06-13-2006, 09:35 AM
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#1 | Inactive
Join Date: Jan 2003 Location: upper marlboro,md,usa
Posts: 21
| Medicines and Sexual Ability
Hi Folks, I am writing to get some input on a issue that is really bothering me. I am 63 yo and have a high sexual appetite and take 3 blood pressure medicines Benicar HCT, Toprol xl and now Terazosin. Before the Terazosin I told the Dr. that there must be medicines that does not rob me of the quality of life that I am used to ( a 7oz beer or a small glass of wine and SEX) then he prescribed Terazosin. Anyone that takes high blood pressure meds know that all or maybe most causes impotence. I can get a partial erection but not erect enough to call it wood, probably rigid like a twinkie. I can't understand why he is robbing my of my life. By the way I am also type 2 diabetic. Any help understanding this would be appreciated.
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06-13-2006, 03:11 PM
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#2 | Veteran (male)
Join Date: Feb 2005
Posts: 379
| Re: Medicines and Sexual Ability
It's very hard to identify the cause here. Type 2 Diabetes, I think, by itself can eventually cause ED. All you can do is experiment, although someone else might
offer more precise advice. I think it would be worth your while--given your Diabetes and 3 bp medications--to get the advice of a specialist.
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06-14-2006, 07:10 AM
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#3 | Senior Veteran (male)
Join Date: Nov 2004
Posts: 8,456
| Re: Medicines and Sexual Ability
I'd say that unless you have angina or tachycardia, lose the Toprol. It's the most likely cause of the ED.
Terazosin side effect:
prolonged or painful erection (gotta LOVE it!  )
But in truth, with the combo of age 63, three BP drugs, and diabetes be grateful for the Twinkie. Many would have something like overcooked pasta!
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06-19-2006, 04:38 PM
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#4 | Inactive
Join Date: Jan 2003 Location: upper marlboro,md,usa
Posts: 21
| Re: Medicines and Sexual Ability
Thanks Lenin I can appreciate your humor but I am seriously concerned. I am 63 and was able to get and maintain an erection before I started terazosin and besides I understand Drs don't like to prescribe Alpha blockers because chances of a heart attack after long use are greater than the others. Makes me think he wants to kill me. As for a prolonged and painful erection I'd love to have one.
Sandy |
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06-20-2006, 01:56 PM
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#5 | Senior Veteran (male)
Join Date: Nov 2004
Posts: 8,456
| Re: Medicines and Sexual Ability
Personally, I think ALL BP meds are rotten for a man's erectability. But if I had to pick the worst offender in your pharmacopeia it would be the Toprol. Second worst offender would be the HCTZ. Taking both is almost certain to cause ED.
Jay Leno had a good one: He said that he was taking a drug for ED and saw the warning: "If you have an erection that lasts more than 4 hours call your doctor."
His response: "With a 4 hour erection I'd call EVERYBODY!"
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06-20-2006, 05:15 PM
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#6 | Inactive
Join Date: Jan 2003 Location: upper marlboro,md,usa
Posts: 21
| Re: Medicines and Sexual Ability
hey Lenin
Thats good. I do appreciate your humor. Have you ever heard of anyone weaning themselves off of the B/P meds that are causing difficulty. I tried to stop taking Toprol after a while. Let me back up a bit: I was taking 100mgs of Toprol and wanted off of them, the Dr. said take half and that lasted for a while "no adverse events". Then when he gave me the Terazosin he told me to stop taking the other half of Toprol. The day I didn't take it I noticed my heart was beating faster and the next day after that it was really racing. I called the Dr. and was told to restart the toprol which is what i'm on now. Because Toprol reduces the beating of the heart. So my question is can it safely be stopped.
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06-21-2006, 03:38 AM
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#7 | Senior Veteran (male)
Join Date: Nov 2004
Posts: 8,456
| Re: Medicines and Sexual Ability
Sandy,
Almost EVERYBODY has a slow time getting off beta-blockers. The proper approach with Toprol is to go from 100mg. to 50 to 25 and then even to 12.5 mg. if you are good with a pill splitter.
Since they work by blocking receptors to adrenaline and noradrenaline, our bodies make more of these catecholemines to compensate. If we suddenly remove the blockade we are overwhelmed by a flood of these "stress hormones." Tachycardia, hypertension, anxiety, panic, and even angina, are the frequent results.
Take 25 mg. for a couple weeks and then move down to 12.5.
I woudn't use an alpha blocker (like terazosin) unless I had prostate enlargement: my MAIN reason: Quote:
use of alpha blockers has been found to increase the risk of heart failure over long–term use.
The link between heart failure risk and alpha blocker use was found during the landmark ALLHAT study (Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial). ALLHAT also determined that other medications were preferred for treating for high blood pressure because they also lowered the risk of heart attack, stroke and other heart diseases.
| That's a BIGGIE especially considereing we take these drugs to help PREVENT heart disease.
From a British medical site: Quote:
Antihypertensives . .
ACE inhibitors (eg enalapril, lisinopril) .......Impotence
Alpha blockers (eg prazosin, doxazosin) ...... Impotence
Beta blockers (eg atenolol, propranolol and including timolol eye drops) ....Impotence
Calcium channel blockers (eg verapamil, nifedipine) ...... Impotence
Clonidine ...... Impotence, Decreased sex drive, Delayed or failure of ejaculation
Methyldopa ......Impotence, Decreased sex drive, Ejaculatory failure
Thiazide diuretics (eg bendrofluazide) .... Decreased sex drive, Impotence, Ejaculatory disturbances
| Distressing isn't it?
Last edited by Lenin; 06-21-2006 at 05:18 AM.
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06-21-2006, 03:34 PM
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#8 | Inactive
Join Date: Jan 2003 Location: upper marlboro,md,usa
Posts: 21
| Re: Medicines and Sexual Ability
I understand that if you take Terazosin you can't take erection enhancers, thats distressing.
By the way Lenin what part of the world are you?
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06-22-2006, 07:01 AM
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#9 | Senior Veteran (male)
Join Date: Nov 2004
Posts: 8,456
| Re: Medicines and Sexual Ability
Less than Two Miles from Times Square!
You MIGHT get away with low dose viagra if taken more than 4 hours apart from the alpha-blocker, but not cialis or levitra which, like the Everready Bunny, go ON AND ON!  (especially Cialis...a wonder drug!  )
Last edited by Lenin; 06-22-2006 at 07:14 AM.
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06-22-2006, 07:34 AM
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#10 | Senior Veteran (male)
Join Date: Sep 2005 Location: Egypt
Posts: 1,671
| Re: Medicines and Sexual Ability Quote:
Originally Posted by Lenin Less than Two Miles from Times Square!
You MIGHT get away with low dose viagra if taken more than 4 hours apart from the alpha-blocker, but not cialis or levitra which, like the Everready Bunny, go ON AND ON!  (especially Cialis...a wonder drug!  ) | Hello Lenin,
How are you  ? I hope that you still remember me. I heard that Vigra and Cialis are very dangrous for young men and I heard also that these drugs are dangrous for old men so what I which believe? I mean are those drugs safe to take or not (for high BP patients like us)?
Thanks,
Michael
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06-22-2006, 04:04 PM
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#11 | Senior Veteran (male)
Join Date: Nov 2004
Posts: 8,456
| Re: Medicines and Sexual Ability
Michael in Egypt,
They all LOWER blood pressure so they aren't a problem in that respect BUT they can be dangerous for anyone who takes nitrates/nitrites for angina because then the BP can go so low as to be dangerous.
Probably otherwise the worst common problem is a headache.
Cialis is quite something if you need it. Obviously since it can easily last 3 days...and it DOES... one shouldn't take nitroglycerine or sniff a popper for those 3 days.
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06-22-2006, 11:03 PM
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#12 | Senior Veteran (male)
Join Date: Sep 2005 Location: Egypt
Posts: 1,671
| Re: Medicines and Sexual Ability
Hello Lenin,
You still remember me  , you know I was asking because I heard a lot of bad things about those meds. Like they cause heart attacks and death so I wanted to know the truth. So they lower the blood pressure and for 3 days wow I guess it can be used as a medication for treating High BP? I remember that you said Vigra is used for treatingHigh BP before right?
Thanks Lenin,
Michael
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06-23-2006, 11:29 AM
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#13 | Veteran (male)
Join Date: Jul 2004
Posts: 318
| Re: Medicines and Sexual Ability
FYI, Millions of men have used these medications and when used properly they are quite safe. The people who had heart attacks probably had pre-existing heart problems....
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06-23-2006, 11:06 PM
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#14 | Senior Veteran (male)
Join Date: Sep 2005 Location: Egypt
Posts: 1,671
| Re: Medicines and Sexual Ability
Hello George,
Thanks for clearing this issue for me because I heard a lot of scary things about those type of medications. Some men died after few hours and those stuff. But I think they have misused the medication, like if someone doubled the High BP med he will have a real serious problem too.
Thanks,
Michael
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