The treatment of hypertension in patients with erectile dysfunction.

Abstract:

:Hypertension is another predictor of erectile dysfunction (ED). This is further evidence supporting a link between the pathogenesis of atherosclerotic disease and ED. In one study (TOMHS) involving hypertensive patients, the incidence of ED was 14.4%. The drugs used to treat hypertension may cause ED. However, there is little trial-based evidence to indicate which drugs are more likely to cause this side effect. In general, thiazide diuretics and beta-blockers seem to cause ED more often. In contrast, the alpha-blocker, doxazosin, has not been associated with an increased incidence of ED as a side effect. Doxazosin also improves urinary flow in patients with benign prostatic hyperplasia (BPH). This condition is common in elderly men as is hypertension and ED. Therefore, doxazosin may present a special advantage among this group of patients. This alpha-blocker would also be a good choice in patients with impaired glucose tolerance/diabetes because it improves insulin sensitivity. Moreover, ED and hypertension are more prevalent among diabetics. On a more speculative note, doxazosin may potentiate the therapeutic impact of specific treatments for ED.

journal_name

Curr Med Res Opin

authors

Mikhailidis DP,Khan MA,Milionis HJ,Morgan RJ

doi

10.1185/0300799009117037

keywords:

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

s31-6

eissn

0300-7995

issn

1473-4877

journal_volume

16 Suppl 1

pub_type

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