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Talk to General Physician on Blood Pressure Drugs Adjustment

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Asking for Self, Male, 32 years old, Lahore

Taking the following drugs for primary hypertension since 2009 regularly. A. Zestril 20mg OD, Lodopin 10mg OD, Merol 25mg BD. BP is well controlled usually 130/80 or less. Merol 25mg BD is for palpitation & fast heart-rate not BP control. I was prescribed Inderal 20mg two times a day which was replaced with Merol 25mg one tablet two times a day in 2014. Now I'm having erection issues, Very little to no morning erections, nor while bathing, When erection occurs it isn't as hard/strong & frequent as it was earlier. I asked srhmatters.org & they told me that beta blockers causes erection problems either in shape of ED or weak erections & told me that sildenafil will help you in getting hard erections. My question is this, is there any beta blocker which doesn't cause erection issues or at least have neutral effect & doesn't worsen it? Without Merol/Inderal, my heart-rate is high & have frequent palpitations so forceful that my whole body seems beating.

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Internal Medicine Specialist in Karachi - Dr. Syed Sardar Ali

Dr. Syed Sardar Ali - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Karachi

review-stars

39 Positive Reviews

Replace beta blocker with Calan 40 bd titrate according to ur heart rate >or< dose

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Post Owner


thanks for response to my post.

Calan 40 (Verapamil) is calcium channel blocker & I'm already taking one Amlodipine (Lodopin 10mg) along Zestril (Lisinopril 20mg).

Can both be taken i.e Verapamil plus Amlodipine?

4 years ago

Internal Medicine Specialist in Karachi - Dr. Syed Sardar Ali
Dr. Syed Sardar Ali - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Karachi | Book Appointment

review-stars 39 Positive Reviews

u can take better replace it with increase dose of zestril So u can take Zestril and calan together

4 years ago

Internal Medicine Specialist in Karachi - Dr. Syed Sardar Ali

Dr. Syed Sardar Ali - Internal Medicine Specialist

MBBS, FCPS (Medicine) | Karachi

review-stars

39 Positive Reviews

u can take ZESTRORETIC 20mg

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Post Owner


thanks.

4 years ago

General Physician in Larkana - Prof. Dr. Kouro Mal Gurbakhshani

one B blacker which doesn't cause erectile dysfunction is nebivolol which comes with d name of nabil byscard .you can take med with dose of 5 mg daily

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Post Owner


thanks for reply. I have read about it as a erection-friendly drug. A hypertensive married friend of mine is on it along valsartan rosuvastatin. Because of erection issues which he was having while on Inderal.

4 years ago

Internal Medicine Specialist in Lahore - Assoc. Prof. Dr. Somia Iqtadar

Assoc. Prof. Dr. Somia Iqtadar - Internal Medicine Specialist

MBBS, FCPS (Medicine), FRCP (London) | Lahore

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530 Positive Reviews

were u ever evaluated for cause of palpitations? if not u must be.Primary hypertension at age of 22 is a diagnosis to be made after careful evaluation.Also your medication can be re adjusted to take u off beta blockers.Please consult with your previous medical record.

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Post Owner


thank you so much for your response to my query.
I've strong anxiety/stress issue like generalized & social anxiety since childhood.
Yes several tests/investigations were done like renal doppler, then renal scan, thyroid profile, ecg, lipid profile, renal function test etc...
All tests were normal except Lipid Profile, then the FCPS qualified cardiologist trained from PIC, checked the pulse or something on my right thigh and told me that I have Essential Hypertension.

4 years ago

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