Physicians do have a good idea of how some of the blood pressure-lowering drugs affect some sexual functioning. Beta-blockers, for instance, can reduce stimulation to the erection center . Studies have yielded mixed results about which antihypertensive drugs to avoid if you want to keep some romance in your life.
Why do beta-blockers cause sexual dysfunction?
These are the receptors that are usually affected by chemicals such as epinephrine. Epinephrine constricts your blood vessels and causes blood to pump more forcefully. It’s thought that by blocking these receptors, beta-blockers may interfere with the part of your nervous system responsible for causing an erection .
Can you get an erection on beta-blockers?
Several drugs can produce erectile difficulties, but blood pressure drugs are near the top. ED is an occasional side effect of BP drugs like thiazide diuretics, loop diuretics, and beta-blockers, all of which can decrease blood flow to the penis and make it difficult to get an erection.
How common is sexual dysfunction with beta-blockers?
The incidence of erectile dysfunction was 3.1% (only 1 patient) in the group not knowing which drug they were taking, 15.6% (5 patients) in the group knowing that they were receiving a beta-blocker and 31.2% (10 patients) in the group also knowing the side effects of the drug (P<0.01) (Fig. 2).
Which beta blocker causes least erectile dysfunction?
Study results showed patients without ED were more frequently treated with nebivolol (34.9%) than carvedilol (10.3%) (p < 0.01). This was the only between-drug comparison to achieve a statistically significant difference.
Can you use viagra with beta-blockers?
Patients with beta-blocker related erectile dysfunction may request a prescription for sildenafil . A recent history of myocardial infarction is a contraindication to the use of sildenafil, however, the manufacturers do not specify a time period.
Do beta-blockers affect testosterone?
Significant drug effects on both total and free testosterone were found during treatment with all four beta-blockers , although it appeared that the nonselective drugs (pindolol, propranolol) were associated with the greatest reduction in testosterone.
Does metoprolol affect testosterone?
Metoprolol affects both total and free testosterone levels (Rosen et al., 1988; el Sayed et al., 1998).
Does metoprolol help erectile dysfunction?
While metoprolol and beta blockers in general are associated with a much lower risk of erectile dysfunction, it does still happen . In one study, men that were given metoprolol to treat their high blood pressure had a lower average erectile function than men given other medications after eight weeks of treatment.
Does propranolol make you last longer in bed?
Beta blockers, like propranolol – in some cases, doctors can prescribe propranolol for performance anxiety to help keep your heart rate steady before a performance. Priligy or EMLA – if your anxiety is making you orgasm too quickly, these medications could help you last longer in bed .
Can you take Viagra while taking metoprolol?
Interactions between your drugs
Sildenafil can add to the blood pressure-lowering effect of metoprolol . Contact your doctor if you experience signs and symptoms of low blood pressure such as dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate.
Does bystolic cause erectile dysfunction?
Does Bystolic (nebivolol) cause erectile dysfunction? Beta blockers in general have a small risk of causing erectile dysfunction (ED), though Bystolic (nebivolol) may have a smaller risk compared to other beta blockers based on a few small studies .
Is ED caused by beta-blockers reversible?
Keene et al. 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 (5). The complaint of erectile dysfunction is frequent in patients with cardiovascular disease especially when treated with beta-blockers.
What drugs cause a man to not get hard?
- Amitriptyline (Elavil)
- Amoxapine (Asendin)
- Buspirone (Buspar)
- Chlordiazepoxide (Librium)
- Chlorpromazine (Thorazine)
- Clomipramine (Anafranil)
- Clorazepate (Tranxene)
- Desipramine (Norpramin)
Can I take Viagra with bisoprolol?
Due to this some patients start taking viagra along with Bisoprolol . Bisoprolol may release the testosterone from Leydig cells. It increases viagra effects in your body by decreasing its hepatic elimination. Take precautions and take a low viagra dose while on Bisoprolol.
Can you take viagra with atenolol?
Interactions between your drugs
Sildenafil can add to the blood pressure-lowering effect of atenolol . Contact your doctor if you experience signs and symptoms of low blood pressure such as dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate.
How do you fix erectile dysfunction?
- If you smoke, quit. If you have trouble quitting, get help. ...
- Lose excess pounds. Being overweight can cause — or worsen — erectile dysfunction.
- Include physical activity in your daily routine. ...
- Get treatment for alcohol or drug problems. ...
- Work through relationship issues.
What heart medications cause erectile dysfunction?
Other heart medicines called beta-blockers have a small risk of ED. These include popular drugs like metoprolol (Lopressor), atenolol (Tenormin), propranolol (Inderal) and bisoprolol (Zebeta). If you’re having ED and take one of these medications, it’s not all bad news.
Which high blood pressure medication causes erectile dysfunction?
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.
What should I avoid while taking metoprolol?
metoprolol food
Avoid drinking alcohol , which could increase drowsiness and dizziness while you are taking metoprolol. Metoprolol is only part of a complete program of treatment that also includes diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely.
Can I take Viagra with AFIB?
So can I take Viagra with my heart medications? Viagra has been shown to be safe in stable cardiovascular diseases including heart failure, hypertension, and coronary artery disease.
