Brief Answer:
You should start medication according to the suggestions.

Detailed Answer:
Thanks for the consultation at my virtual clinic HCM!
I have carefully worked through your case, and can well realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.


If a person of your age is having issues like blood pressure and its medication and kidney, thyroid and diabetes mellitus then there is likelihood of getting the erectile dysfunction.

We usually treat patients like you with Viagra. Thorough cardiac evaluation and review of medications the patient is already taking is the must to carry out before the start of this medication because syncope or severe hypotension can even be life threatening side effect of this medicine. Kindly consult your own treating Physician before taking this medication as this is important protocol for your safety.

You should add Surbex-Z right away as it will help you get better on overall performance. keep a healthy and balanced diet and remain physically active.

Hope I answered all of your questions. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with expert opinion. Please don't forget to give Five Star rating to help me assist my patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in the start of your questions at HCM & I will be with you in no time).


Regards!
DR. XXXXXXX HANIF
USA
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