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Urology (Expert Forum)
Is High BP Med cause of problem
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Is High BP Med cause of problem
by Ace3, Oct 13, 2004 12:00AM
I'm 52, White Male, smoker who hasn't been to Dr for any problem in years. Jan 04, I went for high bp 145-160/90-100 and a rapid heartbeat (few minutes)at night. I began taking 100mg toprol XL, 25mg hydrochlorothiazide, 81mg baby asprin. Almost immediatley noticed lack of & longer to get as hard or large, and decrease in amount of ejaculate, from a lot to very minute. BP was 106-112/76-80. Blood test for PSA, chlorestoral, & what ever else was told everything ok, then had a colonostopy (sp), no problems. I told Dr to change something & she went to Benicar 20 or 25mg I think, with the others staying the same. Still have the same erection & ejaculate problem & it just doesn't feel the same. This cannot be a coincidence.
Doctor's Answer
by Kevin Pho, MD, Oct 14, 2004 12:00AM
, Oct 14, 2004 12:00AM
You're right, it's likely not a coincidence. One of the side effects of beta-blockers (like the Toprol XL) would be sexual dysfunction. Other antihypertensives can also cause sexual dysfunction as well, but not to the level of beta-blockers.
If there continues to be problems, I would continue to modify your blood pressure medication regimen to see which one minimizes the side effects.
A testosterone level can also be considered to ensure a low level isn't the problem.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
If there continues to be problems, I would continue to modify your blood pressure medication regimen to see which one minimizes the side effects.
A testosterone level can also be considered to ensure a low level isn't the problem.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
