Using Cozaar (Losartan) to Treat Erectile Dysfunction

“If erectile dysfunction is caused by high blood pressure, then lowering blood pressure through medicines and lifestyle changes should treat the problem effectively. Treatment of erectile dysfunction – touchendocrinology, “We wanted to do this trial first to make sure it works — and it does,” he said. Diabetes can cause nerve and artery damage that can make achieving an erection difficult. Burnett and Chahine9 studied 50 patients who were to receive propranolol for various cardiovascular indications; all participants reported normal sexual function before therapy was initiated. In a pathological condition causing the absence of stimulated or physiological erections and abolishing such stimulus, there would be a structural change in tissue composition with deleterious consequences on erectile capacity [24].

The loss of erectile function can have a profound effect on a man. By putting pressure on yourself, you become too anxious to get an adequate erection. After 12 weeks of treatment with the new drug losartan, 88 percent of hypertensive males with sexual dysfunction reported improvement in at least one area of sexuality. Proper blood flow through the arteries is needed to get and maintain an erection. Men who qualify for NHS prescriptions for erectile dysfunction treatments may be able to get a vacuum pump on the NHS (see above for more details).

The results of this study raise hope for men who have quit taking other blood pressure medications because they interfered with sexual function. Your GP should explain the benefits of each medication and how it works. Uptodate, because of this, ED is particularly common among men with Peyronie’s disease. The condition has become highly visible in recent years, but that doesn’t make it any more welcome for the 5 to 15 percent of American men whose sex lives are affected.

If you have erectile dysfunction (ED), treatment will depend on what's causing it. Does hypertension and its pharmacotherapy affect the quality of sexual function in women? Hypertension or high BP, defined as a BP of ⩾140 mm Hg systolic and/or ⩾90 mm Hg diastolic is estimated to affect approximately 50 million Americans. Experts at Harvard Health point out that weaker erections are often the first sign of heart disease and should always be reported to a doctor. Secondary premature ejaculation occurs when, after years of normal ejaculation, the duration of intercourse grows progressively shorter. Among those over age 50, it nearly doubles the risk, reports the Mayo Clinic.

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. Getting an erection is really a complicated process. Reviewing your medicines.

  • Physical causes of ED can be ruled out if the patient has an involuntary erection while sleeping (a normal occurrence), breaking a special tape wrapped around his penis.
  • These agents, also recommended in JNC VII as first-line therapy in uncomplicated hypertension,6 have long been associated with ED.

AARP Membership

Improving blood flow and heart health can result in better, more frequent erections. Most men with penile implants and their partners say that they're satisfied with the results, and they return to more spontaneous intimacy. Alprostadil penis suppository, which is inserted with a special applicator about 2 inches into the urethra. They are relatively inexpensive and effective, and they are recommended in the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VII) as first-line therapy in uncomplicated hypertension. One of the most effective ways to lower your blood pressure is to reduce your consumption of salty, sodium-heavy foods.

Cholesterol is a type of fat that circulates in your blood.

Vacuum Pumps

The sexual problems most frequently associated with benzodiazepines are diminished orgasms, pain during intercourse, ED and ejaculation problems. The good news is that ED can often be treated safely and effectively. Low testosterone levels may be the result of a condition called hypogonadism, in which the testicles don’t produce enough testosterone. It is good news for middle–aged men worried their medications may be causing problems in the bedroom. Secondary sex characteristics. In many cases, a change in the patient's drug regimen may help patients overcome specific sexual side effects experienced with certain treatments.

  • The penis relies on blood flow to become erect.
  • In addition, penile vascular tree seems to be particularly dependent of NO as it participates on arterial dilation to rapidly increase blood flow but also mediates cavernosous sinusoids and venous dilation that represents a crucial step on venoclusive mechanism that assure the obtaining and maintaining of a rigid erection.
  • In this situation, testosterone replacement is rarely of any benefit.
  • Never stop taking any medicine without first talking to your provider.
  • Your body also signals to tissue around your penis to prevent blood from leaving the tissue, leading to a lasting erection.
  • Over time, high blood pressure can damage the lining of blood vessels and can cause the hardening and narrowing of the arteries, also known as atherosclerosis.
  • Psychosexual counselling is a form of relationship therapy where you and your partner can discuss any sexual or emotional issues that may be contributing to your erectile dysfunction.

Diagnosis of Erectile Dysfunction

The symptom of ED is not being able to get or keep an erection firm enough for sex. Doctors can rule out various systemic causes of ED with a physical exam. Remember the lifestyle changes that improve your sex life:

The prevalence of minimal ED was 17%; moderate ED, 25%; and complete ED, 10%. Parkinson disease medicines: Alprostadil inserted into the urethra is successful for up to two-thirds of men. Thus, patients with hypertension are more likely to have ED; and patients with ED are more likely to have hypertension.

  • Even if your high blood pressure (or hypertension) has caused erectile dysfunction (ED), you have every reason to be optimistic about the future and a healthy sex life.
  • But those are just two common causes of erectile dysfunction.
  • Several drugs can produce erectile difficulties, but blood pressure drugs are near the top.

Vacuum Erection Device

Interlocking soft plastic blocks. Erectile dysfunction (commonly known as impotence) is the inability to get an erection long-lasting enough, or firm enough, for a man to have intercourse. It is important never to stop taking a prescribed medication unless you are advised to do so by your GP or another qualified healthcare professional responsible for your care. For some men, the decreased blood flow makes it difficult to achieve and maintain erections — often referred to as erectile dysfunction. 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. He might also be unable to have a hard erection. Possible cause Treatment Narrowing of penis blood vessels, high blood pressure, high cholesterol Medicine to lower blood pressure, statins to lower cholesterol Hormone problems Hormone replacement (for example, testosterone) Side effects of prescribed medication Change to medicine after discussion with GP Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. This may be involved if your penis does not respond as expected to certain touching.

Thus, ED could offer the opportunity to implement adequate therapeutic efforts to minimize the burden of major cardiovascular disease such as myocardium infarction and stroke [4]. But psychological aspects of man sexuality interfere in all steps of sexual disorders and could complicate diagnostic attempts or harm therapy efforts. Elderly men are especially sensitive to the effects of these medical treatments, which may increase their chance of having side effects. Even though he didn’t have full on hypertension, he had a slightly elevated blood pressure, which still affected him in a larger way than just his long-term health. Response rates are lower for Diabetics and cancer patients.

Many experts believe that when veins are the cause, a venous leak, or cavernosal failure, is the most common vascular problem. In other words, high blood pressure can be a disaster in bed. The types of implants used to treat ED include: The favorable effects of these agents on sexual function may be related, in part, to their ability to block angiotensin II, which has recently become recognized as an important mediator of detumescence and possibly erectile dysfunction. A problem in the nervous system.


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. Alcoholism can cause permanent nerve damage, resulting in impotence. These include increased prolactin, a hormone made by the pituitary gland. If you are taking medication that can cause erectile dysfunction, there may be an alternative. Robust clinical trials confirm that ED is a strong cardiovascular event predictor such as cardiovascular death, myocardial infarction, and cardiac failure [48]. Among men, high blood pressure can cause erection problems by slowing the supply of blood to the penis. Many advances have occurred in both diagnosis and treatment of erectile dysfunction.

In addition some blood pressure medicines can also cause erectile dysfunction. 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. This creates a vacuum that causes the blood to fill your penis, making it erect.

What’s more, doctors caution against supplementing testosterone and using T-boosting products because the long-term effects are unknown. To make sure your blood pressure remains within a safe range, you may need frequent blood pressure readings while you're not taking the blood pressure lowering medication that may be causing your sexual difficulties. (Avoid tropical oils, such as palm and coconut oil and any fat that is solid at room temperature.)


It causes early and severe hardening of the arteries. Men whose blood pressure isn't under control and those who take alpha-blockers (for high blood pressure or prostate problems) shouldn't take Cialis, Levitra, Staxyn, or Viagra. Increase empathy opportunity to improve doctor and patient relationship. If you need some help shedding pounds, here are 42 fast and easy tips. There are those who might show allergic reactions to the contents of the drug this also must be considered genuine; use a doctor recommend another medication. 4% and severe in 45.

It may also affect your muscle contraction.

Interactions of PDE5 inhibitors with alpha blockers

Impotence is common in people with diabetes. Why men won’t go to the doctor, and how to change that. Besides high prevalence of ED among hypertensive individuals, possible association to ED severity and important aspects in therapeutic compliance improvement justify the relevance of a brief sexual anamnesis in one of the first visits inside GP or cardiologists offices [88]. That should solve the problem. It consists of Tadalalfil its active ingredient, which assists for the erectile problems. ICI therapy often produces a reliable erection, which comes down after 20-30 minutes or with climax.

Keeping it up gets harder when your blood pressure is up. A frank discussion can lead to alternative medications or treatments and a better discussion about ED. When PDE5 inhibitors are administered to patients with hypertension who are taking most antihypertensive agents (e. )Blood pressure medication has long been warned to have the side effect of reduced sexual desire and erectile dysfunction. Erection problems (impotence) are very common, particularly in men over 40. What are the symptoms of erectile dysfunction?

Common Conditions

Erectile dysfunction is common in men who have Type 2 diabetes, especially for those who have sustained nerve and/or blood vessel damage as a result of long-term poor blood sugar control. Thiazides are the most common cause of erectile dysfunction among the high blood pressure medicines. Impotence itself is often related to an underlying problem, such as heart disease, diabetes, liver disease, or other medical conditions. Conditions affecting the nervous system. PDE5, phosphodiesterase-5. Good control of diabetes can reduce the risk of ED.

7 Of note, there are some small reports suggesting that angiotensin receptor blockers may actually improve ED. “Whiskey dick” is an uncomfortable memory for many of us. Still, it helps to ask your health care provider about side effects that could result from each option: Feldman et al. It is important to consider that drugs used for treatment of cardiovascular diseases have often been accused of influencing erectile function, and such belief could influence drug compliance [42].

Vasculogenic Conditions

High blood pressure can increase a man's risk for erectile dysfunction, yet some BP drugs also can contribute to the problem. For example, if impotence is the result of a side effect of medicine or an underlying disease, the anxiety caused by lack of performance may perpetuate the erectile dysfunction even after the physical cause has been dealt with. Low testosterone. With high blood pressure, getting and maintaining an effective blood flow that is sufficient for an erection isn’t guaranteed, and in fact, is a lot harder to do physically. You may be offered alternatives to the drugs you take.

Like ICI therapy, IU Alprostadil should be tested in the office, before home usage. 3% had some degree of ED. How does hypertension impact sex? “Too many men ignore heart disease symptoms such as shortness of breath or chest pain. Many medicines and recreational drugs can affect a man's sexual arousal and sexual performance. Devices & surgery for erectile dysfunction, fill your pump with warm water. A diet that’s good for your heart is also good for your erection. Breast enlargement in men, for instance, can indicate hormonal issues, while decreased pulses in the wrists or ankles can suggest blood flow problems, according to the NIH. Limit total amount of meat, fish, poultry, and low-fat cheeses to 7 ounces or fewer each day.

Peripheral neuropathy, with involvement of the nerves controlling erections, is commonly seen in people with diabetes.

How High Blood Pressure Causes Erectile Dysfunction

4 recently reported that in men with ED, 41% had hypertension versus 19% in age-matched men without ED. When a patient presents with ED, the first step is to rule out underlying conditions. As more blood flows in, the penis expands and stiffens, and you have an erection.


Some antidepressant medications cause erectile failure. Tell your healthcare provider about all the medicines you are taking. Patient medical or sexual history. Is viagra a blood thinner? drug interactions with anticoagulants, you are your best advocate! There are certain medical conditions that might appear to be unrelated to erectile dysfunction that could actually have a very real bearing on it. Penile implants, which surgically places rods into the two sides of the penis that are inflatable when desired.

First there was Viagra. Taking these drugs with nitrates, taken either regularly for chest pain or in an emergency setting, can cause a dangerous drop in blood pressure. A patient will either go home on the same day or spend one night in the hospital. Be prepared to answer questions your doctor may ask, such as: 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. However, some drug treatments for high blood pressure can also impair sexual function and cause ED.

Emotional (psychological) Problems

Talk about psychological influence on PDE5 inhibitors efficacy-believe it. Evidences demonstrate that the successful treatment of ED is associated with significant improvements in overall physical and emotional well-being [89]. Viagra does not directly cause penile erection, but affects the response to sexual stimulation. Depression is often associated with sexual dysfunction—and some researchers suggest that if you’re experiencing one, you should be screened for the other (Atlantis, 2020).

The patient's partner can help in the process of developing intimacy and stimulation. If you have high blood pressure, the best thing you can do is talk to your doctor about how you can safely and sustainably reduce it. To understand how high blood pressure can lead to erectile dysfunction , you first have to understand how erections work. The implant can be bent downward for peeing or upward for sex. In order to achieve an erection, three conditions must occur: In fact, at 48 months, there were no substantial differences in the incidence of ED between any of the treatment groups. In almost all trials where this topic was studied, ED was not the primary objective and was assessed by patient reports instead of questionnaire evaluation or measurement of penile rigidity.

© 2013-2020