welcome to hcm, short answer NOT advisable for hypertensives. taking erection pills depend upon which group of anti hypertensives you are using and how far it is in control detailed answer: 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. Also, you may not be able to take these drugs if you: Take nitrate drugs (for chest pain) Had a heart attack or stroke in the past six months Have kidney or liver disease Have retinitis pigmentosa (an eye disease) now there are other methods try a vacuum device, or penis pump. This is typically a clear plastic cylinder with a bulb or plunger and a constriction band. You put your penis in the cylinder and start pumping. The suction creates a vacuum, so blood rushes in to fill the spaces in the spongy tissue of the penis, creating an erection. The erection lasts only as long as the blood stays in, so you slide the band down around the base of your penis, trapping the blood. It s safe to keep the band on for up to 30 minutes. These devices are available without a prescription, but it s important to buy one from a reputable manufacturer. The device must include a safety control so you can t harm your penis with too much suction. hope this explains in detail.