Metoprolol and erectile dysfunction: what's the connection? | his (2023)

FAQs

Can I take Viagra if I am on metoprolol? ›

Interactions between your drugs

Sildenafil can add to the blood pressure-lowering effect of metoprolol. Contact your doctor if you experience signs and symptoms of low blood pressure such as dizziness, lightheadedness, fainting, flushing, headache, or a rapid pulse or heart rate.

Epinephrine constricts your blood vessels and causes blood to pump more forcefully. It's thought that by blocking these receptors, beta-blockers may interfere with the part of your nervous system responsible for causing an erection.

Heart medications such as digoxin, beta-blockers, diuretics and spironolactone can cause erectile dysfunction. Erectile dysfunction medications sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra) relax blood vessel muscles in the heart, lungs and penis.

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.

Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, swelling of the face, fingers, feet, or lower legs, trouble breathing, or weight gain.

Treatment with metoprolol is usually long term, possibly even for the rest of your life. Stopping metoprolol suddenly can make your condition worse, so talk to your doctor first. If you're bothered by any side effects, your doctor may be able to prescribe a different medicine for your heart problems.

Conclusions: Nebivolol is a beta-blocker option recommended to avoid ED because of its lower risk of ED compared with other beta-blockers. Bisoprolol was found to be associated with a higher risk of ED, followed by atenolol, metoprolol, and carvedilol, respectively.

ED is an occasional side effect of BP drugs like thiazide diuretics, loop diuretics, and beta-blockers, all of which can decrease blood flow to the penis and make it difficult to get an erection. However, other BP drugs, such as alpha-blockers, ACE inhibitors, and angioten-sin-receptor blockers, rarely cause ED.

Studies have suggested that losartan, a type of high blood pressure medication, may improve ED by preventing the constriction (narrowing) of blood vessels and increasing blood flow into the penis during sexual arousal.

Using oral medication

You can get quick results through oral medications such as Viagra, Cialis, Levitra, Staxyn, or Stendra. These pills boost blood flow to the penis during sexual arousal, making it possible to achieve an erection that is firm enough for satisfactory sexual intercourse.

What can I take for erectile dysfunction if I have heart problems? ›

People with erectile dysfunction can still get hard and experience orgasm. However, it may not be as frequent as a person previously experienced. Underlying conditions, such as diabetes or cardiovascular disease, can contribute to a person's ED.

Metoprolol affects both total and free testosterone levels (Rosen et al., 1988; el Sayed et al., 1998).

The most common (>2%) adverse reactions are tiredness, dizziness, depression, diarrhea, shortness of breath, bradycardia, and rash.

Typical dosing for metoprolol succinate (Toprol XL)

Adults: The typical dose is 25 mg to 100 mg by mouth once a day. Children 6 years and older: The dose is based on your child's weight. The typical starting dose is 1 mg/kg of body weight by mouth once a day.

Cardiac index (CI) and motor function had improved along with better QoL after metoprolol treatment in both the genders. In both age groups (<60 and ≥60 years), improvement in cardiac function, motor function, and QoL was observed; however, there was a difference in mental status.

The recommended dose range for metoprolol [succinate] for treating chest pain is 100 to 400 mg once a day. The recommended dose range for metoprolol [succinate] for treating heart failure is 12.5 to 200 mg once a day.

Conclusion: Metoprolol should not be used concomitantly with paroxetine, fluoxetine or bupropion due to extensive interactions and the risk of serious adverse effects.

Metoprolol: medicine for high blood pressure (hypertension) - NHS.

Is high blood pressure erectile dysfunction reversible? ›

Erectile dysfunction can result from high blood pressure. While treating high blood pressure with medication and lifestyle changes may improve erectile dysfunction, some damage from chronic hypertension may be irreversible.

In many cases, yes, erectile dysfunction can be reversed. A study published in the Journal of Sexual Medicine found a remission rate of 29 percent after 5 years. It is important to note that even when ED cannot be cured, the right treatment can reduce or eliminate symptoms.

For most people, erectile dysfunction from antidepressants is not permanent. Many people see a gradual return of their libido and sexual function after they stop taking SSRIs. 3 However, some people may experience post-SSRI sexual dysfunction syndrome, in which sexual side effects persist for months or even years.

A penile erection can normally last anywhere from a few minutes to about half an hour. On average, men have five erections a night while they're sleeping, each lasting about 25 to 35 minutes (Youn, 2017).

Drugs known as ARBs (angiotensin II receptor blockers, like losartan (Cozaar) are not only unlikely to cause erection problems, but they may improve sexual function in men with high blood pressure.

Erectile dysfunction is common, and there are many things you can do to manage it. A variety of factors may be causing your ED. These include your lifestyle, alcohol intake, some medications, diseases, disorders, and psychological stress. Depending on the cause, several effective strategies and treatments exist.

Erectile dysfunction (ED) is the medical term for trouble getting or maintaining an erection that is satisfying for sexual activities. Doctors for ED include urologists, endocrinologists, cardiologists, and mental health professionals.

Erectile dysfunction — the inability to get and keep an erection firm enough for sex — can be an early warning sign of current or future heart problems. Likewise, if you have heart disease, getting the right treatment might help with erectile dysfunction.

It's an indication of typical blood and nerve supply to the penis. Most young men will experience morning wood several times per week. As men grow older, they begin experiencing it less frequently. If you stop experiencing NPT, this may be an early sign of an underlying medical problem.

What is the biggest cause of erectile dysfunction? ›

Many cases of it respond well to lifestyle changes, medications, surgery, or other treatments. Even if your efforts to treat ED are unsuccessful, you and your partner can still enjoy physical intimacy and a satisfying sexual life.

Another test called a penile plethysmograph can be performed by individuals themselves at home. This test uses a device to distinguish between physical and psychological ED as a man watches or listens to sexual material.

The incidence of erectile dysfunction was 3.1% (only 1 patient) in the group not knowing which drug they were taking, 15.6% (5 patients) in the group knowing that they were receiving a beta-blocker and 31.2% (10 patients) in the group also knowing the side effects of the drug (P<0.01) (Fig. 2).

Men with hypertension are almost twice as likely to have impaired penile blood flow and erectile dysfunction compared to men with normal blood pressure, increasing their risk of heart disease and death. High blood pressure damages artery walls, causing them to harden and narrow, and reducing blood flow to the penis.

Another type of drug that lowers blood pressure is a nitrate drug. Nitrate drugs are used in people with heart disease to relieve chest pain called angina. You should not use Viagra if you use a nitrate drug. This can also lead to a dangerous drop in blood pressure.

Can I take Viagra if I have high blood pressure? For many patients with hypertension, taking Viagra and other ED medication – such as Stendra, Cialis, and Levitra – is safe, effective, and appropriate.

Can you take Viagra and PDE5 inhibitors if you are taking heart medications? They can be taken with most medicines for your heart, but not nitrates (GTN) or nicorandil, which are used to treat angina.

Erectile dysfunction medicines and high blood pressure

These medicines include sildenafil (Revatio, Viagra), vardenafil, avanafil (Stendra) and tadalafil (Adcirca, Cialis, others). The pill forms generally are thought to be safe for men with high blood pressure who are otherwise in good health.

ED is an occasional side effect of BP drugs like thiazide diuretics, loop diuretics, and beta-blockers, all of which can decrease blood flow to the penis and make it difficult to get an erection. However, other BP drugs, such as alpha-blockers, ACE inhibitors, and angioten-sin-receptor blockers, rarely cause ED.

Can lowering blood pressure improve erectile dysfunction? ›

If your erectile dysfunction is caused by high blood pressure, then lowering your blood pressure with healthy changes to your lifestyle, could be enough to improve your erections without any other treatments.

ED from high blood pressure can be reversed, especially if you are generally healthy and high blood pressure is the sole culprit.