Brief Answer:
High Blood pressure itself is big killer of your sex life

Detailed Answer:
Dear XXXXXXX
Thanks for using Healthcaremagic.

I read your query and understand your concerns.

First of all I like to inform you that stress and blood pressure are biggest enemies of your sex life. If these two things are not managed the result of anything will be suboptimal whether it is tadalafil or sildenafil or something else.

It is possible that with control of your blood pressure you can have normal sex life without medications. I mean to say that your doctor is right in saying that there is need to take blood pressure medicine.

I understand that you are fearing the side effects of two medications but I think we need to correct root cause first rather than treating the superficial things.

I hope this answers you.
I will be glad to help you further.
Thanks and regards.

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Brief Answer:
It is partially true

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

You might be knowing that the same medicine used for control of blood pressure can cause increase blood pressure and same is applicable here. Medicine is not exact science and it can be called as half science.

Despite the fact that some of antihypertensive cause erectile dysfunction, same medications and lot other antihypertensive correct the erectile dysfunction.

I understand your concern but you might be knowing the alpha blockers are rarely used for control of hypertension on the se days and the drug of choice are angiotensin antagonists which has little side effects in form of ED. Even among the ACE inhibitors the side effect in form of ED are very low. To be precise the risk benefit analysis favours use of antihypertensives and I think it will be appropriate to use them as advised by your doctor.

I hope this helps you further.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for my future patients.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards.

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Brief Answer:
There is good possibility

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

If we are able to correct underlying cause there is good possibility of correction of ED. At the same time we need to explore the renal causes of hypertension and manage stress appropriately to yield positive results.

Thanks and regards.

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Brief Answer:
Vasodilators (nitrates) should be avoided

Detailed Answer:
Dear XXXXXXX
Thanks for reverting back to me.

There are significant side effects reported with use of nitrates and they should be avoided all together for control of blood pressure.

Thanks

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