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Erectile Dysfunction meds, Contraindications for Use of ED Drugs

2018-08-26

Of late, your nights haven’t been the most peaceful because you cannot rise to the occasion and you’re certain you need ED medication? But are these meds safe for you? Like with all other drugs, the use of ED meds comes with its downsides. When used by a person with certain underlying health conditions, these meds can produce unwanted effects, some of which may even put your health in danger. That happens very rarely, of course, but still… This is one of the reasons why health experts advise that you consult a doctor before using erectile dysfunction pills. In this piece, we outline some of the health disorders that are contraindications for the use of impotence drugs.

Cardiovascular Disorders

If you are suffering from cardiovascular conditions, then you need not rush to self-prescribe the boner meds. Cardiovascular disorders are health conditions involving the circulatory system which comprises the heart and the blood vessels. Such conditions include hypertension (high blood pressure), hypotension (low blood pressure), atherosclerosis, congenital heart abnormalities, angina pectoris and many others.

The predominant ED meds currently on the market are PDE-5 inhibitors which act by relaxing the muscles of the blood vessel walls and consequently causing vasodilation. The volume of the blood vessels is therefore increased, and this leads to a drop in the blood pressure. These ED meds are not designed to act only on the blood vessels of the genitals. The effects of the meds can be exerted on other blood vessels in the body as well leading to a systemic decrease in blood pressure. Therefore, if someone who chronically suffers from low blood pressure takes ED meds, there is an accentuated drop in the pressure, and this is potentially fatal.

For people on hypertension meds, there is the possibility of interaction of these drugs with ED medication leading to further deranged blood pressures. If you are taking medications for angina pectoris, you also run the risk of suffering very low blood pressure because of possible interactions with impotence meds.

In some cases, the doctor will advise you to avoid sex if you are suffering from severe cardiovascular conditions. This is because the heart is made to work more during sex and the strain can be hazardous if the function of your heart is already compromised. If you are not supposed to have sex because of your health condition, then obviously it follows that you shouldn’t take ED drugs.

Anatomical Deformations of The Penis

ED medications should be used cautiously in people with anatomical deformations of the penis. It is best if a doctor is involved because of the possible dangers. Such deformations include angulation of the shaft of the penis, fibrosis of the erectile tissue and Peyronie’s disease. Peyronie’s disease is a condition that is typically characterized by a curved penis and fibrosis. Fibrosis refers to the deposition of collagen as it happens after a wound has healed. People with Peyronie’s disease are at a higher risk of suffering from ED because the abnormal shape of the penis can compromise blood flow to the erectile tissue.

If someone with an anatomical deformity of the penis takes ED meds, they are more likely to get priapism. This is a painful and prolonged erection which always needs a doctor’s attention as it can cause permanent damage to the penis if it is not managed appropriately. Because of the abnormal structure of the penis, the blood that flows in during an erection might fail to drain out leading to very serious problems.

Leukemia, Sickle Cell Anemia, and Multiple Myeloma

It is not considered safe to use ED meds if you are suffering from sickle cell anemia, leukemia, and multiple myeloma. These conditions primarily affect components of the blood. Sickle cell anemia is an inherited condition which is characterized by abnormally shaped red cells. Multiple myeloma is basically a cancer of the plasma cells whereas leukemia is a similar condition that can affect several kinds of blood cells. When ED meds are used in patients with these conditions, there is a risk of priapism because the abnormal components might alter the blood circulation. In sickle cell anemia, the blood vessels can clog (an occurrence termed vaso-occlusion) leading to retention of blood in the erectile tissue.

Hepatic or Renal Impairment

Sildenafil (Viagra), tadalafil (Cialis), avanafil (Stendra) and vardenafil (Levitra) are all metabolized in the liver and eliminated from the body with urine and feces. When one has impaired kidney and liver function, the drug is not broken down and removed from the body completely. This leads to accumulation of the drug in the body and possible toxicity.

Bleeding Disorders

ED meds can exacerbate bleeding disorders. Some of the bleeding complications include hemophilia, Von Willebrand disease, and thrombocytopenia. PDE-5 inhibitors can affect the clotting functions of platelets in a negative way. Therefore, when one has a bleeding disorder, the condition is worsened by these meds.

Retinitis Pigmentosa and NAION

Retinitis pigmentosa refers to a group of several conditions which are characterized by progressive impairment of vision and night blindness. Eventually, a patient with these conditions may experience complete vision loss. NAION is an acronym for non-arteritic anterior ischemic optic neuropathy. This is a condition that causes loss of vision due to altered blood supply to the retina. ED drugs can cause recurrences or increased severity of disease in people with these disorders.

If you have any of the conditions listed above, all hope is not lost. In most cases, you can still use ED meds even with these health disorders, albeit with caution. It is best to talk to your doctor prior to beginning the therapy and, if the benefits outweigh the risks, you will be allowed to go ahead and use the medication.