Men with Heart Disease and ED

By Latest Reply 2011-02-18 05:16:09 -0600
Started 2011-02-04 10:18:41 -0600

Anyone care to comment.


19 replies

HeartHawk
HeartHawk 2011-02-17 10:47:16 -0600 Report

clay,

Yup, an HbA1c of 6.4 needs to be addressed. I've got mine down to 5.8 and trying for below 5.6 (the new cut-off, it used to be 6.0). This is important for all heart disease sufferers!

HH

2011-02-16 06:27:46 -0600 Report

HH
They set up to see a urologist to have a specialist look into the ED matter. I will know something in a few days about the A1c test…my levels are still high (most are below 150.) I did a search on my medicines that could be linked to my health issues at hand such as vision problems, high glucose levels, and ED. I couldn't believe the issues they could cause, this link is very informative. http://doublecheckmd.com/

2011-02-15 06:19:11 -0600 Report

HH, I had more blood work done, blood count was good, Thyroid good, Testosterone was low. Will discuss with Dr. this morn. I'm having the A1C test done because my glucose levels are high.

HeartHawk
HeartHawk 2011-02-15 22:57:17 -0600 Report

clay,

Excellent! Testosterone replacement can be beneficial but never did me much good. Now, time to work on the that HbA1c!

HH

2011-02-17 08:41:36 -0600 Report

the results were very close to being a diabetic they said something about 6.4, sent for another test, fasting, and to drink that milky liquid and hang out for 2 hrs blood work every 30 min

2011-02-11 06:16:37 -0600 Report

Well I did find out one thing for sure, Humana/Medicare doesn't cover any kinds of medicines for ED. MUSE would cost me $50 a box, and a box has one pellet. I said, this was crazy and walked out. I did call Humana when I got home, they told me to give this Humana pharmacy Dept. phone number to my family Dr. have him call to let them know that this condition could be directly related to my Heart cond. and the meds. I take for my heart. Now I'm back to the drawing board, I will not give up.

HeartHawk
HeartHawk 2011-02-08 23:47:20 -0600 Report

To All:

Yes, the nitro tablets can be problematic. The nitro provides a rush of nitric oxide to expand arteries and relive angina. The Viagra/Cialis drugs provide a similar effect. The net result can be an over expansion that decreases blood pressure.

HH

2011-02-09 08:18:20 -0600 Report

I wonder if I use one of these would I even need the nitro tabs.

HeartHawk
HeartHawk 2011-02-09 10:44:22 -0600 Report

clay,

The nitro tablets are fast-acting (1-3 minutes) with a shorter duration (under 30 minutes) and work directly in the heart by providing additional nitric oxide.

Viagra (and it competitors) work differently. They inhibit an enzyme that blocks the action of natural nitric oxide (none is actually added as with nitro), it acts more slowly, lasts longer, and - this is important - primarily affects receptors in the corpus cavernosum of the penis.

While Viagra was originally developed as a heart drug and is known to magnify the lowering of blood pressure when taking nitro, it is unlikely to provide the kind of relief that nitro will.

As always, talk to your doc as the info here is simply for discussion puposes and can never be a replacement for professional advice.

HH

HeartHawk
HeartHawk 2011-02-04 23:07:01 -0600 Report

clay,

Thanks for starting the discussion. What we call heart disease and erectile dysfunction (ED) are often two symptoms of the same condition and it is very common for men to experience both since they both have to do with another ED - "endothelial dysfunction."

The endothelium is a thin coating of cells that lines our arteries and, among other things, regulates the artery's ability to expand and allow blood flow. Restrict arterial blood flow to the heart and you may experience angina. Restrict arterial blood flow to the penis and you may experience ED.

We are all familiar with the little nitroglycerine pills angina sufferers take during an attack. These pills supply nitric oxide to the body which is the signal that the endothelium requires to expand arteries. Drugs like Viagra and Cialis work on the same principle supplying nitiric oxide as a signal to expand arteries and increase blood flow.

Some people take a supplement called l-arginine (sometines called "poor man's Viagra") which has a modestly similar effect on arteries. Arginine is the primary chemical used by the body to naturally produce nitric oxide so it makes sense that increasing arginine intake would provide this effect.

HH

2011-02-05 11:40:43 -0600 Report

Viagra and Cialis: The search I did on the internet on meds like these said men with Heart Disease are at greater risk and these meds are not an option, but there are options.

**This is what the internet has to say: prescriptions

http://familydoctor.org/online/famdocen/home....

What causes erectile dysfunction?
Erectile dysfunction can be caused by:

Diabetes (high blood sugar)
Hypertension (high blood pressure)
Atherosclerosis (hardening of the arteries)
Stress, anxiety or depression
Alcohol and tobacco use
Some prescription medications, such as antidepressants, pain medicine and medicine for high blood pressure
Fatigue
Brain or spinal-cord injuries
Hypogonadism (which leads to lower testosterone levels)
Multiple sclerosis
Parkinson's disease
Radiation therapy to the testicles
Stroke
Some types of prostate or bladder surgery

How is erectile dysfunction treated?
The treatment for erectile dysfunction depends on what is causing it. After your doctor checks you for medical problems and medicines that might cause erectile dysfunction, he or she may have you try a medicine to help with erectile dysfunction. Sildenafil, tadalfil and vardenafil are medicines that are taken by mouth. Not everyone can use these medicines. Your doctor may talk to you about alprostadil if oral medicines aren't an option for you. Alprostadil is a synthetic version of prostaglandin E. It can be injected into the penis or inserted as a tiny suppository into the urethra. Your doctor will help you decide which treatment is best for you.

**This is what the internet has to say: Alternitives and OTC (Always cunsult your doctor before takeing theses meds.)

http://www.mayoclinic.com/health/erectile-dys...

Several alternative treatments are used to treat erectile dysfunction, but more studies are needed to see whether they are safe or effective. Alternative treatments used for erectile dysfunction include:

Acupuncture
Korean red ginseng (Panax ginseng)
Yohimbine
DHEA (dehydroepiandrosterone), a hormone that's a building block for testosterone
Ginkgo
L-arginine
While some of these supplements appear to be relatively safe, others are more risky and can interact with medications or cause other problems. Before using any supplement, OK it with your doctor to make sure it's safe for you — especially if you have chronic health problems.

Herbal Viagra
Some alternative products that claim to work for erectile dysfunction can be dangerous. The Food and Drug Administration (FDA) has issued warnings about several types of "herbal Viagra" because they contain potentially harmful drugs not listed on the label. Some of these drugs can interact with prescription drugs and cause dangerously low blood pressure. These products are especially dangerous for men who take nitrates.

You can also check out:

http://health.yahoo.net/

http://www.emaxhealth.com/1020/80/36669/recog...

http://www.webmd.com/erectile-dysfunction/alp...

This is just a few, there are so many to search out.

HeartHawk
HeartHawk 2011-02-05 21:54:51 -0600 Report

clay,

Great stuff and good research! Hopefully, more will chime in. Let us know what your experiences are - especially what works and what doesn't. Remember, we are all biologically different. What works for one may not work for others. What we need is good cross-reference of experience!

HH

2011-02-06 09:31:38 -0600 Report

I will keep Heart Connect in the loop…yes I agree we're all different… I agree a good cross-reference would be very helpful.

2011-02-07 21:47:52 -0600 Report

I contacted my cardiologist, he said I could use Viagra but could not use nitro tabs 24hrs before or 24hrs after taking Viagra, this seem kinda dangerous if you ask me. He said he didn't know anything about the MUSE to contact my family Dr., Well I did and waiting on a reply, the nurse says I'll probably have to see a urologist, just have to wait and see I guess.

LennyDenny
LennyDenny 2011-02-08 10:11:09 -0600 Report

Morning Clay3636 - I did the same as you and contacted my cardio dr. He has me using Cialis, but it is true that you should not use nitro for 24 hours before and after. I've been using it for about a year now and can say that it does work and I have not had any side effects with it's use. ED is a problem a lot of us have with heart problems and in my case COPD, but you need to decide for yourself and with your doctors help what might work best for you. Best of luck and god bless
Denny

2011-02-08 11:17:37 -0600 Report

Thanks Lenny for the encouragement, But have to take the nitro tabs at least once a day, when I lay down to go to sleep or go out in the cold.