Medications, Cardiology FAQ

Can You Safely Use Viagra with Blood Pressure Medications?

Drug interactions Currently, I am taking BLOPRESS 8mg (Olmesartan) 1 tablet daily and Norvasc 5mg (Amlodipine) 0.5 tablet daily for hypertension. Can I also take Viagra or similar medications? If so, will there be any side effects? Thank you!

Dr. Wu Xueming Reply:
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...

Understanding Heart Issues: Mitral Valve Prolapse and Autonomic Dysregulation

Post-exercise body issues, mitral valve prolapse, autonomic nervous system dysfunction, chest tightness, palpitations? Hello, Doctor. Thank you for taking the time to read my message and assist with my questions! I would like to describe my current situation as follows: 1. I ex...

Dr. He Dongjin Reply:
Hello, your symptoms are primarily related to autonomic nervous system issues combined with anxiety, which has led to some panic problems. You can consider increasing the dosage of your medication; if there is no improvement, you may want to visit a psychosomatic medicine clinic ...

Consulting on Cardiovascular Medications and Sleep Aids Safety

Cardiovascular medication consultation Hello, Director He. I am 39 years old and underwent a cardiac catheterization procedure in 2019, during which a drug-eluting stent was placed. I would like to provide you with the medications I am currently taking in the morning and evening ...

Dr. He Dongjin Reply:
Hello, it actually doesn't have much impact. It's more important to focus on getting through the present moment. Dependency? Conflict? It really doesn't matter much, so don't worry. Changhua Hospital cares about you.

Managing Blood Pressure After Aortic Dissection: Medication Changes Explained

After changing the medication, the blood pressure is around 100? Hello Doctor: I am currently 38 years old and experienced a type B aortic dissection four years ago, for which I had an aortic stent placed. Since then, I have been on medication to control my blood pressure. Until ...

Dr. Wu Xueming Reply:
Blood pressure is slightly low; it is recommended to reduce Sevikar HCT to half a tablet.

Could Heart Medications Cause Depression and Lack of Interest?

Re: Can medications cause depression? Hello Dr. Wu, I have been taking Kankun 1.25 mg, half a 100 mg aspirin every other day, and Lipitor 10 mg every other day for the past four and a half years. However, I have noticed that for some time now, I have lost interest in many things ...

Dr. Wu Xueming Reply:
The side effect of Kankun is a slower heart rate, and these medications do not have side effects related to depression.

Managing Heart Palpitations: Medication Interactions and Health Tips

Medication consultation. Heart rate issues. Drug interactions? Hello, doctor. I have been experiencing heart palpitations for the past two weeks. On the first day, I had two episodes of palpitations before bed, and the next evening, I experienced several more episodes. I went to ...

Dr. Li Shengkai Reply:
Hello, based on your description, the treatment and management provided by your physician are logical. Your condition is commonly seen in patients with mitral valve prolapse or autonomic nervous system disorders. It is recommended to continue taking the medications prescribed by ...

Understanding Chest Tightness and Weakness: Heart Health Insights for Young Adults

Chest tightness, generalized weakness, heart problems? Hello Director Wu, I am 23 years old and have been experiencing chest tightness for about two months. I have undergone cardiac ultrasound, stress testing with redistribution cardiac catheter flow, Doppler color flow imaging, ...

Dr. Wu Xueming Reply:
The examination results showed no significant abnormalities.

Understanding Heart Palpitations: Panic Attacks or Cardiac Issues?

I'm not sure if it's a heart issue or a panic attack? Hello, I would like to ask about my previous experience of suddenly feeling my heart racing a few times, which led me to see a cardiologist. I underwent the following tests: echocardiogram and a 24-hour Holter monito...

Dr. He Dongjin Reply:
Hello, if there are no issues after 24 hours, it should be a panic attack. Sudden acceleration of the heart rate will not worsen, so don't worry. Changhua Hospital cares about you.

Understanding Heart Issues: Concerns About Mitral Valve Regurgitation and Symptoms

Cardiac issues Hello Doctor, Around the end of September, I noticed that my heart was beating very fast, and I experienced chest pain and tightness. I immediately went to see a cardiologist. At that time, my blood pressure was 170/88/103. Initially, the ECG showed some arrhythm...

Dr. He Dongjin Reply:
Hello, mild mitral regurgitation generally does not present with symptoms, and the likelihood of it suddenly worsening over a few months is low. Mitral regurgitation is different from mitral valve prolapse, but it can occur alongside myocardial infarction. The symptoms are not ty...

Understanding Exercise ECG Reports: Assessing Heart Health Risks

Exercise electrocardiogram-related issues? I would like to inquire whether this report indicates any heart-related issues and if they are severe. Attached are the relevant cardiac examination results. Purpose: 1. (V) Diagnosis 2. ( ) PTCA 3. ( ) PTMV 4. ( ) Drugs 5. ( ) CAB...

Dr. Wu Xueming Reply:
All three test results show normal findings.

Can You Take Viagra While on Cardiovascular Medications?

If someone is taking cardiovascular medications long-term, they may wonder if it is safe to take Viagra (sildenafil)? Medication names: ESPIN* 100MC Cap, Allopurinol 100mg tab "Shenda", ULSTOP* 20mg F.C. TAB, ATOZET* FC tab, COFARIN* 5 mg tab "Zhengde". I am...

Dr. Li Shengkai Reply:
Most cardiovascular medications can cause sexual dysfunction to some extent. However, since vascular diseases can also lead to erectile dysfunction, it is strongly recommended to continue taking these medications to manage your chronic conditions. Commonly used erectile dysfuncti...

Understanding Heart Issues: Managing Symptoms and Concerns

Cardiac issues Hello Doctor, Around the end of September, I noticed that my heart was racing, and I experienced chest pain and tightness. I immediately went to see a cardiologist. At that time, my blood pressure was 170/88/103. Initially, the ECG showed some arrhythmia (which c...

Dr. Wu Xueming Reply:
1. No need. 2. It is possible. 3. Based on the symptoms you described, the likelihood of a myocardial infarction is very low.

Understanding Arrhythmia Symptoms and Medication Concerns: A Patient's Guide

Questions related to the symptoms of arrhythmia and medication? Hello, recently I have been experiencing episodes of sudden, forceful, and rapid heartbeats that last for about 30 seconds, or rapid heartbeats that are not as forceful but are accompanied by chest tightness and shor...

Dr. He Dongjin Reply:
Hello, both medications are used for arrhythmias and belong to different categories; there is no question of one being stronger than the other. Heart Kangle can help stabilize the autonomic nervous system, but it is not a psychiatric medication. Currently, it is acceptable to tak...

Understanding Heartbeat Sensation in the Ear After COVID-19

Feeling a heartbeat in the ear? Hello Doctor, I recently gave birth, and after my confinement period, I was diagnosed with COVID-19. After the diagnosis, I noticed that sometimes I can hear a thumping sound in my left ear that resembles my heartbeat. This usually happens when I t...

Dr. He Dongjin Reply:
Hello, this is what is referred to as palpitations. It may not necessarily indicate a problem; it could be related to autonomic nervous system issues or long COVID. It's important not to worry too much; just get through it. Are you breastfeeding? If so, there's no need ...

Should Heart Patients Stop Medications When Taking Pfizer Paxlovid?

Should patients with myocardial infarction discontinue their cardiac medications while taking Pfizer's Paxlovid? Hello, doctor. My father had a myocardial infarction 10 years ago and received one drug-eluting stent, followed by another drug-eluting stent a year and a half ag...

Dr. Wu Xueming Reply:
No need to discontinue.

Understanding Antiarrhythmic Medications: Risks and Alternatives for Patients

The antiarrhythmic medication Dronedarone? The cardiologist mentioned that my mother has an arrhythmia, but she does not exhibit any symptoms of arrhythmia. The doctor suggested an ablation procedure, but my mother is unwilling to take the medication Amiodarone. I noticed that on...

Dr. Wu Xueming Reply:
In the treatment of arrhythmias, in addition to monitoring symptoms, it is also important to consider the frequency of episodes. It is advisable to discuss with your physician whether to continue taking this medication.

Can Patients with Mitral Valve Prolapse Take ED Medications Safely?

Mitral valve prolapse Hello, doctor. Can patients with mitral valve prolapse take medications for erectile dysfunction such as Priligy, Cialis, or Levitra? Also, is it safe to take "Hsin Kuei" (Xing Huan Tuo) 50 mg?

Dr. He Dongjin Reply:
Hello, we care about you at Changhua Hospital.

Managing Heart Failure Medications During COVID-19: Key Considerations

Confirmed medication Hello, Dr. Wu. My grandfather is an 82-year-old patient with heart failure. His usual medications are: 1. Edarbi 25 mg once daily 2. Lipitor 40 mg once daily 3. Amlodipine 2.5 mg twice daily 4. Cardizem 100 mg twice daily 5. Kankes 1.25 mg twice daily 6. Furo...

Dr. Wu Xueming Reply:
1. If there are no gastrointestinal discomforts, it is not necessary to take stomach medication. 2. Medications for heart failure should not be discontinued arbitrarily. 3. Please consult a traditional Chinese medicine practitioner.

Understanding Panic Attacks: Low Oxygen, Rapid Heartbeat, and Breathing Issues

Decreased blood oxygen levels, increased heart rate, and difficulty breathing? Hello, Doctor. I have anxiety and insomnia issues and am currently taking psychiatric medications for anxiety and depression, as well as sleeping pills. Recently, I suddenly felt a bit dizzy, my limbs ...

Dr. Huang Yinghe Reply:
Hello: The symptoms you described, with a heart rate of 170-180 beats per minute, suggest a possible paroxysmal arrhythmia, which could lead to decreased blood oxygen levels. Generally, at your age, most arrhythmias are benign and do not result in long-term complications; however...

Choosing Heart Medications: Alternatives for Patients with Asthma

Selection of Cardiac Medications Hello Director He: Thank you very much for your detailed response to my last inquiry. My current question is regarding my condition; I have been diagnosed with postural tachycardia syndrome after my diagnosis, and I also have mild asthma, which wa...

Dr. He Dongjin Reply:
Hello, if you cannot use beta-blockers for asthma, you can use other medications that are effective. Currently, I haven't heard of any issues with medication efficacy. Anxiety can increase heart rate, so it's best to monitor the situation for now. There's no immedi...

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