I'm a 60 year old, who, over 7 years has lost 60 lbs, and with the help of meds reduced my cholesterol, and high blood pressure. All my labs are excellent, including testosterone, potassium and magnesium. Nothing out of range. Over time, as my weight has decreased, the meds have come down. Now, I'm @210 (still overweight) and on low dosages of Lisinopril (10mg), Toprol XL (25mg), and a diuretic (37.5). Over the past 4 weeks, I've experienced some morning sluggishness and ED. It's not a sudden onset; I've been very cold some nights at bedtime, had sporatic ED... and I walk 5 miles a day four or more times a week... so up to now, no one has been surprised about a pulse of 60. Only now my pulse is often @ 50 and occasionally in the mid to upper 40's. My cardiologist tried dropping the diuretic and increasing the ACE inhibitor. No deal... my pressure shot up. Even every other day didn't work. I was dehydrated and I've rehydrated. And I suspect that the Toprol XL might be the culprit... yet my cardiologist is looking elsewhere. ECHO's wonderful, vascular's great... we're doing a renal doppler this week and I doubt it is going to show anything.
So, what's the problem with dropping the Toprol XL? I have tried Viagra for the ED and it's ok, and not my preference. Why take one drug to compensate for another?