Question: I was 43 years old. I found hypertension at the physical examination not long ago. After conditioning, the blood pressure was still high after conditioning. The doctor suggested that I take antihypertensive drugs.I heard that some antihypertensive drugs will cause.I am a little worried, please explain it.
Many clinical practice and experimental observations have found that after taking certain antihypertensive drugs with hypertension patients can indeed cause reduced sexual desire and impotence, especially under the premise of advocating long -term or even lifting of drugs for lifetime.It was a significant increase.According to relevant information, the commonly used antihypertensive drugs that can cause impotence are mainly the following five categories: (1) Coca -Cola category and its compound preparations (such as cola dwarfs, Xianxin, Zhenju pressure pressure tablets, etc.).(2) Blood flat and its compound preparations (such as Li Blood Platform, Anda Blood Pacific, Anti -pressure Static, Repeated Poster, Anti -voltage Spirit, etc.).(3) Activating and deprivation (such as Pyrine, Pattamine, Megaming, Afangnte, methyl Dobaba, etc.).(4) & beta;Influencing sexual desire).(5) diuretics (such as rapid urination, thiazide diuretics, potassium preservation diuretics, etc.).
So why does the antihypertensive drug cause impotence?To understand this problem, you have to start with the principles of the formation mechanism of penile erection and the role of drugs when you are excited.As we all know, a large amount of blood vessels and nerves are distributed on the penis. When the body is accepted by external stimuli, it produces desire. After a series of nerve reflexes, it first causes subjectional nerve excitement.Body vascular sinus causes the sponge body to expand, which occurs with penile erections.At this time, the longer the blood vessel sinus is congested, the more tough the penile erection is, and then the sympathetic nerve excitability of the sympathetic nerve involved under the cerebral cortex is enhanced. By dominating the seminal vesicles, the flat gland smoothis muscle, the bladder sphincter contraction, the preliminary ejaculation is caused;The dominant sciatic body muscles and spherical sponge muscles have a strong and rhythmic contraction to complete ejaculation movements.And antihypertensive drugs (sympathetic nerve blockers or drugs that affect the excitement of sympathetic nerves) are mainly to inhibit the excitement of sympathetic nerves, as far as the possibility of forming impotence, that is, the phase of the regulatory phase before the erectile and the preliminary ejaculation stage laterThe mechanism of action may be related to the sensitivity to mechanical stimulation in the sensitive area of reproductive, reduce the degree of excitement, inhibit the contraction of muscles before ejaculation, which weakens or cannot complete the preliminary ejection action.Of course, in addition to antihypertensive drugs, any drugs that can affect the excitement of the side of the syndrome can cause penile erection disorders, such as sedatives and antidepressants.
What should I do if I take the antihypertensive drug?There is no doubt that patients must not be anxious to vote for medical treatment, nor can stop drugs or change medicines, let alone self -treatment by ashamed of being ashamed.The correct approach should be to face the reality, take the following measures to actively deal with: (1) With the help of a doctor, find the exact cause of impotence. If it is really related to taking antihypertensive drugs, you can stop or change the medicine under the guidance of the doctor.Using other antihypertensive drugs (on the premise of not affecting the antihypertensive effect, you can also reduce the antihypertensive drug). After the above treatment, the phenomenon of impotence can generally be improved or disappeared.(2) In some cases, if patients taking Coca -Cola fixed -categorian antihypertensive drugs for a long time should not stop the drug suddenly, because this will cause the withdrawal syndrome that will increase the sharp blood pressure, which is very prone to serious consequences.The correct method is to gradually reduce and slow the drug.Especially when the receptor blocker is used in co-use with & beta;(3) Try to minimize or adopt a combined application of different types of drugs that may cause impotence or different types of drugs, such as coordinates of Coca-Ding, Blooding and & Beta;Combined applications of other drugs, such as sedatives, antidepressants, antibroxine dosage preparations, etc.If impotence is caused by the application of the above drugs, it can be solved by the method of subtraction or stopping from the periphery (non -main drug) from peripherals (discontinued non -major drugs).Stop the drug.In short, once the impotence is caused by taking antihypertensive drugs, the best way is to find a doctor, because the doctor will make the correct analysis and judgment based on your specific situation to help you pass the "crisis" smoothly.Paralysis or self -proposition will often cause greater trouble and even cause serious consequences.
(Editor in charge: Xiaofeng)
