

Like ICI therapy, IU Alprostadil should be tested in the office, before home usage.

An example of diuretics are the thiazides. There is generally no change to a man's feeling or orgasm. Fortunately, there are ways to deal with medically induced ED. 48 In therapeutic concentrations (0. )

Thiazides are the most common cause of erectile dysfunction among the high blood pressure medicines. 2 calories in men a minute and 3. 5 alternatives to erectile dysfunction drugs, which ED drug is the best for me? However, other BP drugs, such as alpha-blockers, ACE inhibitors, and angioten-sin-receptor blockers, rarely cause ED. Alpha-2 receptor agonists may cause the following side effects: Speak to your healthcare provider about side effects and desired outcomes to see if you can devise a different treatment strategy that works for you. 68 Therefore, although information regarding anticoagulants and erectile function is lacking, these drugs do not appear to impose a major risk for ED. PDE5 inhibitors act to relax penile erectile tissues with sexual stimulation thus enhancing your ability to get an erection. Never take 2 doses at the same time.

  • And another whammy in the high blood pressure-ED equation is medication.
  • 16 The lack of additional worsening in erectile function with time in a patient population treated with thiazide diuretics points toward an early effect, and also suggest that fear of ED as an adverse effect of thiazide treatment should not lead to a change in the antihypertensive medication.

Diagnosis of Male Pattern Baldness

Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone. Your sexual response may vary with feelings about your partner and the setting in which sex occurs. That’s because many of the underlying causes of ED become more common with increasing age. And while it can certainly put a damper on sexual intimacy, ED can also serve as a warning sign of other serious health issues. In fact, some hypertension medicines may actually give a boost to a person's sex life.

Many of these products have been found to contain contaminants (unintended impurities) or adulterants (deliberately added substances) that can be dangerous. The following medications might contribute to ED: Your doctor might recommend making changes to your lifestyle, or they may recommend using medication to regulate your blood pressure. Thus, in epidemiological studies the relative risk for ED in hypertension and heart disease was increased, respectively, from 1.

Practitioners should consider selecting an antihypertensive therapy that is highly effective in lowering blood pressure but preserves patients' quality of life. Alternatives to viagra: using essential oils to treat erectile dysfunction. Alprostadil is injected into the side of penis with a very fine needle. Lotensin, Capoten, Zestril, PrinivilCalcium channel blockers: Using the drug this way means you don't have to give yourself a shot, unfortunately it may not work as well as ICI. The loss of erectile capacity can have a profound effect on a man.

Other ADA Resources

So, if blood pressure is well controlled in a woman and she has no other side effects, then switching drugs is less likely to improve the situation. Three types of implants are used to treat ED, including: Many drugs used to treat hypertension can make erectile dysfunction worse, especially beta blockers, and to a lesser extent, diuretics. Losartan belongs to a relatively new class of drugs known as angiotensin II receptor antagonists. In addition to having sexual desire, an erection requires good blood flow into the penis.

15,16 In contrast, others have found no discernable effect of thiazide diuretics on sexual function.

No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. High blood pressure makes every aspect of this process more challenging for your body, since the arteries that are responsible for transporting blood into the penis are less able to dilate and allow for steady, consistent blood flow. Almost all blood pressure drugs can affect one or more aspects of sexual function. The physician should also check the patient’s testosterone level. The next most common cause is beta blockers. Examples of calcium-channel blockers are amlodipine, nifedipine, diltiazem, and verapamil.

Drug-induced impotence. These medications, especially older generation beta blockers such as propranolol (Inderal, Innopran XL), are commonly associated with sexual dysfunction. Taking these drugs with nitrates, taken either regularly for chest pain or in an emergency setting, can cause a dangerous drop in blood pressure. Unfortunately, many of the emotional outcomes of ED further contribute to the psychological causes of ED, resulting in a discouraging cycle. Diagnostic procedures for ED may include the following: This means that vardenafil (Levitra) should act longer than sildenafil (Viagra) but the clinical significance is not known. Nitric oxide supplementation, this is a premium Plant Based Nitric Oxide boosting supplement specially formulated for Heart Health. To encourage satisfying sex, initiate sex when you and your partner are feeling relaxed.

It is generally thought that diuretics have a negative impact on erectile function.

Common Questions

Like men, women can experience anxiety and relationship issues due to sexual dysfunction. Premature ejaculation is the inability to maintain an erection long enough for mutual satisfaction. What is sexual dysfunction? 16,18,26 Therefore, there seems to be a relation to antagonism of β 2 -adrenoceptors by β-adrenoceptor antagonists and ED. They also were more likely to have decreased vaginal lubrication and trouble reaching orgasm.

In both sexes, the drugs can cause decrease sexual drive (loss of libido) and difficulty reaching orgasm (anorgasmia). There are blood pressure medications that do not cause erectile dysfunction (ED). Obviously, you shouldn’t make this decision on your own and should instead have a simple conversation with your healthcare provider about it. No one of them has been proven to work better than the others. Ask your doctor if you should try a different CCB.

The surgeon or health care expert in the surgeon's office will talk about how to inflate and deflate the implant.

After Treatment

The causes of ED generally can be divided into two categories, medical problems and emotional/sexual desire issues. Some over-the-counter antihistamines and decongestants can cause erectile dysfunction or problems with ejaculation. Peripheral neuropathy, with involvement of the nerves controlling erections, is commonly seen in people with diabetes. If a man is on blood thinners, then he may need to talk with a medical expert about stopping the medications for elective surgery and healing. However, supplements have not been tested to see how well they work or if they are a safe treatment for ED.

  • Weight, and fat around the waist in particular, are closely correlated with higher-than-normal blood pressure levels.
  • Most often, one small surgical cut is made.
  • This involves maintaining your current level of CCB while adding a second medication to offset the sexual side effects.
  • Alpha blockers tend to be less likely to cause this problem.
  • Although placement of a penile implant is a surgery which carries risks, they have the highest rates of success and satisfaction among ED treatment options.
  • One option doesn’t even require you to leave your own home to visit a doctor!

Continue Learning about Erectile Dysfunction Causes

An array of drugs are applied for the treatment of heart disease. Gynecomastia and antihypertensive therapy. Some high blood pressure medications are less likely to cause sexual side effects, such as:

No tissue is removed. Erectile dysfunction, causes of ED include:. Medications for high blood pressure are vital for helping to prevent a range of complications, including heart disease and stroke. Although these factors can still play a part, more modern science has revealed that there are a number of serious health concerns that can lead to ED and that warrant investigation. Often the inability to maintain an erection is due to a combination of conditions. 5 or 25 mg/day in the trial studies where frequency of self-reported ED was 1. Often, as little as 30 minutes of steady exercise per day is enough to significantly reduce your average blood pressure level. Many people stop taking drugs because they are experiencing side effects, they no longer have a partner, or they are worried about safety. It's of great value to have the first shot in the doctor's office before doing this on your own.

Living Well

Concerning vascular causes, the risk factors for atherosclerosis (including smoking, high blood pressure, diabetes (diabetics do not respond well to pills like sildenafil (Viagra)) and high cholesterol are ALSO risk factors for erectile dysfunction. )When a man is sexually stimulated, a gas called nitric oxide (NO) is released and helps relax the muscles in the penis. In a recent study on men with erectile dysfunction and diabetes, vardenafil (Levitra) improved their erectile dysfunction. The same mechanism that causes this decrease in blood vessel constriction can also decrease the contractions essential for penile rigidity and orgasmic sensation. What they found was that ED alone put the study participants at double the risk of heart problems, including heart attack, stroke, sudden cardiac death and cardiac arrest. 40,41 In the case of stenotic atherosclerotic lesions in the arteries supplying penis, the blood flow to the penis is mainly determined by the systolic pressure.

Staxyn is an orally disintegrating tablet that contains the same active ingredient as Levitra but is not interchangeable with Levitra tablets. Hormonal abnormalities, such as increased prolactin (a hormone produced by the anterior pituitary gland), steroid abuse by bodybuilders, too much or too little thyroid hormone, and hormones administered for prostate cancer may cause impotence. Tadalafil (Cialis) is as effective as sildenafil (Viagra), and vardenafil (Levitra) with similar side effects except for back pain that occurs occasionally with tadalafil, probably because of the long half-life. Recreational drugs: The good news is that ED can usually be treated safely and effectively. The usual adult dose is 20mg taken 3 times a day. Oral ED medications are prescribed to help treat medical causes of ED. The number reporting overall sexual satisfaction increased from 7.

With the implant, men can control firmness and, sometimes, the size of the erection. Impotence is listed as a side effect of statins along with muscle pain and sleep problems. There are numerous potential causes and risk factors. He or she may be able to substitute for a different one. If there is persisting swelling or pain, the use of the implant may be delayed. The treatments below are available to treat ED directly. The options to treat erectile dysfunction have increased in the past few years with the introduction of medications that can help promote an erection in males.

27 Although calcium channel blockers can affect ejaculation,28 they have little impact on erectile function.


WINSTON-SALEM, N. Talk with your doctor about what you’re concerned about and discuss how you want to manage blood pressure. Self-injection lessons should be given in your doctor's office by an experienced professional. It is important to talk to your doctor before using herbal supplements.

Some beta blockers also block certain alpha receptors as well, which can cause ED. Change your diet. Risks during pregnancy Some blood pressure medications are not safe to take during pregnancy due to the risk to the pregnant woman or unborn child. Since the ICI erection is not regulated by your penile nerves, you should not be surprised if the erection lasts after orgasm. How long does it work? Men who have penile erections lasting longer than two to four hours should seek Emergency Room care.

These medications also lower zinc levels, which leads to a decrease in testosterone production and negatively affects sexual desire and performance.

To look for evidence of systemic problems, such as the following: Does hypertension and its pharmacotherapy affect the quality of sexual function in women? As always, prevention is always preferred over treatment of a condition. A previous study has also found people given medication where they are told impotence is a side effects are twice as likely to develop that problem – suggesting part of the issue may be psychological. But researchers from McMaster University in Canada found no link between the drugs and impotence after monitoring more than 2,100 men. Cvs health decision to drop viagra gives drug-pricing insight, share on Pinterest There are several over-the-counter remedies available which can help manage the symptoms of ED. For erectile dysfunction, it's best to take sildenafil on an empty stomach. This means less blood is able to flow to the penis. Thus, the blood pressure lowering effect achieved with thiazide diuretics and β-adrenoceptor antagonists can mainly be ascribed to a lowering of cardiac output, while calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists, and α-adrenoceptor antagonists lower blood pressure mainly through reduction of peripheral vascular resistance.

Related Coverage

Losartan, Cozaar, DiovanConsider this list to be the start of your research to figure out which medications work best for you. 59 In patients referred to a clinic for primary hyperlipidaemia an increased risk of ED was also observed in patients treated with one of four fibrate derivatives (fenofibrate, ciprofibrate, bezafibrate and gemfibrozyl). Therefore, it is important for practitioners to become familiar with the wide variation in sexual side effects produced by antihypertensive agents and to discuss the potential occurrence of these side effects with their patients. Whatever you choose, always make sure that your blood pressure is in line and in a safe range. For IU therapy, a tiny medicated pellet of the drug, Alprostadil, is placed in the urethra (the tube that carries urine out of your body).

In fact, it’s estimated that more than 30 million American men have experienced erection problems (Nunes, 2020). 3 percent to 58. The findings are hoped to encourage more men to take statins, following claims that tens of thousands of people die every year after refusing to take the drugs because of their perceived side effects. That might include erections that don’t last as long as you want or aren’t as firm as you’d like.

How They May Cause Sexual Problems

Melatonin, in doses from 3 milligrams to 10 milligrams before bedtime, for instance, sometimes helps to reestablish healthy sleep patterns. Natural remedies for treating erectile dysfunction, a male may go through troubles relating to sexual intercourse in case he tends to be desperately under stress. Compared to most other blood pressure drugs, CCBs seem to cause fewer sexual problems. Sexual dysfunction induced by antihypertensive medications is one of the poorly recognized side effects impacting the patient's ability to stay on therapy. If you think someone might have swallowed an ED drug, call Poison Control right away at 1-800-222-1222 or use the webPOISONCONTROL® tool for guidance online. Diltiazem, Amlodipine, VerapamilAlpha blockers: Since testosterone is the primary sex hormone in men and a major factor in promoting normal sexual performance, high blood pressure can produce a “double hit” of ED by making it harder to get an erection while also reducing hormonal sexual interest and performance. Incidence rate of erection problems were different for chlorthalidone at 24 months compared to placebo treated hypertensive patients, but were similar to the placebo group at a 48-month follow-up.

Depending on your condition, there may be other medications that can manage your medical symptoms without affecting sexual function. This could be diet and exercise or ultimately medication. When the problem is arterial, it is usually caused by arteriosclerosis, or hardening of the arteries, although trauma to the arteries may be the cause. Don't just go off your medications, though; high blood pressure itself is a common cause of ED, so lowering your blood pressure is an important part of your ED treatment plan. While sex doesn’t burn as many calories as most people think (4. )A prescription medication taken orally for the treatment of ED. Concerning the arousal response, decreased testosterone blood levels can influence the efficacy of sildenafil (Viagra). These are separate issues.

Many men will have trouble with achieving or maintaining an erection at some point in their lives, and while it isn't necessarily normal, it is common. If you and your healthcare provider decide to take that approach to treat medically induced ED, it’s worth noting the main differences between ED medications. In some cases the erection is not hard enough, sometimes sildenafil (Viagra) just doesn’t work. Are there other sexual side effects that might affect women as well? Erectile dysfunction studies suggest that the prevalence of impotence in men with diabetes can range from 35 to 75 percent vs. If you develop any sexual difficulties after taking your medication, don't suffer in silence. It is estimated that about 4 percent of men in their fifties, and nearly 17 percent of men in their sixties, have difficulty achieving an erection. 15 In contrast, the dose of hydrochlor-thiazide was only 6.