by: anonymous

I have heart disease – are there any erectile disfunction or male
impotence treatments suitable for me?
Heart disease can be associated with various factors that increase
the likelihood of erectile disfunction or male impotence, and make
treatment more difficult.

Hardening of the arteries (atherosclerosis), which is frequently
involved in heart disease, can also affect the arteries that supply
blood to the penis, thereby reducing the blood supply to it and
leading to erectile disfunction. Smoking makes this worse, and
quitting smoking should always be a priority.

Many of the medicines used to treat high blood pressure, such as
beta-blockers, thiazide diuretics and clonidine, can also contribute
to erectile dysfunction. Some, but not all, statins and fibrates,
used to treat high cholesterol levels, may also have a minor effect.

Erectile dysfunction, or male impotence, therefore commonly exists
in men with heart disease. However, all the treatments for erectile
dysfunction and male impotence mentioned previously are stated to be
unsuitable for men with conditions in which sexual activity is
inadvisable, such as severe heart conditions. So what should these
men do?

Luckily, the warnings are not due to any effect of the drugs
themselves, rather, that the activity of sex itself may put too much
strain on the heart for men with severe heart disease. However, a
recent report suggests that sexual activity is no more stressful to
the heart when compared with a number of other natural daily
activities, eg walking one mile on the level in 20 minutes. The risk
of sexual activity in patients with heart disease is therefore
minimal in properly assessed and advised patients. Patients with
more severe heart disease may be referred to a cardiologist who can
further evaluate their condition and determine if it is safe for
them to resume sexual activity. These men may require treatment to
stabilise their condition before treatment for ED (Erectile
dysfunction) can be prescribed.

So which erectile dysfunction or male impotence treatment is best
for men with heart disease who have been assessed as safe to resume
sex?

Caverject, Viridal Duo and MUSE are effective in impotence due to
many causes. However, if you are taking warfarin, (for preventing
blood clots, for example if you have an artificial heart valve or an
abnormal heart rhythm called atrial fibrillation) you may have an
increased risk of bruising or bleeding from administering these
medicines.

HYPERLINK "http://www.my-medicare.info/cialis.php" Cialis and
HYPERLINK "http://www.my-medicare.info/levitra.php" Levitra have
been shown to be effective in erectile dysfunction due to various
causes. However, they should not be taken by men with the heart
conditions listed previously, and are not suitable for men with
heart disease who are taking nitrates, eg for angina or heart
failure.

HYPERLINK "http://www.my-medicare.info/uprima.php" Uprima has been
shown to be safe and effective in men with heart disease and high
blood pressure and has the advantage of being safe to take with
nitrates.


When HYPERLINK "http://www.my-medicare.info/viagra.php" Viagra was
first introduced there were reports of men with heart problems
experiencing serious side effects, however safety data has since
demonstrated that Viagra does not increase the risk of heart attack
or death, and is safe for many men with heart disease. However, it
is not suitable for men with heart disease who are taking nitrates,
eg for angina or heart failure.

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