Hardening of the arteries (atherosclerosis), which is frequently involved in heart disease, can also affect the arteries that supply blood to the penis, thereby reducing the blood supply to it and leading to erectile dysfunction. Smoking makes this worse, and quitting smoking should always be a priority. Many of the medicines used to treat high blood pressure, such as beta-blockers, thiazide diuretics and clonidine, can also contribute to erectile dysfunction. Some, but not all, statins and fibrates, used to treat high cholesterol levels, may also have a minor effect. Erectile dysfunction, or male impotence, therefore commonly exists in men with heart disease. However, all the treatments for erectile dysfunction and male impotence mentioned previously are stated to be unsuitable for men with conditions in which sexual activity is inadvisable, such as severe heart conditions. So what should these men do?

Luckily, the warnings are not due to any effect of the drugs themselves, rather, that the activity of sex itself may put too much strain on the heart for men with severe heart disease. However, a recent report suggests that sexual activity is no more stressful to the heart when compared with a number of other natural daily activities, e.g. walking one mile on the level in 20 minutes. The risk of sexual activity in patients with heart disease is therefore minimal in properly assessed and advised patients. Patients with more severe heart disease may be referred to a cardiologist who can further evaluate their condition and determine if it is safe for them to resume sexual activity. These men may require treatment to stabilize their condition before treatment for ED

So which erectile dysfunction or male impotence treatment is best for men with heart disease who have been assessed as safe to resume sex?

Caverject, Viridal Duo and MUSE are effective in impotence due to many causes. However, if you are taking warfarin, (for preventing blood clots, for example if you have an artificial heart valve or an abnormal heart rhythm called atrial fibrillation) you may have an increased risk of bruising or bleeding from administering these medicines.

http://www.my-medicare.info/cialis.php Cialis and http://www.my-medicare.info/levitra.php Levitra have been shown to be effective in erectile dysfunction due to various causes. However, they should not be taken by men with the heart conditions listed previously, and are not suitable for men with heart disease who are taking nitrates, e.g. for angina or heart failure.

http://www.my-medicare.info/uprima.php Uprima has been shown to be safe and effective in men with heart disease and high blood pressure and has the advantage of being safe to take with nitrates. http://www.my-medicare.info/viagra.php When Viagra was first introduced there were reports of men with heart problems experiencing serious side effects, however safety data has since demonstrated that Viagra does not increase the risk of heart attack or death, and is safe for many men with heart disease. However, it is not suitable for men with heart disease who are taking nitrates, e.g. for angina or heart failure.
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