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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taking Atenolol after aortic valve replacement. Have ED. Is it due to medicine?

I am a 61 yr.old male who has been taking atenolol 50 mg since 2003. I was started on atenolol after my aortic valve was replaced because of regurgitation. My dr. increased my dosage to 75mg in May of 2012. I started experiencing ED. I reduced the doseage to 50mg but am still experiencing the problem. Is it the drug or another problem I am wondering?
Thu, 24 Jan 2013
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General & Family Physician 's  Response
Hello,
Yes it is because of the drug atenolol.
Atenolol is a beta-blocker commonly prescribed to men for various heart ailments.Atenolol is known to cause sexual side effects, including impotence, decreased sex drive and difficulty reaching orgasm. Atenolol causes impotence by blocking the sympathetic activity of the nervous system, interfering with the relaxation of penile blood vessels, making it difficult for men to achieve an erection.
You should consult your doctor for change of prescription.
Thanks
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Critical Care Specialist Dr. Sadiq Mughal's  Response
Hi thanks for your question.
Atenolo is a beta blocker which is known to decrease blood flow to peripheral parts of body including penis.It also blocks the sympathatic flow,which is responsible for erection.So your eractile dysfunction could be because of atenolol.I would suggest you to discuss the issuewith your surgeon and not stop atenolo l or decrease dose without his/her advice.
Hope this answers your question.
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