Can a person with a heart stent take 5mg of Cialis daily?
Hello, Dr.
Fu.
1.
I had a stent placed in my heart in 2019, and I currently take blood pressure medication (TANATRIL 10 mg, 0.5 tablet daily), cholesterol medication (LIPITOR 40 mg, 1 tablet daily), and anticoagulant medication (PLAVIX 75 mg, 1 tablet daily).
2.
I have erectile dysfunction, and I used to take 50 mg of Viagra, which improved my condition.
However, recently my situation has worsened, and the 50 mg dose is no longer effective.
3.
A friend recommended taking Cialis 5 mg daily, which may help improve both erectile dysfunction and nighttime frequent urination.
Is it suitable for someone like me who is on cardiovascular medications? Thank you, doctor.
Li Li, 60~69 year old female. Ask Date: 2024/05/07
Dr. Fu Shizhang reply Urology
Caution must be exercised when taking these medications to avoid concurrent use with nitroglycerin (NTG) to prevent hypotension that could lead to shock.
Reply Date: 2024/05/07
More Info
When considering the use of Cialis (tadalafil) 5mg daily for erectile dysfunction (ED) in patients with a history of cardiovascular issues, such as having a stent placed, it is essential to approach this decision with caution and under the guidance of a healthcare professional.
Cialis is a phosphodiesterase type 5 (PDE5) inhibitor that works by increasing blood flow to the penis, which can help achieve and maintain an erection. It is also known to have a positive effect on lower urinary tract symptoms, which may help with nocturia (nighttime urination). However, the use of Cialis in patients with cardiovascular conditions requires careful consideration due to potential interactions with other medications and the underlying health status of the patient.
In your case, you are currently taking several medications, including antihypertensives (TANATRIL), cholesterol-lowering agents (LIPITOR), and an antiplatelet medication (PLAVIX). The primary concern with using Cialis in conjunction with these medications is the risk of hypotension (low blood pressure). Cialis can cause vasodilation, which may lead to a drop in blood pressure, especially when combined with other medications that also lower blood pressure. This risk is particularly relevant for patients who are already on antihypertensive therapy.
It is crucial to have a thorough evaluation by a cardiologist or a healthcare provider familiar with your medical history and current medications. They can assess your cardiovascular status, including any potential risks associated with taking Cialis daily. Regular monitoring of blood pressure and heart function may also be necessary to ensure safety while using this medication.
Additionally, it is important to consider the severity of your erectile dysfunction and whether the benefits of using Cialis outweigh the potential risks. If you have previously responded well to Viagra (sildenafil) but have experienced worsening symptoms, your healthcare provider may explore other treatment options or adjust your current regimen to optimize your erectile function while ensuring cardiovascular safety.
In summary, while Cialis can be an effective treatment for ED and may help with nocturia, its use in patients with a history of cardiovascular disease, particularly those with stents and on multiple heart medications, should be approached with caution. A thorough evaluation by a healthcare professional is essential to determine the appropriateness of this treatment in your specific case. Always consult with your doctor before starting any new medication, especially when you have existing health conditions and are on multiple medications.
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