What Causes Erectile Dysfunction While On Losartan And Allopurinol For Gout?

Posted on Sat, 12 Mar 2016

Question: I am taking losartan hctz 100/12.5 and allopurinol 300mg for gout. I am having trouble getting a full erection and it is causing problems in the sex arena. What can I do?

Answered by Dr. Dr. Muhammad Sareer Khalil (14 minutes later)

Brief Answer:
Erectile dysfunction

Detailed Answer:
Hello and Welcome

I appreciate your concern

Allopurinol is associated with the adverse effect of erectile dysfunction. It is not clear whether gout has a direct role leading to erectile dysfunction.

Losratan, in fact improves sexual dysfunction in men who are already on anti hypertensive medication such as calcium channel blockers or beta blockers.

If the problem persists then sildenafil or tadalafil can be prescribed, in consultation with your doctor. A fasting lipid profile and blood sugar level should be obtained to screen for high LDL, cholesterol, TG and diabetes.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (3 minutes later)

what is TG? and what are the scenarios of ldl cholesterol and diabetes. would there be symptoms

Answered by Dr. Dr. Muhammad Sareer Khalil (6 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

TGs are triglycerides.

If the TGs, LDL and cholesterol are raised then statins can be advised which prevent atherosclerosis progression and have a positive effect on erectile dysfunction.

Diabetes can also lead to ED and needs to be screened for. Diabetes classically presents with polyuria, polydipsia and polyphagia. However, a person may be asymptomatic with no symptoms at all.

Wishing you best of health

Thanks

Let me know if you have any query

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (1 minute later)

in English please

Answered by Dr. Dr. Muhammad Sareer Khalil (5 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

Sorry for the inconvenience.

Triglyceride is one of the main constituents of body fat in humans. The excess lipids can deposit in the lining of arteries and lead to thickening and subsequently the flow and nutrition to the tissue or organ would be affected.

Diabetes classically presents with increased urination, thirst and appetite i.e polyuria, polydipsia and polyphagia.

Wishing you best of health

Thanks

Let me know if you have any query

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (8 minutes later)

is there a way to get rid of any of this without medications? I'd like to get healthy. and I do not want to have any of these issues

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

If there is no organic/physical cause for the erectile dysfunction and there is associated stress or performance anxiety then BCT (Behavioral cognitive therapy), psychotherapy and consultation with a psychiatrist or sexiologist can help. There may ne no need of medication if these measures are used primarily.

Wishing you best of health

Thanks

Let me know if you have any query

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar