Is Tadalafil safe for someone with mild coronary artery stenosis?

Question

Hello doctor,

I had a master health checkup done seven years back, and all parameters were normal, including coronary angiography. Then, two years ago, I repeated all tests, including coronary angiography, which showed 15 to 20 percent stenosis of the proximal LAD (left anterior descending). The cardiologist prescribed Diaatal-D and Novastat, which I took for a couple of months and then discontinued. I had no discomfort or complaints at any time. About 2 months ago, I experienced a sudden posture change in the morning that lasted about 15 minutes, which I suspected was a stroke. I immediately went to a nearby hospital and met the neurologist.

He suspected it was a mild stroke and advised an MRI. The MRI did not show anything abnormal. He suggested repeating the MRI after 24 hours, and the result remained the same with no clotting seen. I was prescribed medicine, which I took, and then returned to my hometown. On arrival, I consulted a neurologist here who advised me to get a health checkup done, along with a cardiovascular evaluation. I completed the same, including a coronary angiography. The cardiologist prescribed medications which I am currently taking. The neurologist had also advised an EEG (electroencephalogram) after a month, and I had it done. Now, I want to know: Is the current line of treatment okay? Can I take erectile dysfunction medicine like Tadalafil once in a while or for a couple of days? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I am here to help you with your health queries.

I understand your concern regarding the current treatment. As your coronary angiography shows mild LAD (left anterior descending) coronary artery stenosis, and you had this stroke-like episode, blood thinners, and cholesterol-lowering drugs are necessary to prevent the future risk of any cardiac or brain stroke event. Dietary and lifestyle changes are equally important and must be strictly followed. For erectile dysfunction, Tadalafil is completely safe as far as the cardiac aspect is concerned. For the risk of brain stroke, studies have shown that it may improve small vessel brain perfusion and hence is a good choice to prevent the progression of vascular pathologies.

I hope this information will help you. Kindly revert in case of further queries.

Thank you.

Answer 2

Hello,

Glad to have you back!

I am here to help you get the best medical advice.

Yes, ED (erectile dysfunction) medication should be taken only when required. If you want to take it for a week, then you may do so, but watch out for its side effects like headache and dizziness. You may take a Tadafill 5 mg tablet per day and not more than that.

I hope this answers your query.

Thank you.