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Is Viagra Advisable For A Patient With High BP?

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Posted on Wed, 12 Oct 2016
Question: I am 38 year and have undergone ballooning for Mitral Stenosis on November 2011. Since then I have been taking Ecosprin 150 and Seloken XL 25 every night after dinner. Normally my BP remains 110/70 but for last few days it remain below 100/70 but I do not feel any problem as such unless checked for BP. I do not get erection easily and even if I get it, I do not get it hard enough for intercourse. Should I take Viagra?
doctor
Answered by Dr. Prasanna Heijebu (9 hours later)
Brief Answer:
You should Not take Viagra

Detailed Answer:
Hello, Sir

I can certainly understand your concern.

Viagra is absolutely contraindicated in your case for 2 reasons as it can exacerbate both cardiac issues as well as low blood pressure.

Hence it is not advisable to take Viagra.

Post your further questions if any.

Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Prasanna Heijebu (1 hour later)
Thanks doctor for the advise. Could you kindly suggest the medicine for erection problem. Thanks.
doctor
Answered by Dr. Prasanna Heijebu (2 hours later)
Brief Answer:
CAVERJECT can be helpful.

Detailed Answer:
Helli, Sir

Intracavernosal Alprostadil available ad CAVERJECT injection 10 mcg or Urethral pellets 125 mcg suitable yo cater to you needs.

Please check with your physician if he shares my view and if can prescribe this medication to you.

Thank you
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Prasanna Heijebu (32 hours later)
Hello Doctor,

Is this the treatment or just a solution for each time I think of having intercourse.
If this is not a treatment, could you kindly suggest the treatment for the problem instead of instant solution.

Thanks.
doctor
Answered by Dr. Prasanna Heijebu (33 hours later)
Brief Answer:
Permanent cure is nearly impossible

Detailed Answer:
Hello Sir

I can certainly understand your concern.

The Erectile dysfunction in your case is probably secondary to the vascular pathology elsewhere in your body( valluvar heart disease ie Mitral stenosis).

Long-term changes in blood vessels will cause this issue the blood flow to penis.

I suggested the temporary/ instant solution to your issue.By far this is the best measure one can ever advise you.

There is no permanent solution or cure to Erectile dysfunction secondary to long term heart disease.

But in few selective centers intracavernosal implants can be placed to significantly improve symptoms of ED.

This can be considered as a near total permanent solution, although it is associated with significant effects in the long-term.

To conclude, medical management with Alprostadil is the safe and an effective way to treat your ED.

Post your further questions if any.
Thank you.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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Is Viagra Advisable For A Patient With High BP?

Brief Answer: You should Not take Viagra Detailed Answer: Hello, Sir I can certainly understand your concern. Viagra is absolutely contraindicated in your case for 2 reasons as it can exacerbate both cardiac issues as well as low blood pressure. Hence it is not advisable to take Viagra. Post your further questions if any. Thank you.