Can You Safely Use Viagra with Blood Pressure Medications? - Cardiology

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Do medications have interactions or produce side effects?


Currently, I am taking high blood pressure medications Cozaar (Losartan) and Norvasc (Amlodipine).
Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!

Jin Zai, 60~69 year old female. Ask Date: 2021/03/08

Dr. Wu Xueming reply Cardiology


According to the prescribing information for the medication, in a study involving 16 patients with primary hypertension who took 100 mg of sildenafil, there was no significant effect on the pharmacokinetics of amlodipine.
When amlodipine is used in conjunction with sildenafil, both medications independently exert their own antihypertensive effects.
However, the combination of Cialis (tadalafil) and Viagra (sildenafil) may result in a further reduction in blood pressure.

Reply Date: 2021/03/08

More Info


When considering the use of Viagra (sildenafil) alongside blood pressure medications such as Cozaar (losartan) and Norvasc (amlodipine), it is essential to understand the interactions and potential side effects involved. Viagra is primarily used to treat erectile dysfunction by increasing blood flow to the penis, and it works as a phosphodiesterase type 5 (PDE5) inhibitor. This mechanism can lead to vasodilation, which may affect blood pressure.


Safety of Using Viagra with Blood Pressure Medications
1. Drug Interactions: According to current medical guidelines, Viagra does not have significant interactions with Cozaar or Norvasc. Both of these medications are antihypertensives that help manage high blood pressure. Cozaar is an angiotensin receptor blocker (ARB), while Norvasc is a calcium channel blocker. Neither of these medications is known to have adverse interactions with Viagra.

2. Blood Pressure Effects: While Viagra can lower blood pressure due to its vasodilatory effects, this is generally not a concern when taken with Cozaar or Norvasc, as these medications are also designed to manage blood pressure. However, it is crucial to monitor blood pressure regularly, especially when starting Viagra, to ensure it remains within a safe range.

3. Potential Side Effects: The combination of Viagra with blood pressure medications can lead to side effects, although they are not typically severe. Common side effects of Viagra include headaches, flushing, nasal congestion, and dyspepsia. When combined with blood pressure medications, there is a potential for increased dizziness or lightheadedness, particularly when standing up quickly, due to the cumulative effects of vasodilation.

4. Contraindications: It is important to note that Viagra should not be taken with nitrates (such as nitroglycerin) or certain alpha-blockers, as this can lead to a dangerous drop in blood pressure. If you are on any other medications, particularly those for heart conditions or prostate issues, you should consult your healthcare provider.


Recommendations
- Consult Your Doctor: Before starting Viagra, it is essential to discuss your complete medication regimen with your healthcare provider. They can provide personalized advice based on your overall health, the severity of your hypertension, and any other underlying conditions you may have.

- Monitor Your Blood Pressure: If you and your doctor decide that it is safe to use Viagra, keep track of your blood pressure regularly. If you experience any symptoms such as severe dizziness, fainting, or prolonged headaches, seek medical attention immediately.

- Start with a Low Dose: If you are prescribed Viagra, starting with a lower dose may help mitigate any potential side effects. Your doctor can guide you on the appropriate dosage based on your health status.

- Be Aware of Symptoms: Pay attention to how your body responds after taking Viagra. If you notice any unusual symptoms or side effects, report them to your healthcare provider promptly.

In conclusion, using Viagra with Cozaar and Norvasc is generally considered safe, but individual responses can vary. Always prioritize communication with your healthcare provider to ensure that your treatment plan is safe and effective.

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Dr. Wu Xueming reply Cardiology
Regarding patients with hypertension, research reports indicate that Viagra (sildenafil) can reduce systolic and diastolic blood pressure by an average of 7 to 10 mmHg. Therefore, it is advised that patients taking antihypertensive medications should use it with caution. There ar...

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Hello, theoretically, it is possible for medications without interactions to be safe. Changhua Hospital cares about you.

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Hello: There are no interactions between the antihypertensive medications (Cozaar 50mg and Diovan 160mg) and Viagra or Cialis. However, during the use of Cozaar, Viagra, or Cialis, please avoid consuming grapefruit juice to prevent an increased risk of drug concentration in the b...

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