How to replace enalapril with impotence

Do blood pressure pills affect a man's potency?

When arterial hypertension appears, many men begin to worry about whether they will have problems with potency.

Not everyone knows, but some drugs, while normalizing blood pressure, can negatively affect the functioning of other organs and systems.

Therefore, before using certain medicines, you should read the instructions for use.

After all, doctors have already proven that weak sexual activity reduces life expectancy.

Mortality in the group of men who had less than 1 orgasm per month is higher than those who had sex at least 2 times a week.

Relationship between potency and blood pressure

The effect of hypertension on the development of impotence is still not well understood. Only a few studies have addressed this issue. But doctors managed to establish that with hypertension, the ability of blood vessels to contract and decompress worsens. Because of this, it is not possible to properly regulate blood flow. This leads to the fact that the cavernous bodies of the penis, even with psychological arousal, are not filled with blood. As a result, the patient is diagnosed with erectile dysfunction.

Also, problems begin with the progression of atherosclerosis. At the same time, it was found that in men who have atherosclerotic changes in the coronary vessels, more severe erectile dysfunction is observed compared to those patients in whom 1 vessel is clogged.

Impotence is more common in those men who have high blood pressure. Many believe that such problems with potency can be avoided if you constantly use drugs designed to normalize blood pressure. But some antihypertensive drugs that are used in cardiology contribute to the deterioration of the condition. One of the possible side effects of their use is erectile dysfunction.

What is hypertension and how does it affect potency?

Men should remember that not all hypertensive patients complain of a deterioration in the quality of their sexual life. Such complications are more likely to occur in those patients who ignore the need for treatment of hypertension. In the initial stages of the disease, the most effective methods of normalizing the condition, along with taking special medications, are called:

• increased physical activity;
• smoking cessation;
• minimizing the amount of alcohol consumed;
• proper nutrition.

Doctors diagnose hypertension if the patient's blood pressure is above 140/100 mm Hg. You can suspect the development of this pathology if you know the symptoms.

The main symptoms that patients complain about include:

• headaches and dizziness;
• increased sweating;
• tachycardia;
• feeling a pulse in the head;
• appearance of anxiety;
• deterioration of general well-being.

If you feel unwell, you need to measure the pressure. The tactics of action is chosen depending on the readings of the tonometer.

Men rarely monitor blood pressure. Many lead the wrong way of life, not paying attention to poor health. Heavy physical activity, smoking, drinking alcohol and an unbalanced diet are the norm for many.

Statistics show that almost half of men with hypertension experience difficulties in intimate life. But in itself, high blood pressure is not the cause of impotence. The same diseases lead to the development of hypertension and the deterioration of potency. Most often, these problems occur against the background of high cholesterol and the development of atherosclerotic changes in the vessels.

To prevent the deterioration of the condition allows the correction of lifestyle. But if left untreated, the disease progresses. Due to high pressure, the heart muscle suffers first of all, because it is forced to constantly work at the limit. Target organs also suffer: kidneys, eyes, brain.

With sexual activity, the load on the body increases. This can lead to an exacerbation of hypertension. Often, men with hypertension do not experience problems with potency due to low physical activity during intercourse. With intense stress, the blood is not properly redistributed, and the likelihood of weakening the tension in the penis during intercourse increases.

If in the first few years after the diagnosis of hypertension the patient had no problems, then they may appear with the progression of the disease. After all, over time, the condition of the heart muscle and blood vessels deteriorates noticeably.

Hypertension drugs

It is impossible to ignore hypertension or self-medicate. Lifestyle changes and medications should be taken under medical supervision. It is forbidden to choose your own medicines for hypertension.It is because of the wrong choice of antihypertensive agents that can develop problems with potency.

All drugs from pressure are divided into several groups:

Some of the presented medicines provoke a deterioration in the quality of sexual life.

Video: How does hypertension and drugs affect potency?

Preparations affecting potency

According to research data, tiazide diuretics affect the erection. These drugs are effective at the initial stages of hypertension. Often they are prescribed to patients who increase only systolic (top) pressure. Tiazide diuretics recommend people suffering from obesity, which are prone to fluid delay in the body.

The mechanism of action of these medicines is not fully studied. The pressure decreases by reducing the volume of plasma, lowering the cardiac ejection and increasing the diurea. They also cause vasodilation - reduce the level of peripheral resistance. Control of blood pressure indicators against the background of the use of thiazide diuretics is achieved due to the fact that they increase calcium reabsorption.

Impotence when using these hypotensive drugs can develop due to a decrease in the volume of fluid circulating in the body. About 10% of men are facing this problem.

The group of thiazide diuretics includes preparations made on the basis of hydrochlorothiazide and indapamide:

Also in the list of unwanted preparations are beta-blockers. But, as practice shows, negatively affect the male organism of the medicine of the old generation. The beta blockers of the new generation do not affect the potency. Preparations of this group reduce the frequency and intensity of the reductions of the heart muscle. They minimize the likelihood of arrhythmia. As a result, a smaller amount of blood is thrown into the vascular channel.

This means that men should not use "Anaprilin", "Atenolol", because they can provoke a weakening of sexual function. Also negatively affect the "nebivolol", "metoprolol", "Bisoprolol".

Beta-blockers, made on the basis of propranolol, specifically affect the erection. They extend the time required for excitement. But at the same time a long sexual intercourse increases. True, with prolonged use, propranolol has antidrogenic effects: the level of men's hormones in the blood decreases.

Preparations that do not affect the potency

When using modern beta blockers, unlike similar preparations of the old generation, the negative effect on the sexual function of men is not observed.

For example, "Bisoprolol" ("Concor") enhances the blood flow in the arteries that are in the genitals. Due to this, the hardness of the member rises. "Nebivolol" ("nonbiot") improves erection even in men of retirement age. Such an effect is achieved due to the formation of nitric oxide endothelocytes. This contributes to the relaxation of blood vessels and strengthening blood flow. Positively affects the male organism and "CARVEDILOL" ("dilatrend").

Do not affect the quality of sexual life calcium antagonists (exceptions are possible, some develop an individual response to drugs). These medicines block calcium receptors in the smooth muscles of vessels, as a result they relax and the pressure decreases. But assign funds of this group not to all, because they can negatively affect heart rate.

K calcium channels include:

Do pills affect the potency of men?

Any man is important to feel absolutely healthy. But not always the condition of a person depends solely from him. Heredity, bad ecology and a large number of stresses are able to provoke various malfunctions in the work of the body, including jumps of blood pressure (blood pressure). And the reception of drugs from pressure during hypertension is mandatory and must be performed daily. And often in this question, men are worried about regular pressure control and whether drugs from hypertension can affect potency.

Effect of increased pressure on the erection

The process of ereginating the penis is a temporary influx of blood to the penis with the creation of increased pressure inside the vessels of this organ. However, constant heightened pressure negatively affects the entire bloodstream system, as well as individual bodies.

Hypertension regularly creates loads on the vessels, gradually reducing their elasticity. Because of this, in the process of excitation, the abundant influx of blood to the sexual member does not cause a significant increase in the size of the penis, and the muscles weakened from permanent overvoltage cannot fully block blood circulation in the orbud. As a result, the erection becomes sluggish and often disappears even during sexual contact.With a regular occurrence of a problem and the absence of timely treatment, a man can become impotent both psychologically and physically.

Another cause of potency problems with high blood pressure is the formation of cholesterol plaques on the walls of blood vessels. They partially block the progress of blood, preventing the penis from being filled with it at the moment of arousal.

It is often enough to start a healthy lifestyle to eliminate problems with high blood pressure:

• Give up bad habits;
• Switch to low-cholesterol foods;
• Regularly engage in strengthening the body through daily physical activity of low intensity.

But not always the problem of hypertension can be solved only by maintaining a healthy lifestyle. In such cases, the use of pressure pills is a vital necessity, and their unauthorized cancellation can threaten a hypertensive crisis, a heart attack, and even death.

Types of drugs used for hypertension

Almost all drugs that reduce blood pressure, to some extent, affect potency. At the same time, some of them can improve erection, while others can reduce it to a minimum. There are very few drugs for hypertension that do not affect potency.

In general, drugs that normalize blood pressure can be divided into the following groups:

• Beta-blockers of the old and new types. Helps reduce the amount of blood pumped into the heart muscle. This reduces both the frequency and strength of the contractions of the heart, due to which not only the pressure is reduced, but also the problem of arrhythmia is eliminated;
• Angiotension-converting enzyme (ACE) inhibitors. The drugs block the production by the kidneys of a special enzyme that narrows the blood vessels. Enzyme deficiency provides vasodilation and lowering blood pressure;
• Diuretics. The antihypertensive effect is provided due to the excretion of fluid from the body in large quantities. Due to this, the total volume of circulating blood is significantly reduced;
• Angiotensin receptor blockers or sartans. The drugs of this group block the action of the vasoconstrictor enzyme directly in the blood vessels;
• CCA calcium antagonists. Medicines block calcium in the body. Due to this, the vasoconstriction stops, they relax and, passing more blood, reduce the total arterial pressure;
• Centrally acting vasodilators. Medicines of this group through the brain affect the blood vessels. Typically, these drugs are used in combination with tablets from other groups.

According to the principle of action, ACE inhibitors and sartans are almost the same. That is why, if necessary, they can be easily replaced with each other. However, it is not recommended to combine drugs of these groups.

Hypertension pills that reduce potency

The bulk of drugs for hypertension, when used by men, can negatively affect the sexual function of their body. So negatively affecting drugs include beta blockers, most ACE inhibitors, diuretics, as well as centrally acting vasodilators.

Beta blockers

The main active ingredient of this group of drugs is propranolol. In general, the component negatively affects erection, significantly suppressing it, by increasing the amount of female hormones in the male body. But after the drug is discontinued, the hormonal background gradually returns to normal.

The class of main beta-blockers used to normalize high blood pressure includes drugs:

Atenolol reduces sexual activity and erectile function in the first 3 months of use. However, after 4 months, potency usually returns to normal.

A short-term use of Metoprolol and other drugs from the class of beta-blockers, according to the results of clinical studies, did not affect the quality of potency. However, drugs in this group have a large number of Side effects.

ACE inhibitors

The medicinal components of ACE inhibitors include: enalapril, ramipril, benazipril, captopril and perindopril. In rare cases, ramipril and perindopril may have a short-term negative effect on erectile function. But enalapril and preparations based on it significantly harm potency.

Preparations based on enalapril are produced:

Three drugs are produced with ramipril:

Perindopril is available in the form of pressure tablets under the names Prestarium, Coversil and Coverex.

According to clinical studies, most diuretics, when taken for a short time, have practically no effect on erectile function.A significant decrease in potency from the first days of use was noticed only when taking Chlorthalidone.

The use of drugs in this group for more than 6 months can lead to periodic decreases in sexual function. At the same time, serious problems with erection, up to impotence, can occur when using Chlorthalidone continuously for more than 5 months.

Centrally acting vasodilators

Usually, drugs of this group are prescribed for intense swelling, as well as a critical general state of health of the patient.

Such medicines include:

• Thiazide preparations. Xipamide, Chlortpliden, Indapamide, Metolazone;
• Potassium-sparing diuretic drugs. Amiloride, Spironolactone, Triamterene;

• Loop drugs with a strong diuretic effect. Furosemide, Lasix, Torasemide;
• Blockers of hormones responsible for the retention of salts and fluids in the body. Veroshpiron belongs to this group of drugs.

Centrally acting vasodilators in most cases have a strong negative effect on erectile function. Indapamide is one of the most aggressive drugs in relation to potency and the body as a whole.

High pressure drugs that do not affect potency

Prescription drugs that do not affect male potency belong to drugs from the group of beta-blockers of the new generation, ACE inhibitors based on captopril and benazipril, sartans and calcium antagonists CCB.

According to clinical studies of drugs that do not adversely affect sexual function in men, about 5% of subjects noted some increase in potency with long-term use of a number of drugs. At the same time, such indicators were mainly observed in patients with erectile dysfunction.

New generation beta blockers

The drug of the latest generation of beta blockers is based on the bisoprolol component. The component not only effectively normalizes blood pressure, but also does not have a harmful effect on male potency.

New active ingredient used in preparations:

Concor has earned the greatest popularity among patients suffering from hypertension. The drug has practically no side effects. Including Concor does not worsen potency. And in some cases, the use of a drug based on bisoprolol even contributed to an improvement in erectile function by 5-10% of the usual indicators of sexual activity and the duration of sexual intercourse.

ACE inhibitors

Among the wide range of ACE inhibitors, only drugs based on captopril and benazipril do not have a negative effect on the male reproductive system.

Captopril is produced and sold in the form of drugs:

The benazipril component is represented only by Lotensin.

In general, drugs of this group do not affect male potency. But a small percentage of men who had problems with erectile function before taking drugs based on valsartan and losartan noted an improvement in potency.

The main drugs in this group include:

• Kandesar, as part of cardesartan;
• Diovan, as part of valsartan;
• Lozap, as part of lorsartan;
• Teventen, as part of eprosartan;
• Aprovel, as part of ibersartan.

But despite the absence of a negative effect on sexual function, the use of sartans requires mandatory consultation with a doctor, since drugs in this group have a large number of side effects.

CCA calcium antagonists

This group of drugs for hypertension as a result of clinical studies has shown high efficiency in the fight against high blood pressure. At the same time, drugs prevent the development of atherosclerosis.

The most popular drugs in this group include:

• Felodip with the active ingredient felodipine;
• Verapamil;

• Dilren with the main component diltiazem;
• Lercanidipine with the active ingredient lerkamen;
• Tenox, which contains amlodipine;
• Corinfar, Farmadipin, Kordafen and Phenigidine with the active ingredient nifedipine.

With long-term use of drugs of this group by men, they did not have any negative effects on erectile function.

Drugs to improve potency in hypertension

Despite the fact that most drugs that improve erectile function have a local effect, not all of them can be used to restore potency in hypertension.So in the list of safe and effective drugs that improve erection without a significant increase in pressure, are:

• Alprostadil;
• Tribestan;
• Cialis;
• Generic Levitra;
• NitroFX.

Among homeopathic remedies for impotence and erectile dysfunction with high blood pressure, the use of barium salts and gold salts is allowed. However, due to the intensity of the impact of these drugs, their use is recommended strictly according to the doctor's prescription and only in cases of serious complications in the cardiovascular system.

Viagra for pressure surges

Initially, Viagra was developed to treat angina pectoris, as well as coronary heart disease. But in the process of testing the drug, it turned out to be ineffective in combating the problems of the heart muscle. However, the drug had an excellent effect on the male reproductive system, strengthening and prolonging the erection.

In view of these properties, the drug is widely used as a remedy for erectile dysfunction and impotence. However, Viagra tablets, by stimulating blood flow, can significantly increase blood pressure. That is why the use of the drug for hypertension must be approved by the attending physician.

The effect of Aspirin on men with high blood pressure

In some cases, for complications resulting from hypertension, the doctor may prescribe aspirin in small doses to the patient. In this case, the dosage of acetylsalicylic acid in the preparation will be more than 8 times lower than that prescribed to reduce body temperature.

Aspirin is useful for high blood pressure, because it prevents the development of heart attack and stroke, and also thins the blood, preventing platelets from sticking together in the vessels. In addition, the low price of aspirin makes it as affordable as possible for the population. However, aspirin alone is not a means to lower high blood pressure.

Some manufacturers separately produce Aspirin cardio medicine, designed for regular use as a drug to improve heart function.

There is no obvious effect of aspirin on potency with its one-time use, without the use of drugs for high blood pressure. However, you should not get involved in such treatment.

Kirill Alekseevich, 48 years old

I started having problems with high blood pressure relatively recently. But at the same time, there was no deterioration in intimate terms before the start of taking medications for hypertension. At first I thought that suddenly age decided to make itself felt. But then I came across a list of drugs for pressure worsening erection and was stunned. As it turned out, I ruined myself with pills. Having printed out a list of drugs that do not affect potency, I went to the doctor a day later and he picked up a safe remedy for pressure for me. Now I have been taking valsartan instead of enalapril for about 2 months and I am absolutely satisfied with my well-being and intimate health.

For more than 10 years I have been taking drugs for high blood pressure and only recently discovered that erection problems can be precisely because of these pills. About a year ago, I began to observe the periodic disappearance of an erection during sex. The problem bothered me very much, until the andrologist found out that my Chlortalidone tablets give such a side effect. Having urgently consulted with the therapist, he changed the medicine to Felodip. In the first 1.5 months without additional stimulation, the erection was rather weak, but gradually my strength began to return. Now for more than 6 months I have been enjoying the complete absence of sexual problems.

Video related

Influence of Enalapril on male potency

The drug belongs to the class of ACE inhibitors. According to studies, Enalapril affects potency neutrally, however, there is another opinion. Some reviews of men and doctors indicate a decrease in erection during therapy.

Enalapril: description and indications

The release form of the drug is tablets containing 5, 10 or 20 mg of the active substance of the same name.

Auxiliary components included:

• Magnesium carbonate;
• Magnesium stearate;
• Lactose monohydrate;
• Gelatin;
• Crospovidone

Carton packages containing blisters containing tablets are delivered to pharmacy counters. Depending on the manufacturer, it is possible to add the name of the company to the name of the drug.

Enalapril is recommended for use in the following cases:

• Primary arterial hypertension;
• Secondary hypertension complicated by renal dysfunction;
• Raynaud's disease;
• Scleroderma;
• Heart failure (chronic);
• Problems with the performance of the left ventricle.

As part of complex therapy, the agent is indicated to combat myocardial infarction.

Unambiguous contraindications to taking the drug:

• Occurrence of angioedema in the past;
• Hypersensitivity to drug substances;
• Porfiria

The main effect of the use of Elanapril is a sharp decrease in pressure. Therefore, under careful medical supervision, treatment is permissible in the following cases:

• Bilateral narrowing of the renal arteries or stenosis;
• Cerebrovascular disease;
• Diseases that interfere with the outflow of blood from the left ventricle.

Side effects provoked by pills are expressed in:

• Dry cough;
• Pharyngitis;
• Difficulty breathing;
• Indigestion;
• Skin rashes.

During therapy with Enalapril, it is recommended:

• Abstain from drinking alcohol - a rapid decrease in pressure is possible;
• Avoid driving and working with complex mechanisms - taking medication reduces concentration, dizziness is possible at the initial stage of therapy;
• Exercising with caution and avoiding heat - the hypotensive effect is enhanced.

It is important to warn medical professionals about the treatment with Enalapril before surgery, including dental.

Does the drug affect potency and how?

There is no unequivocal opinion on how exactly Enalapril affects potency in men. On the Internet, you can find patient reviews indicating that their male strength decreased during the period of treatment with pills. Some sources confirm this fact, however, other information materials report that there is a list of ACE inhibitors that do not affect the level of sexual solvency. Enalapril is also on the list of names.

It can be assumed that the prerequisites for the formation of the opinion that the effect of enalapril on potency is negative is due to the fact that the diseases for which the pills are indicated for the treatment, in themselves, reduce the level of erectile function. It has been proven that any disturbance in the activity of blood vessels and the heart muscle negatively affects the blood supply and saturation of the male genitalia with oxygen and nutrients. The consequence of such a deficiency is a weakened sexual function.

Analogue selection

In some situations, it becomes necessary to replace tablets with similar means. First of all, drugs are required that have similar indications and mechanism of action: a vasodilating effect, normalization of blood circulation. Similar analogues:

The latter drug has the same research-proven relationship with erectile function levels as enalapril and potency. Its reception does not have a negative effect on male power and allows you to maintain the ability to excite.

If the drug is ineffective, a medication is prescribed with another active ingredient, in particular Captopril, which also has no negative effect on potency and erection.

Can male power stimulants be used in parallel?

The instructions for use indicate that the action of Enalapril increases ethanol and beta-blockers. Reduce - estrogens and anti-inflammatory drugs that do not contain steroids. When combined with drugs containing lithium, its excretion from the body slows down and the toxic effect increases. The combination with thrombolytics and Aspirin is safe.

Given this information, we can conclude that the remedy may well be combined with drugs to increase sexual viability. In the annotation to Impaza and selective PDE5 inhibitors - Viagra, Cialis, Levitra, it is said that the simultaneous administration of tablets with ACE inhibitors does not affect the pharmacodynamics.

When choosing dietary supplements for treatment, it is necessary to carefully study the composition and active ingredients to make sure that the combination is possible. If you need to increase the level of potency with dietary supplements, you should consult with your doctor about the possibility of simultaneously undergoing 2 courses of therapy.