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

Question

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.

Answer 1

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.

Answer 2

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.

Answer 3

Hi,

Welcome back to icliniq.com.

Take care.