Is It Have Sildenafil Along With Metoprolol?

Posted on Thu, 19 Feb 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 19 Feb 2015 Answered on

Mon, 16 Mar 2015 Last reviewed on

Question : I am 40 years old taking coversyl 2 mg and rosuvas 5 ng daily. My lipid and other blood tests tmt are normal
Recently doctor suggested me to take metoprolol xl 25 mg twice daily
Can i take sildenafil occasionally in night for love life

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Not yet...

Detailed Answer:
Thanks for asking on HealthcareMagic.

Although you have stable lipid levels, you still seem to have a cardiac condition. Sildenafil is a prescription medication which is known to complicate cardiac conditions and so you have to discuss with your treating physician whether it would be safe for you to take.

If there is no heart ailment involved, sildenafil may be used after evaluating blood pressure.

Regards
Dr. Kunal Saha

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Prof. Kunal Saha (12 hours later)

Thanks for your mail.
I have been taking my rosuvas 5mg and coversyl 2mg for the past 3 years
I have occasionally used sildenafil 50 for my love life. there was no problems or side effects when i use it.
now i am taking metoprolol xl 25 mg twice a day ....
my first concern to know about the side effects

whether i can take single dose daily

in that case if i want to use sildenafil....is it ok.. can i get some other alternative for this

please guide me to have better love life

Answered by Dr. Prof. Kunal Saha (4 hours later)

Brief Answer:
Sildenafil is known to worsen heart ailments

Detailed Answer:
Thanks for writing back.

Please go through:
http://circ.ahajournals.org/content/99/1/168.full
which reads that sildenafil:
'is potentially hazardous include those with active coronary ischemia; those with congestive heart failure and borderline low blood volume and low blood pressure status; those with complicated, multidrug, antihypertensive therapy regimens'

The primary side effect of concern is getting a heart attack. That is the reason, I advocated discussing it with your doctor. It is not that every patient with a heart ailment will have a heart attack with sildenafil. But since I am not your treating physician, I am not in a position to give your clearance about use of the medicine. I cannot suggest you any alternatives either.

But before going into requirement of alternatives or sildenafil, I need to ask you whether you have impotence? If not, you do not really need sildenafil. It just helps you to get an erection but does not help in a better love life. For a better love life you have to prolong the foreplay which can maximize the arousal and thereby the sexual gratification. Emotional involvement plays a key role in this regard.

Hope that helps.

Regards
Dr. Kunal Saha

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Above answer was peer-reviewed by : Dr. Vaishalee Punj