Suggest treatment for high BP
Patient: I am fifty years of age and marred for last twenty years I am patient of high blood pressure for the past twenty years I am taking medicine Amlovas 5mg in morning and Losacar 50mg in the evening. I am having a sex problem from last two years I am not having proper erection if once in while if it happens I will discharge with in one minutes All my blood reports are normal .Kindly suggest me what medicine can I take with my BP medicine to have a normal sex life. Doctor: 1. There is a wide variety of anti hypertensive drugs available today and the choice will depens upon:. The tolerance of the patient to the drug,i.e. how the patient responds and the side effects. . The individual choice of the doctor. . The cost of the therapy - what the patient can afford.2. In middle aged hypertensive patient, beta blockers are the first line drugs but side effect include: dry cough, supress libido ( erectile dysfunction), broncho spasm. 3. If your blood pressure is not controlled with the highest dose of drug, combine either with a calcium channel blocker or an ACE inhibitor. 4. Since you have a long history of high blood pressure, thus:. Check with Lipid profile. Stress test and if necessary coronary angiography. . Check urine for micro albuminuria.