Hello, I am 48 years old and two years ago I had a heart attack. I am taking Nedal 5mg, Zofenil 7.5mg, Roswera 10mg, Accard 75mg. I have erection problems. Can I try Sildenafil the lowest dose? I will be grateful for the information.
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Katarzyna Domagała Pharmacist
2 years ago
Similar restrictions apply to over-the-counter drugs with tadalafil, e.g. https://www.gdziepolek.pl/produkty/114413/tadalafil-maxon-tabletki-powlekane/ulotka/252432 In your case, I would first advise suggesting your problem to the attending physician, because among the drugs you take there are those that can cause erection problems, e.g. beta-blockers (Nedal) or angiotensin converting enzyme inhibitors (Zofenil). In order for the problem to disappear, it may be sufficient to change the cardiac drug, and thanks to this you will not have to include an erection drug in the therapy. If you leave the current treatment, there are two options: your doctor may agree to the use of medicines with sildenafil or tadalafil while taking Nedal, or you may possibly take herbal dietary supplements. These are not medicines, but preparations that supplement the daily diet, so the effects of taking them can be noticed at the earliest after about 3 months: https://www.gdziepolek.pl/artykuly/czym-roznia-sie-leki-od-suplementow
Thank you for the information. Of course, he will consult with a cardiologist, is there another erection drug that he could use?
Katarzyna Domagała Pharmacist
2 years ago
No, you cannot use a medicine containing sildenafil without talking to your doctor because Nedal is present in your treatment. On the one hand, there are no contraindications to the use of sildenafil with beta-blockers, which include nebivolol - the active substance of the drug Nedal, and on the other hand, sildenafil must not be used with drugs that release nitric oxide, as there may be a dangerous decrease in blood pressure. The feature that distinguishes nebivolol from other beta-blockers is its ability to relax blood vessels, which depends on the effect on the synthesis of nitric oxide. To sum up, Nedal is a drug from the group of beta-blockers with an additional effect affecting the processes of nitric oxide synthesis, so when taking it, preparations with sildenafil should not be used. The safest way out for you will therefore be to refrain from taking the potency drug until you consult a doctor to avoid the occurrence of these side effects. I encourage you to read articles that may be useful: https://www.gdziepolek.pl/tematy/czy-mozna-laczyc-leki-ze-soba https://www.gdziepolek.pl/tematy/stosowanie-lekow-a-seks