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Home > Archive > Impotence Support > December 2004 > Need advice - diuretics
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Need advice - diuretics
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| Due to blood pressure problems I am going to have to start taking diuretics
(in addition to the other b.p. meds I already take) which I know from past
experience will cause erection issues.
My question is how to manage this. Can I stop taking the diuretics just for
a day or two if I know I might need a weekend erection? Will the side
effects fade that fast or not? Will the standard erection therapies like
Viagra or injection therapy work in the presence of diuretic induced
impotence?
Thanks to anyone with direct experience of this!
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| JerAlbin 2004-10-29, 7:09 pm |
| > diuretic induced
>impotence?
Did not know diuretics caused problems
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| Wanderer 2004-12-18, 11:06 am |
| On Fri, 29 Oct 2004 14:01:04 -0500, eldee wrote
(in message <BDA80BAF.9058%notmy@email.net> ):
> Due to blood pressure problems I am going to have to start taking diuretics
> (in addition to the other b.p. meds I already take) which I know from past
> experience will cause erection issues.
>
> My question is how to manage this. Can I stop taking the diuretics just for
> a day or two if I know I might need a weekend erection? Will the side
> effects fade that fast or not? Will the standard erection therapies like
> Viagra or injection therapy work in the presence of diuretic induced
> impotence?
>
> Thanks to anyone with direct experience of this!
>
Of the many options for treating HBP, diuretics are probably the worst,
especially from the standpoint of inducing ED. You don't want to stop taking
the diurects intermittently either ‹ this would cause fluctuations in your
electrolyte levels, and put you at greater risk of an arrythmia or stroke.
It's possible that taking Viagra or Cialis will counteract the effects of the
diuretics ‹ but I wouldn't bet on it. The smartest thing you could do would
be to investigate other options for treating your HBP. Cozaar, for instance,
is reported to actually have a PRO sexual effect. It's a very effective
treatment for HBP. ACE inhibitors like Altace are not nearly as troublesome
as diuretics in causing ED. Unless you have already tried these drugs without
success, either Cozaar or Altace are a much better starting place for HBP
than diurectics. For what it is worth, I am speaking from direct experience
of all these meds.
W
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| Peabody 2004-12-18, 11:06 am |
| Wanderer says...
> Of the many options for treating HBP, diuretics are
> probably the worst, especially from the standpoint of
> inducing ED. You don't want to stop taking the diurects
> intermittently either < this would cause fluctuations in
> your electrolyte levels, and put you at greater risk of
> an arrythmia or stroke. It's possible that taking Viagra
> or Cialis will counteract the effects of the diuretics <
> but I wouldn't bet on it. The smartest thing you could
> do would be to investigate other options for treating
> your HBP. Cozaar, for instance, is reported to actually
> have a PRO sexual effect. It's a very effective
> treatment for HBP. ACE inhibitors like Altace are not
> nearly as troublesome as diuretics in causing ED. Unless
> you have already tried these drugs without success,
> either Cozaar or Altace are a much better starting place
> for HBP than diurectics. For what it is worth, I am
> speaking from direct experience of all these meds.
I too am a veteran of the blood pressure wars, and concur
with what you've said. I think you have to take the
diuretic continuously, and not skip doses.
Other things:
1. The ED impact of diuretics is dose-dependent. So if a
small dose (i.e. - maybe 12.5 mg of HCTZ) does the trick for
BP, don't take more. Insist that your doc start you at a
low dose, and see how it works, even if you have to cut the
tablets in half.
2. It might help to take the diuretic as long before having
sex as possible, so maybe just before you go to sleep,
rather than in the morning.
3. The combination of a thiazide diuretic and an ACE
inhibitor is supposed to have a greater impact on BP than
the sum of the effects of each taken alone. So taking
something like Altace might help reduce the dose of diuretic
you have to take.
4. Don't forget calcium channel blockers, which can have
good BP effects, typically without ED problems. I've taken
Diltiazem with good results.
Good luck, and please let us know what you end up doing.
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| Peabody 2004-12-20, 7:09 pm |
| Wanderer says...
> Of the many options for treating HBP, diuretics are
> probably the worst, especially from the standpoint of
> inducing ED. You don't want to stop taking the diurects
> intermittently either < this would cause fluctuations in
> your electrolyte levels, and put you at greater risk of
> an arrythmia or stroke. It's possible that taking Viagra
> or Cialis will counteract the effects of the diuretics <
> but I wouldn't bet on it. The smartest thing you could
> do would be to investigate other options for treating
> your HBP. Cozaar, for instance, is reported to actually
> have a PRO sexual effect. It's a very effective
> treatment for HBP. ACE inhibitors like Altace are not
> nearly as troublesome as diuretics in causing ED. Unless
> you have already tried these drugs without success,
> either Cozaar or Altace are a much better starting place
> for HBP than diurectics. For what it is worth, I am
> speaking from direct experience of all these meds.
I too am a veteran of the blood pressure wars, and concur
with what you've said. I think you have to take the
diuretic continuously, and not skip doses.
Other things:
1. The ED impact of diuretics is dose-dependent. So if a
small dose (i.e. - maybe 12.5 mg of HCTZ) does the trick for
BP, don't take more. Insist that your doc start you at a
low dose, and see how it works, even if you have to cut the
tablets in half.
2. It might help to take the diuretic as long before having
sex as possible, so maybe just before you go to sleep,
rather than in the morning.
3. The combination of a thiazide diuretic and an ACE
inhibitor is supposed to have a greater impact on BP than
the sum of the effects of each taken alone. So taking
something like Altace might help reduce the dose of diuretic
you have to take.
4. Don't forget calcium channel blockers, which can have
good BP effects, typically without ED problems. I've taken
Diltiazem with good results.
Good luck, and please let us know what you end up doing.
| |
| Wanderer 2004-12-20, 7:09 pm |
| On Fri, 29 Oct 2004 14:01:04 -0500, eldee wrote
(in message <BDA80BAF.9058%notmy@email.net> ):
> Due to blood pressure problems I am going to have to start taking diuretics
> (in addition to the other b.p. meds I already take) which I know from past
> experience will cause erection issues.
>
> My question is how to manage this. Can I stop taking the diuretics just for
> a day or two if I know I might need a weekend erection? Will the side
> effects fade that fast or not? Will the standard erection therapies like
> Viagra or injection therapy work in the presence of diuretic induced
> impotence?
>
> Thanks to anyone with direct experience of this!
>
Of the many options for treating HBP, diuretics are probably the worst,
especially from the standpoint of inducing ED. You don't want to stop taking
the diurects intermittently either ‹ this would cause fluctuations in your
electrolyte levels, and put you at greater risk of an arrythmia or stroke.
It's possible that taking Viagra or Cialis will counteract the effects of the
diuretics ‹ but I wouldn't bet on it. The smartest thing you could do would
be to investigate other options for treating your HBP. Cozaar, for instance,
is reported to actually have a PRO sexual effect. It's a very effective
treatment for HBP. ACE inhibitors like Altace are not nearly as troublesome
as diuretics in causing ED. Unless you have already tried these drugs without
success, either Cozaar or Altace are a much better starting place for HBP
than diurectics. For what it is worth, I am speaking from direct experience
of all these meds.
W
| |
| raimund_lullus@yahoo.de 2004-12-21, 7:07 am |
| >From a rather recent experience I must concurr with Wanderer and
Peabody.
As my BP is no longer sufficiently lowered by a combination of a
calcium channel blocker and Diovan, my internist put me on Co-Diovan
(Diovan cum HCTZ) - the effects on my BP were rather insignificant but
the effect on erectile function was immediate and impresssive: All that
function that is upheld by Testogel and Viagra (and rather well for
that) ceased immediately to exist.
The effect was so drastic that I suspected a psychological one (which
so far I cannot exclude) A physician friend of mine explained this with
a known interaction between Sildenafil and the Thiazide. He suggested
(of all things!) to try a low dose of beta blocker instead, even if
this class has an even worse reputation with respect to sexual side
effects.
We tried, and so far (after 4 weeks) the effects have been very
satisfactory with respect to BP control as well as to side effects:
There are virtually none, even if the psychological aspect might be
much graver for me than with the diuretic.
This, in retrospect, leads me to to the opinion that the drastic effect
of the HCTZ was not only in may brain but had a physiological
background.
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| MusicaBrasileira.org 2004-12-21, 11:07 am |
| raimund_lullus@yahoo.de wrote:
> This, in retrospect, leads me to to the opinion that the drastic effect
> of the HCTZ was not only in may brain but had a physiological
> background.
My doctor was also surprised when I told him about the side effects of
HCTZ and ED. He went ahead and had me stop taking HCTZ and added in its
place a calcium channel blocker. The change was significant and
noticeable in a few days. I've been able to maintain erections easily
and without using Cialis.
nAustin
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| Blood pressure is only 1 of the risk factors in determining whether you will
suffer any other medical problem like heart failure, stroke etc and remember
that heart and circulatory conditions are the leading cause of death
worldwide so regardless of our blood pressure most of us will die of heart
failure in one way or another. IMO if you have only mild high BP I would
take nothing. There are many studies where people in their 70's have high
BP, high cholesterol, diabetes etc who take nothing and do not have an
increased mortality. Of course, the fact that they made it to their 70's
probably means that they have a strong constitution to begin with but I
think these numbers that doctors try to aim at are too low. Only 1 person in
5 has a BP of 120/80. The same is true with cholesterol. Besides it's the
ratio of HDL to cholesterol that's important. So if you have mild high BP
and it is not getting any worse I would think about taking any drugs at all
especially if you're older.
What are your BP readings and age?
"Wanderer" <unlikely@nowhere.net> wrote in message
news:0001HW.BDE9B2EC0008D4F0F03055B0@news.verizon.net...
> On Fri, 29 Oct 2004 14:01:04 -0500, eldee wrote
> (in message <BDA80BAF.9058%notmy@email.net> ):
>
diuretics[vbcol=seagreen]
past[vbcol=seagreen]
for[vbcol=seagreen]
like[vbcol=seagreen]
>
> Of the many options for treating HBP, diuretics are probably the worst,
> especially from the standpoint of inducing ED. You don't want to stop
taking
> the diurects intermittently either < this would cause fluctuations in your
> electrolyte levels, and put you at greater risk of an arrythmia or stroke.
> It's possible that taking Viagra or Cialis will counteract the effects of
the
> diuretics < but I wouldn't bet on it. The smartest thing you could do
would
> be to investigate other options for treating your HBP. Cozaar, for
instance,
> is reported to actually have a PRO sexual effect. It's a very effective
> treatment for HBP. ACE inhibitors like Altace are not nearly as
troublesome
> as diuretics in causing ED. Unless you have already tried these drugs
without
> success, either Cozaar or Altace are a much better starting place for HBP
> than diurectics. For what it is worth, I am speaking from direct
experience
> of all these meds.
>
> W
>
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| raimund_lullus@yahoo.de 2004-12-28, 11:10 am |
|
ED wrote:
> but I
> think these numbers that doctors try to aim at are too low. Only 1
person in
> 5 has a BP of 120/80. The same is true with cholesterol. Besides it's
the
> ratio of HDL to cholesterol that's important. So if you have mild
high BP
> and it is not getting any worse I would think about taking any drugs
at all
> especially if you're older.
> What are your BP readings and age?
Even if this posting addresses Wanderer, I will contribute my readings
- I am not talking about mildly elevated BP and 'BP cosmetics' but
rather the kind which led to complications for my parents. I am 57
years old, treated for secondary hypogonadism over the last 6 years and
it seems that the high BP developed in this period. Untreated, it
varies in supine position and resting between 130/80 and 170/95, and
under ergometric tests I scored 250/100 (I reach this load every day
running or cycling) With Valsartan + Calcium channel blocker + beta
blocker I do do not exceed 135/85 at rest. The exact value under load
is not yet tested.
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