In order for an erection to occur, there has to be activation of beta-receptors in the tissues of the penis and arteries of the penis. Some beta blockers bind to many different type of beta-receptors and can often block those receptors(beta-2). That does not allow the blood vessels to relax enough to allow the penis fill up with blood for a proper erection. Propanolol, timolol, and nadolol are non-selective beta blockers and have the most potential for interfering with an erection. Beta blockers that are called 'cardio-selective' are those that only block the beta-1 receptors and do not tend to cause ED. Examples of cardio-selective beta blockers are metoprolol, acebutalol, esmolol, and atenolol. Some beta blockers also block certain alpha receptors as well, which can cause ED. But there are some beta blockers that can actually help erectile function by increasing nitric oxide (NO) levels with their alpha-blocking properties, such as nebivolol. I read this article (Beta-blockers for cardiovascular conditions: one size does not fit all patients) hoping to find the answer to my older male patient’s problem with beta-blockers and erectile dysfunction. Time and time again they come out of hospital post-MI on metoprolol and the ability to maintain an erection seems to have been left at the hospital. Over the last few weeks I have spoken to one of the cardiologists who suggested switching those who need to stay on a beta-blocker to carvedilol as it is more cardioselective..reading your article this doesn't seem to be the case. I wonder if you can comment on what you would do with these men both in the situation of preserved ejection fraction and those with reduced ejection fraction. The quality of life for them is dreadful when they can no longer perform. It has huge psychological burden and makes compliance tricky too. The other piece of advice my friendly cardiologist gave me was post-MI, if they can walk up two flights of stairs Viagra was fine; again, not what I had been led to believe historically.
If you’re taking medication to treat blood pressure, depression, pain, allergies, inflammation, seizures, or heart conditions, you’re one of the tens of millions of people at risk for medically induced erectile dysfunction. Yet erectile dysfunction is one of the least talked about side effects of prescription medication. Taking these life-saving medication doesn’t have to mean choosing between your health and a healthy sex life. Medically induced erectile dysfunction is something you (and your doctor) can fix. Here are three super easy ways to fix medically induced erectile dysfunction. Erections are extremely complicated and surprisingly fragile. Erections involve chemical signals, nerve impulses, complicated blood pressure changes, and overall fitness in systems ranging from your heart and hormones to your mood. When medication changes how one of these factors works—like blood pressure drops or depression medication—ED is a common side effect. The problem with these completely predictable medically induced side effects is how people react. When most men experience ED as a side effect of medication, they typically do one of two things: Neither of these is an ideal option, for obvious reasons. If you are having problems achieving or maintaining an erection you may want to take a look at your medicine cabinet first. There are a number of prescription and over-the-counter drugs that may cause erectile dysfunction. While these drugs may treat a disease or condition, they can also affect a man's hormones, nerves, or blood circulation, resulting in ED or increase the risk of ED. The list of possible offenders is long, so check with your doctor regarding medications you are taking to rule out any as a cause of, or contributor to, ED. Hydrochlorothiazide (Esidrix, Hydro DIURIL, Hydropres, Inderide, Moduretic, Oretic, Lotensin)Chlorthalidone (Hygroton)Triamterene (Maxide, Dyazide)Furosemide (Lasix)Bumetanide (Bumex)Guanfacine (Tenex)Methyldopa (Aldomet)Clonidine (Catapres)Verapamil (Calan, Isoptin, Verelan)Nifedipine (Adalat, Procardia)Hydralazine (Apresoline)Captopril (Capoten)Enalapril (Vasotec)Metoprolol (Lopressor)Propranolol (Inderal)Labetalol (Normodyne)Atenolol (Tenormin)Phenoxybenzamine (Dibenzyline)Spironolactone (Aldactone) Fluoxetine (Prozac)Tranylcypromine (Parnate)Sertraline (Zoloft)Isocarboxazid (Marplan)Amitriptyline (Elavil)Amoxipine (Asendin)Clomipramine (Anafranil)Desipramine (Norpramin)Nortriptyline (Pamelor)Phenelzine (Nardil)Buspirone (Buspar)Chlordiazepoxide (Librium)Clorazepate (Tranxene)Diazepam (Valium) Doxepin (Sinequan)Imipramine (Tofranil)Lorazepam (Ativan)Oxazepam (Serax)Phenytoin (Dilantin) If you experience ED and think that it may be a result of medication, do not stop taking the drug without first consulting your doctor. If the problem persists, your doctor may be able to prescribe a different medication. Other substances or drugs that can cause or lead to ED include recreational and frequently abused drugs, such as: Aside from the well-known complications that the use and abuse of these drugs can cause, ED is not often mentioned. These drugs not only affect and often times suppress the central nervous system, but can also cause serious damage to the blood vessels, resulting in permanent ED.
, this effect has been reported in patients on high-dose (average of 255 mg/day) propranolol therapy for angina pectoris (1). A recent single case report in this journal comments on this adverse effect as well (2). En español | Many people don’t know it, but drugs are among the most common causes of sexual problems. Indeed, studies show that prescription medications are responsible for as many as one of every four cases of sexual dysfunction — and this figure may understate the extent of the problem. See also: AARP Health Record is a safe place to manage your family's health information. If your sex life isn’t what you think it should be — or what it used to be — talk with your physician or health care provider, even if initiating the discussion feels a little awkward or embarrassing. (If all those television ads can bring such subjects into your living room, surely you can bring them up in your doctor’s office.) At the very least, it’s helpful to rule out drugs as a cause of sexual problems before you undergo diagnostic tests that could lead to additional prescriptions. Here’s a rundown of the major classes of drugs that can interfere with your sex life. As always, it’s important to remember that you should not discontinue drugs without consulting your doctor.
High blood pressure medications that can cause sexual dysfunction as a side. as propranolol Inderal, Innopran XL, are commonly associated with sexual. Jan 1, 1977. To the editor We wish to call attention to propranolol as an additional cause of drug-induced erectile dysfunction that was not listed by Levine.