Previous studies indicate that erectile dysfunction is dose‐dependent and more prevalent with older‐generation β blockers (propranolol) than with newer ones (celiprolol and carvedilol), with atenolol standing in between.Although evidence seems striking, several methodologic problems are worthy of discussion. Although patients with coronary heart disease have a 10‐fold increased risk, the absolute risk remains considerably low (20 per million).The statement of the American College of Cardiology/American Heart Association (ACC/AHA) published in 1999 regarding sildenafil use in patients with cardiovascular disease seems partly outdated, since the fear of potential consequences was due to the absence of data at that time.According to the 2005 American Urological Association guidelines regarding the use of PDE‐5 inhibitors with α blockers, vardenafil is contraindicated, while tadalafil and sildenafil (at 50 mg and 100 mg) should be administered with caution in all patients taking α blockers.We must not forget that some β blockers possess α‐blocker activity as well (labetalol, carvedilol); thus, PDE‐5 inhibitors should be used with caution until appropriate data become available.Older‐generation antihypertensive drugs (central‐acting, β blockers, diuretics) negatively affect erectile function, while newer‐generation agents (calcium antagonists and ACE inhibitors) seem to have neutral effects, and ARBs exhibit a beneficial effect on erectile function (In the case of erectile dysfunction resulting from antihypertensive drugs, the physician may either add PDE‐5 inhibitors or substitute current treatment with drugs with a better profile regarding sexual side effects (ARBs); if erectile dysfunction persists, the treating physician may add PDE‐5 inhibitors to relieve symptoms, improve quality of life and, more importantly, ensure adherence to antihypertensive treatment (Erectile dysfunction represents a patient‐driven field at this time, with the basic component being the patient's curiosity to understand and find relief of his symptoms. , November/December 2002; vol 4: pp 424-432. I'm quite sure it's Lamictal but I have no idea what medication to use instead. , May 2001; vol. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Or, a combination of medications might work better to control high blood pressure …
Barksdale, J.
2,3 After 12 weeks of Cozaar, about 58% said they were sexually satisfied. At first, just 7% of men and women in the study said they felt sexually satisfied overall. One study looked at the drug Cozaar, an ARB.