I read this article (Beta-blockers for cardiovascular conditions: one size does not fit all patients) hoping to find the answer to my older male patient’s problem with beta-blockers and erectile dysfunction. Time and time again they come out of hospital post-MI on metoprolol and the ability to maintain an erection seems to have been left at the hospital. Over the last few weeks I have spoken to one of the cardiologists who suggested switching those who need to stay on a beta-blocker to carvedilol as it is more cardioselective..reading your article this doesn't seem to be the case. I wonder if you can comment on what you would do with these men both in the situation of preserved ejection fraction and those with reduced ejection fraction. The quality of life for them is dreadful when they can no longer perform. It has huge psychological burden and makes compliance tricky too. The other piece of advice my friendly cardiologist gave me was post-MI, if they can walk up two flights of stairs Viagra was fine; again, not what I had been led to believe historically. does inderal lower blood pressure Aims Patients with cardiovascular diseases frequently complain of erectile dysfunction especially when treated with beta-blockers. In order to assess whether the effect of beta-blockers on erectile dysfunction is in part related to patient knowledge of the drug side effects, 96 patients (all males, age 52±7 years) with newly diagnosed cardiovascular disease and not suffering from erectile dysfunction entered a two phase, single cross over study. Methods and results During the first phase of the study patients received atenolol 50mg o.d. (A), 32 patients were blinded on the drug given (group A), 32 were informed on the drug given but not on its side effects (group B) and 32 took A after being informed on its side effects on erectile function (group C). After 3 months the incidence of erectile dysfunction was 3.1% in the group A, 15.6% in group B and 31.2% in group C (is a higly prevalent medical problem affecting a significant proportion of men. Its prevalence increases with age reaching rates from 39% to 67% in the age range from 40 to 70 years. ED has important impact on quality of life and, is believed to be related to drug therapy, leads to non-compliance to therapy. reported drug-related erectile dysfunction in approximately 25% of cases, being mostly readily reversible when the drug is stopped, or a suitable alternative is given. Sildenafil topical gel Metformin byetta Buy tretinoin 1 I determine this information from all hypertensive patients before prescribing large doses of propranoloL In July, 1978, he complained of sexual impotence. amoxicillin overdose side effects Animal studies have reported that beta-blockers such as propranolol may induce ED through central and peripheral genital effects as it increases the latency to. Beta blockers that are called 'cardio-selective' are those that only block the beta-1 receptors and do not tend to cause ED. Examples of cardio-selective beta. If you are having problems achieving or maintaining an erection you may want to take a look at your medicine cabinet first. There are a number of prescription and over-the-counter drugs that may cause erectile dysfunction. While these drugs may treat a disease or condition, they can also affect a man's hormones, nerves, or blood circulation, resulting in ED or increase the risk of ED. The list of possible offenders is long, so check with your doctor regarding medications you are taking to rule out any as a cause of, or contributor to, ED. Hydrochlorothiazide (Esidrix, Hydro DIURIL, Hydropres, Inderide, Moduretic, Oretic, Lotensin)Chlorthalidone (Hygroton)Triamterene (Maxide, Dyazide)Furosemide (Lasix)Bumetanide (Bumex)Guanfacine (Tenex)Methyldopa (Aldomet)Clonidine (Catapres)Verapamil (Calan, Isoptin, Verelan)Nifedipine (Adalat, Procardia)Hydralazine (Apresoline)Captopril (Capoten)Enalapril (Vasotec)Metoprolol (Lopressor)Propranolol (Inderal)Labetalol (Normodyne)Atenolol (Tenormin)Phenoxybenzamine (Dibenzyline)Spironolactone (Aldactone) Fluoxetine (Prozac)Tranylcypromine (Parnate)Sertraline (Zoloft)Isocarboxazid (Marplan)Amitriptyline (Elavil)Amoxipine (Asendin)Clomipramine (Anafranil)Desipramine (Norpramin)Nortriptyline (Pamelor)Phenelzine (Nardil)Buspirone (Buspar)Chlordiazepoxide (Librium)Clorazepate (Tranxene)Diazepam (Valium) Doxepin (Sinequan)Imipramine (Tofranil)Lorazepam (Ativan)Oxazepam (Serax)Phenytoin (Dilantin) If you experience ED and think that it may be a result of medication, do not stop taking the drug without first consulting your doctor. If the problem persists, your doctor may be able to prescribe a different medication. Other substances or drugs that can cause or lead to ED include recreational and frequently abused drugs, such as: Aside from the well-known complications that the use and abuse of these drugs can cause, ED is not often mentioned. These drugs not only affect and often times suppress the central nervous system, but can also cause serious damage to the blood vessels, resulting in permanent ED. If you’re taking medication to treat blood pressure, depression, pain, allergies, inflammation, seizures, or heart conditions, you’re one of the tens of millions of people at risk for medically induced erectile dysfunction. Yet erectile dysfunction is one of the least talked about side effects of prescription medication. Taking these life-saving medication doesn’t have to mean choosing between your health and a healthy sex life. Medically induced erectile dysfunction is something you (and your doctor) can fix. Here are three super easy ways to fix medically induced erectile dysfunction. Erections are extremely complicated and surprisingly fragile. Erections involve chemical signals, nerve impulses, complicated blood pressure changes, and overall fitness in systems ranging from your heart and hormones to your mood. When medication changes how one of these factors works—like blood pressure drops or depression medication—ED is a common side effect. The problem with these completely predictable medically induced side effects is how people react. When most men experience ED as a side effect of medication, they typically do one of two things: Neither of these is an ideal option, for obvious reasons. Propranolol impotence Impotence causes - au, Report of erectile dysfunction after therapy with beta-blockers is. Sildenafil bluefish Prednisone bone pain Xanax other names Sinemet reviews Beta-blockers may affect your nervous system's ability to cause an erection. Learn more about blood pressure drugs and ED, as well as treatment options. Beta-blockers and Erectile Dysfunction - Healthline Can beta blockers cause erectile dysfunction? - Sharecare Medications / Drugs That Cause Sexual Dysfunction Cleveland Clinic Data from four patients who developed impotence not ascribable to propranolol were excluded. The mean maintenance dose of propranolol ±SE was 143±38. cialis didnt work May 22, 2011. The top two medications for high blood pressure associated with ED are diuretics. and beta-blockers e.g. atenolol, metoprolol, propranolol. Nov 23, 2017. I read this article Beta-blockers for cardiovascular conditions one size does not fit all patients hoping to find the answer to my older male.