High Blood Pressure and Erectile Dysfunction (ED)
To treat erectile dysfunction (ED), you have to lower high blood pressure. Some people are able to do that through lifestyle changes alone. Others need help from prescription high blood pressure medication.
A
problem for many men, though, is that some types of blood pressure drugs can
cause erectile dysfunction. That may make it tough to stay on medication,
especially if high blood pressure never caused any symptoms before. An
estimated 70% of men who have side effects from high blood pressure medicine
stop taking it.
Since
you or a loved one was recently diagnosed with erectile dysfunction (ED), ask
your doctor these questions at your next visit. Could an underlying illness be
causing my erectile dysfunction or making it worse? Could any of my medications
be causing my ED or making it worse? If so, can I safely change my medications
or their doses? How might the use of tobacco or alcohol contribute to ED? Could
stress or other psychological problems be contributing to my erection
difficulty...
While
many drugs used to treat high blood pressure have been linked to erectile
dysfunction, some are much less likely than others to cause problems. Certain
high blood pressure drugs may even improve erectile dysfunction for some men.
It's
known that diuretics (or water pills, like hydrochlorothiazide) and
beta-blockers (like Atenolol) can also cause erection problems. These are also
the first drugs that a doctor is likely to prescribe if you are not able to
lower your high blood pressure through diet and exercise.
If
you take a diuretic, you should stay on it until high blood pressure is under
control. If erection problems persist, or blood pressure goes back up, then
your doctor might switch to a drug that's less likely to cause erectile
dysfunction. Or, a combination of medications might work better to control high
blood pressure and lower the risk of erectile dysfunction.
If
you take a beta blocker, you may also want to ask your doctor if it might cause
erectile dysfunction. You might be better off on a medication less likely to
cause a problem.
High Blood Pressure Drugs Not Likely to Cause ED
Some
families of high blood pressure drugs rarely cause ED as a side effect. They
include:
ACE
inhibitors
Alpha-blockers
Calcium
channel blockers
ARBs
ACE
(angiotensin converting enzyme) inhibitors such as Capoten, Lotensin,
Prinivil, and Zestril for example widen blood vessels and increase blood
flow. Erectile dysfunction is rarely a side effect, occurring in less than 1%
of patients. There are several different drugs in this category. This seems to
be true of all of them.
There
are also drugs known as calcium channel blockers, such as Amlodipine,
Diltiazem, or Verapamil. As a group, they rarely cause erectile dysfunction.
But erection problems may be less common with some individual drugs within that
group than with others. Your doctor can tell you which.
In
general, alpha-blockers do not often cause erection problems either. In one
study, a small number of men actually had a 100% improvement in their erectile
dysfunction after 2 years on the alpha-blocker Cardura.
Drugs
known as ARBs (angiotensin II receptor blockers, like Losartan) are not only
unlikely to cause erection problems, but they may improve sexual function in
men with high blood pressure.
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