Is it advisable to take Sildenafil in patients with hypertension?

Question

Hello doctor,

I want to know what my ECG says. I am attaching a recent ECG and various results from a blood test conducted nine years ago. In your reply, you stated, "Sildenafil, that is, Viagra, should not be used if you have any cardiac issue." Why? Should I consider I have a cardiac issue? What are the cardiac issues? I have no headache flashing or sinus or chest pain when taking Sildenafil. Sometimes, I feel one hour after taking the pill, and for a period of about 15 to 20 minutes, the heart rate is a bit more than normal, but I have not measured it. Perhaps I will have to measure it next time. My erection problem is not severe. If I have Irbesartan in the morning, I have an erection that lasts for a short time or sometimes no erection. If I omit the morning pill of Irbesartan, then I always have an erection.

Sometimes, it lasts for a short time; sometimes, it lasts for more time. If I omit the morning pill of Irbesartan and get a Viagra (I get the 25 mg or a few times I got the 50 mg Viagra Sildenafil pill), the erection is very good and lasts long. I have no history of diabetes. In your reply, you stated, "Use of Sildenafil once in a while cannot cause aortic dilatation." I suppose instead of an aortic, did you want to write one? Please study the new data with the attached files and reply to me if I can take Sildenafil; if yes, how should I take it by not taking Irbesartan in the morning? I am looking forward to your reply.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I must tell you one thing: erectile dysfunction is primarily psychological. It is not a prominent side effect of Irbesartan. It is also used for the treatment of erectile dysfunction. Your ECG (electrocardiogram) suggests your heart rate is on the lower side. Otherwise, I cannot appreciate any abnormality. By saying cardiac issues, I mean to say that sometimes, patients with hypertension can have heart involvement. I would suggest you do not consider it as a side effect of Irbesartan. Still, if you feel, you may switch to another antihypertensive drug. I have studied your reports, and your lipid profile is slightly deranged. You can take Sildenafil 25 mg once in a while. I suggest you change the antihypertensive drug and get an online prescription refill so that it clears from your mind that it is causing this problem to you.

I hope this helps.

Please revert so I can assist you further.

Thank you.