What medication can I safely take for erectile dysfunction if I have diabetes and coronary heart disease?

Erection problems in men over 40 are often associated with decreased levels of hormones such as testosterone and DHEA, as well as comorbidities such as diabetes and cardiovascular disease.

In your case (age 46, diabetes and coronary artery disease), a comprehensive approach to the treatment of erectile dysfunction is crucial:

1. Glycemic Control and Diabetes Management – A well-controlled diabetes can help improve erections.

2. Treatment of cardiovascular disease – Blood vessel diseases such as atherosclerosis can lead to erectile dysfunction. Proper treatment of these conditions can improve sexual function.

3. Choosing safe high blood pressure medications – some antihypertensive medications, such as beta-blockers, can negatively affect erections. It is recommended to use generation III drugs, which have less impact on potency.

4. Psychological support – erection problems can lead to mental disorders such as depression. Psychological help can be beneficial.

5. Potency medications - in the case of persistent erectile dysfunction, the doctor may prescribe potency medications such as phosphodiesterase type 5 inhibitors (e.g. Mensil). Please do not include this type of medication in your therapy on your own, because potency drugs may interact dangerously with drugs used to treat cardiovascular diseases, e.g. nitrates (e.g. nitroglycerin). Concomitant use of these medications can lead to a sudden drop in blood pressure.

If you do not have the opportunity to consult your doctor, you can use the teleconsultation here:
https://www.gdziepolek.pl/telekonsultacja