Blood Pressure Medications and Erectile Dysfunction - Cardiology

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Blood pressure medication consultation?


Doctor, two years ago I suddenly experienced erectile dysfunction, and I started to suspect whether I have metabolic syndrome.
I measure my blood pressure every day, and it ranges from 110 to 140.
In the morning, it is generally between 110-135/70-85.
Sometimes in the evening, after coming home from work, it can be 140, but after resting, it usually falls between 125-136.
I have consulted a doctor regarding my erectile dysfunction and underwent penile shockwave therapy.
The doctor prescribed me 5 mg of Cialis.
Does Cialis affect the accuracy of blood pressure readings? Also, is my blood pressure considered high?

Liang, 20~29 year old female. Ask Date: 2022/05/11

Dr. He Dongjin reply Cardiology


Hello, this is not considered high blood pressure, and taking Cialis should not significantly affect the accuracy of your blood pressure readings.
It's best to consult a urologist first.
Currently, there is no evidence to suggest that you have metabolic syndrome.
Changhua Hospital cares about your well-being.

Reply Date: 2022/05/11

More Info


Understanding the relationship between blood pressure medications and erectile dysfunction (ED) is crucial for managing both conditions effectively. Based on your description, it appears that you have been monitoring your blood pressure regularly, with readings ranging from 110-140 mmHg systolic and 70-85 mmHg diastolic. These values suggest that your blood pressure is generally within the normal range, although the upper readings may be considered borderline or slightly elevated, particularly if they occur frequently.

Erectile dysfunction can be influenced by various factors, including psychological issues, hormonal imbalances, and vascular health. It's important to note that high blood pressure (hypertension) itself can contribute to ED, as it may damage blood vessels and reduce blood flow to the penis. Additionally, certain medications used to treat hypertension can also have side effects that impact erectile function.

You mentioned that you have been prescribed Cialis (tadalafil) 5 mg for your erectile dysfunction. Cialis is a phosphodiesterase type 5 (PDE5) inhibitor, which works by increasing blood flow to the penis, facilitating an erection in response to sexual stimulation. It is generally well-tolerated and can be used safely by many individuals with hypertension. However, it is essential to consult with your healthcare provider regarding any potential interactions between Cialis and your blood pressure medications.

Regarding your concern about whether Cialis affects blood pressure readings, it is known that PDE5 inhibitors can cause a mild decrease in blood pressure. This effect is usually not significant for most individuals, but it is essential to monitor your blood pressure, especially if you are taking other antihypertensive medications. If you experience symptoms such as dizziness or lightheadedness after taking Cialis, you should inform your doctor.

As for your blood pressure readings, while the systolic values of 110-140 mmHg are generally acceptable, it is essential to consider the context. If you are experiencing consistently elevated readings, particularly above 130/80 mmHg, it may be classified as hypertension. The American College of Cardiology and the American Heart Association define hypertension as a blood pressure reading of 130/80 mmHg or higher. Therefore, if your readings frequently exceed this threshold, it would be advisable to discuss this with your healthcare provider for further evaluation and potential treatment adjustments.

In summary, your blood pressure readings appear to be mostly within a normal range, but the occasional higher readings warrant attention. Cialis can be an effective treatment for erectile dysfunction and is generally safe for individuals with hypertension, but it is crucial to monitor for any side effects or interactions with your blood pressure medications. Regular follow-ups with your healthcare provider will help ensure that both your blood pressure and erectile function are managed effectively. If you have any further concerns or if your symptoms persist, do not hesitate to reach out to your doctor for personalized advice and treatment options.

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