Cialis (Tadalafil) And High Blood Pressure

How blood pressure is linked to potency

The link between high blood pressure and sexuality is very profound and goes beyond the known side effects of male erection drugs. The basic problem is that hypertension is infamous among insiders as the silent killer, because in most cases does not cause any symptoms, but can cause serious damage. It is estimated that up to one in three adults may suffer from excessive pressure and that up to one in two of these patients are not aware of it, or alternatively, do not find it disturbing enough to act upon it bringing the values inside the range of what’s normal.

An uncontrolled pressure can go unnoticed for years, but this does not mean that you do not have an impact on the health, which unfortunately means that you will only notice the problem through concrete symptoms only when the damage will already be more or less permanent.

High Blood Pressure

It is highly unlikely that sexual activity causes an immediate threat to your health, such as a heart attack, but hypertension can affect sexual satisfaction in a number of respects. A high pressure problem and a satisfying sex life can coexist, provided that you openly affront the problem with your doctor (even better yet with an andrologist, in consultation with the cardiologist in cases of the most delicate heart disease) and ensure the availability of a healthcare team to work in a trust-imbued environment.

We already know that 31% of men with high blood pressure may complain of a problem to have adequate rigidity and that a person suffering erectile dysfunction has a higher risk of about 80% of coronary heart disease.

A recent study by the European Society of Cardiology has evaluated 156 patients on antihypertensive therapy and 47 men with erectile dysfunction not receiving any treatment, as a control group; both groups were subjected to vascular investigation of the penile arteries using dynamic Doppler ultrasound, with the use of prostaglandin E1 and subsequent study of the systolic peak of the relative speed in order to assess the possible presence and the relative severity of a vascular problem at the level of corpus spongiosum.

At this point, the effect of each class of medicines taken by patients have been studied, both those treated with monotherapy and those taking the two drugs at the same time, considering the systolic velocity peaks that they had; a low peak signaled a possible impairment of the flow in the penile arteries and therefore a possible more or less severe erectile dysfunction.

In a nutshell, the results of this work have shown that in patients who underwent antihypertensive therapies, the peak values ​​of the systolic velocity were lower and, in particular, who received a beta-blocker or a calcium had significantly lower values ​​compared to those who took a ACE-inhibitor or an inhibitor of angiotensin II receptor antagonists.

The negative impact on systolic peak of the penile arteries was even greater if the patient was taking combination that included a diuretic. These data are in part still to be confirmed, but the complex work in question appears not to secondary importance because it is the first one that takes into account the hypertensive patient who takes multiple medications and, in these cases, to know the effect of different combinations is not a secondary factor to understand a possible sexual problem.

Here we must bear in mind that hypertension is a very common clinical problem and today seems to be of interest to groups of young people and adults whose general quality of life depends to a large extent from a physiological and normal sexual response.

Cialis and blood pressure

Tadalafil, better known as Cialis, is capable of inhibiting an enzyme called phosphodiesterase type 5, present in the corpus cavernosum of the penis and also in the cardiac muscle tissue that prevents their physiological relaxation.

The use of Cialis, by blocking this enzyme, allows in addition to the vasodilatation of the cavernous bodies of the penis, after which achieving an erection becomes easier. This holds true for control of the cardiac volume in patients with an abnormal thickening of the left ventricle and an initial cardiac decompensation. It all goes back to the fact that the therapeutic indications for which the entire group of PDE5 inhibitors was originally proposed at the beginning of their clinical trials only as drug that can solve some cardiovascular problems, such as angina and / or hypertension.

This plays an important role in reassuring that all those patients who, taking an inhibitor of type 5 phosphodiesterase, fear the infarction or other central nature of problems, such as failure and cardiac problems.

Cialis is not contraindicated in case of blood pressure provided that it is mildly elevated or borderline, but nevertheless Cialis is a prescription drug whose appointment requires physical examination by an andrologist, sexologist, general practitioner or any other qualified healthcare provider.

First, talk to your doctor about taking a drug that helps to fight issues with erectile function, a hormonal profile can be helpful, but if you want a complete picture of the causes and the most appropriate treatment, a reassessment by a licensed andrologist is required.

Many situations that appear towards the age of 50 years in men are linked to a vascular disease, hypertension, and can create a state of sexual discomfort, associated with a degree of uncertainty in the reports. Cialis may be an optimal solution. Discuss this with your doctor or specialist who can evaluate whether there are other contraindications for tadalafil use – although very limited, such exist and should be ruled out before the therapy begins.

ED Medications from Canadian Pharmacies

Cialis is not the only medicine against erectile deficit available today. Apart from other, non-oral forms of treatment, there exist multiple tablets, capsules, lozenges and even gels and jellies to help you recover your failing sexual potency. Smartcanadianpharmacy.com specializes in ED treatment pills, offering a long list of discount Generic Viagra, Cialis, Levitra, Stendra drugs and their versatile generic forms for customers on a budget.

Such a variety is good news for someone who needs a dose adjustment with all of the drug’s efficacy preserved. For instance, if you have a condition like elevated blood pressure to consider, you will do better with smaller doses of PDE5 inhibitors. Arbitrary, when underwhelmed with the results of minor Generic Cialis or Viagra doses and make sure you have your therapist’s approval, you can choose a more impactful generic to step up the health outcomes. If you feel unsure about how to tackle the problem of choice, seek a free piece of online advice from Smart Canadian Pharmacy therapists.

Drugs for hypertension at Canadian Pharmacies

Below you will find a brief presentation of drugs for high blood pressure and related conditions available through in Canadian pharmacies. There are more than 65 drugs in this category, providing an ample choice of treatment options to choose based on many individual factors. Remember that self/administration is a dangerous practice that should be avoided at all costs. A safe combination of anti/hypertensive solution and Cialis can be only appointed by your trusted healthcare provider. Since there are several different types of drugs that lower blood pressure, it is possible for most people to get blood pressure down to an appropriate level without any major side effects.

There are several different groups of drugs used with the purpose to restore an elevated blood pressure. These are:

  • diuretic drugs (diuretics) (Lasix, Hydrochlorothiazide, Aldactone)
  • ACE inhibitors (Altace, Captopril)
  • calcium channel blockers (Norvasc, Plendil)
  • angiotensin receptor blocker, ARB (Atacand, Avapro)
  • beta-blockers (Toprol XL, Inderal)
  • other antihypertensive agents, such as alpha-blockers (Doxazosin, Prazosin).

An appropriate therapy is established by prescriber after trying off several therapeutic methods. If the pressure is not significantly increased, it is usually not an emergency to achieve target blood pressure, i.e. a pressure that is slightly below 140/90 millimeters of mercury, mmHg.

It is common to have to start with a single agent and see how well it works for a few months. If blood pressure has not been reduced at all, or if it has just been lowered a bit, you can increase the dose slightly, changing medication or combine with any other drug. It often becomes better effect by combining two different types of drugs at low doses, than increasing the dose of a drug.

If the doctor determines that you need multiple drugs, you can add them in stages. Some cope with a drug, but most people need at least two different agents, while some people may require three, four or five medications to reduce the pressure to slightly below 140/90 mm Hg. Sometimes it is difficult to reach the desired target blood pressure, for example because of side effects of taking multiple drugs. Then you have to accept a blood pressure that is slightly higher.

As a rule, you start treatment with a drug groups ACE inhibitors, angiotensin receptor blockers, calcium channel blockers, or a kind of diuretics called thiazides. Is your blood pressure from the beginning a little higher, and other risk factors is usually elevated doctor choose a combination of two of the above types from the beginning. There are tablets which contain a combination of two drugs.

All medicines may cause side effects. Some patients have side effects of a drug treatment, others do not. Sometimes side effects reduce after a while. If you have troublesome side effects you should contact your doctor. The dose may need to be changed or you may have to try a different medication or perhaps a completely different type of treatment.