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I have diabetes and high BP – how can I treat ED and PE?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 47 years old. I am experiencing ED and PE. Five years back I had a seizure attack once because of high BP for which I have used Eptoin 100 mg daily for three years. Currently, I am on medication for BP using Telma 80 mg and Minipress XL 5 mg (for five years) and taking Insulin 12 units daily (one year). Please advice me on the treatment to get rid of ED and PE.
Answered by Dr. Vedprakash Verma

Education:

MD

Professional Bio:

Dr. Vedprakash Verma is a dedicated General Practitioner with a specialization in general medicine and internal medicine. With over a decade of experience, he is skilled in diagnosing and managing a wide range of health conditions, while also focusing on preventive care and patient education. Known for his approachable nature and clear communication, Dr. Verma encourages patients to discuss their health concerns freely and provides guidance on disease management, treatment, and preventive measures. He delivers compassionate, patient-centered care.

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Hi,

Welcome to icliniq.com.

B-blocker like Prazosin hydrochloride (Minipress XL) is causing premature ejaculation (PE) and erectile dysfunction (ED) with the effect of Phenytoin (Eptoin) (attachment removed to protect patient's identity). Diabetes also a risk-factor of causing erectile dysfunction. Kindly tell us how is your diabetes and hypertension control, then I will tell how to manage this condition.

Take care.

Patient's Query

Thank you for your reply doctor,

My current BP levels are 130/85, plasma glucose - fasting -100, post-lunch -160.

Please guide.

Answered by Dr. Vedprakash Verma

Education:

MD

Professional Bio:

Dr. Vedprakash Verma is a dedicated General Practitioner with a specialization in general medicine and internal medicine. With over a decade of experience, he is skilled in diagnosing and managing a wide range of health conditions, while also focusing on preventive care and patient education. Known for his approachable nature and clear communication, Dr. Verma encourages patients to discuss their health concerns freely and provides guidance on disease management, treatment, and preventive measures. He delivers compassionate, patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Diabetes destroys nerves and vessels which help for penile erection, thus leading to PE and erectile dysfunction. You can follow the following instructions:

1. Tablet Sildenafil 50 mg orally one hour before sex (precaution- do not take Minipress XL in the last 12 hours as it causes severe hypotension).

2. Intravenous injection of Alprostadil before sex.

3. Tablet Neurobion Forte (multivitamin) one tablet orally once a day for 15 days.

Thank you.

Patient's Query

Hi doctor,

Thank you for your kind response. I will follow up with the advice.

Answered by Dr. Vedprakash Verma

Education:

MD

Professional Bio:

Dr. Vedprakash Verma is a dedicated General Practitioner with a specialization in general medicine and internal medicine. With over a decade of experience, he is skilled in diagnosing and managing a wide range of health conditions, while also focusing on preventive care and patient education. Known for his approachable nature and clear communication, Dr. Verma encourages patients to discuss their health concerns freely and provides guidance on disease management, treatment, and preventive measures. He delivers compassionate, patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Take care.

Medically reviewed by Dr. Divya Banu M
Published At May 21, 2019
Reviewed At March 24, 2025

Education:

MD

Professional Bio:

Dr. Vedprakash Verma is a dedicated General Practitioner with a specialization in general medicine and internal medicine. With over a decade of experience, he is skilled in diagnosing and managing a wide range of health conditions, while also focusing on preventive care and patient education. Known for his approachable nature and clear communication, Dr. Verma encourages patients to discuss their health concerns freely and provides guidance on disease management, treatment, and preventive measures. He delivers compassionate, patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vedprakash Verma
Dr. Vedprakash Verma

General Practitioner

Education:

MD

Professional Bio:

Dr. Vedprakash Verma is a dedicated General Practitioner with a specialization in general medicine and internal medicine. With over a decade of experience, he is skilled in diagnosing and managing a wide range of health conditions, while also focusing on preventive care and patient education. Known for his approachable nature and clear communication, Dr. Verma encourages patients to discuss their health concerns freely and provides guidance on disease management, treatment, and preventive measures. He delivers compassionate, patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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