Brief Answer: Possible options suggested sir Detailed Answer: Hello sir and welcome. Thank you for writing to us. The current prescribed medications may or may not directly affect your sexual activty and/or libido level, but in my opinion the more likely cause would be the heart condition and possible blood pressure changes as resulted by it. Also, a blood thinning medication prescribed to you which is most mandatory can at times affect the level of your libido. The remedy would be any of the following: -To substitute the medications preacribed to more suitable medications (but only if possible) -To wait for complete recovery from the recent stent and heart condition, which should also improve your sexual activity level -Or to prescribe medications to improve your sexual activity directly (eg. Sildenafil) Either of these options may be used. But the choice will depend completely on your doctor as he/she would know your history and level of response accurately. I would advise you to discuss these options with your doctor and only do as he/she has recommended. I am sure he/she will reach a good decision taking into consideration your cardiac health and sexual activity. I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.

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Brief Answer: Prolomet XL causes ED more often than nebicard Detailed Answer: Hello once again sir. Well, prolomet XL has a less common/rare side effect of change in sexual desire, performance, etc; whereas, nebicard has common side effects of anxiety and depression which can affect the sexual performance as well, but this is expected to be less commonly seen than sexual side effects experienced with prolomet XL. So my opinion and medical studies point towards the use of nebicard in your case to overcome the ED, and preferably avoid the prolomet XL as it seems to effect sexual performance and desire more often than nebicard. I hope this information helps you sir. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.

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Brief Answer: Yes I would recommend it; temperature can effect Detailed Answer: Hello XXXXX sir. Uphold is a good medication and should greatly help to treat your ED, and also increase in blood circulation to your penis which will in turn promote good erections in the future. I would also recommend this medication sir, but please do not abuse this medication and take it only when you wish to indulge in sexual activity. As for extreme temperatures affecting your sexual performance, yes this is quite possible. Given your cardiac history and circulatory problems, extreme temperatures can certainly effect your erections and libido. I hope this information clears your doubt sir. I am glad you have finally received a prescription that should help solve your problem to quite an extent sir. Please feel free to write to me about any queries at all sir, I am always available to help. Take care.

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