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Meds and sex????

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GaryV Find out more about GaryV
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  • Meds and sex????

    This is kind of embarrassing , but I have had a problem since being on toprol. My Cardiologist said that this is common and that there is no medication that can help with this. The meds that are out there are vaso dilators which we all know people with HCM can't take. It still works....just not as good as it used to Being single it's not always easy to explain why this happens(to others) . Anyone have any thoughts on this or experiencing the same????

  • #2
    Treatment options from the Swedish Medical Center:

    If you are experiencing sexual dysfunction that you believe is related to your medication, talk to your doctor. Never change or stop taking any medication without first discussing it with your doctor. Your options include the following:
    Decrease the dosage
    People taking up to160 mg of a beta-blocker per day are less likely to report sexual dysfunction. However, once levels reach 320 mg/day, decreased libido and other dysfunction is reported more often.
    Switch medications (even some beta-blockers may be less of a problem then others--my note)
    The medication options that are appropriate for you depend on why you were prescribed a beta-blocker. To treat hypertension, your doctor may recommend switching to an ACE inhibitor, alpha1 blocker or thiazide diuretic. To treat hypertension or an arrhythmia, your doctor may recommend switching to a calcium channel blocker.
    Treat the impotence
    If your doctor determines that a beta-blocker is the best medical treatment for your condition, there are options to manage impotence. These include:
    Sildenafil (Viagra) - a commonly known treatment for male impotence. This option is not recommended for everyone, especially people with heart disease; people who take nitrate medications to manage angina and other heart problems should never use sildenafil.
    Yohimbine - this is the only herbal supplement to have shown usefulness in the treatment of impotence, thus far. However, it can raise blood pressure and therefore should not be used by people taking a beta-blocker to manage hypertension.
    Intrapenile injections - a self-administered injection can help men to maintain and sustain an erection, however, there is some discomfort associated with the injection.
    Vacuum devices - these devices help to bring blood into the penis in order to bring about an erection. However, the mechanics of these devices do not allow for ejaculation.
    RESOURCES:

    Sexual Health for Men: The Complete Guide, by Richard F. Spark. Perseus Publishing, 2000.

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    • #3
      Gary, you aren't alone. I know that others have had a problem with this too. My first thought was to wonder whether or not you can change to a different medicine?

      Reenie
      Reenie

      ****************
      Husband has HCM.
      3 kids - ages 23, 21, & 19. All presently clear of HCM.

      Comment


      • #4
        Would this also be the case with calcium blockers? Or is it only beta blockers that would do this?

        Fred

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        • #5
          I've heard this is more a problem with beta blockers but I don't know if calcium channel blockers can do that too or not.

          Reenie
          Reenie

          ****************
          Husband has HCM.
          3 kids - ages 23, 21, & 19. All presently clear of HCM.

          Comment


          • #6
            Reenie

            I'm told from my doc that CCB can also do it too and i'm on other meds that cause sexual dyfunction also but he did say that CCB's were also on that list

            Shirley
            Diagnosed 2003
            Myectomy 2-23-2004
            Husband: Ken
            Son: John diagnosed 2004
            Daughter: Janet (free of HCM)

            Grandchildren: Drew 15,Aaron 13,Karen 9,Connor 9

            Comment


            • #7
              Thanks, Shirley. I didn't know.

              Reenie
              Reenie

              ****************
              Husband has HCM.
              3 kids - ages 23, 21, & 19. All presently clear of HCM.

              Comment


              • #8
                Originally posted by GaryV
                Anyone have any thoughts on this or experiencing the same????
                My response to this might be controversial or too frank for some, but here goes.

                Unless the school of thought has changed over the past 7 years, I wonder if the use of Viagra in HCM patients could be determined on an individual basis. I've used it in the past with no problems other than common Viagra side effects (headache, blue-tinted vision, etc.). They were just enough to be bothersome, so that, along with the high cost, is why I stopped using it.

                In the interest of full disclosure, my HCM issues are at the lower end of the spectrum; I'm not obstructed. I would have to look at my records to be sure, but when I first started having ED issues, I think I was taking verapamil; I switched to atenolol several years ago for reasons unrelated to ED. I noticed no improvement with the change, so either they both affect me in the same way or there's some other problem.

                As for what you can do to remedy your problem, if Viagra is truly out of the picture for you at the advice of your doctor, I would echo what Reenie said and explore the option of different beta blockers or CCBs.

                I would also give some thought to coming to terms with the possibility that you may have to live with this. What used to be a depressing fact of life now has become a minor annoyance for me. There are ways to work around the problem, and having an understanding partner makes a difference. I enjoy a pretty decent sex life, and I'm glad for what I have.

                Hope this helps,

                -- Tim
                Life is a banquet...and I got botulism! -- Me

                If time flies when you're having fun, will I age faster at Disneyland? -- Joel Perry

                Comment


                • #9
                  Hello,

                  I am on a i figure low dose of Metaprolol and I have no problems in that arena. I think that my circulation has actually gotten better since seeing my naturopath for HCM and other vitamin deficiencies. Try the natural stuff as Sarah Mentioned first, maybe go see a Naturopath.

                  Good luck.

                  T
                  26 years old, diagnosed April 2005. ICD July 2005.

                  Comment


                  • #10
                    My GP told me that some people use BB's to delay O*****. I never noticed such a probably wished for effect

                    Ad
                    \"Hope is disappointment postponed\"

                    Dx in 2004, first symptoms 20 years ago? Obstructed, A-fib, family history!

                    Combined Morrow and (left atrial) Maze procedures & PVI at St. Antonius Hospital, Netherlands, March 28, 2013.

                    Meds (past) propranolol, metoprolol, disopyramide, sotalol, amiodaron, aspirin, dabigatran, acenocoumarol.

                    Meds (current) sotalol, dabigatran, furosemide.

                    Comment


                    • #11
                      Hi,

                      I wanted to revive this thread and mention the drug Wellbutrin. This was prescribed to me for depression, but lately I've experienced some other rather interesting aspects of the drug popping up. How's that for wording?

                      I don't know if it works well for everybody, but it appears that it might help many of those who are experiencing sexual side-effects from HCM, heart meds, etc. It also appears to be quite safe for HCM'ers to take, which Dr. Lever had told me during our last office visit together. I've experienced no ill effects so far, no interactions with my atenolol, and my BP and heartrate have remained right where they should be.

                      At one time, it was suggested that Wellbutrin actually be marketed as a sex-enhancing drug like Viagra, but the company wanted to push it's anti-depressant effects instead. The sexual enhancement part is now just considered a very nice 'bonus'. That and more is discussed in this article at Salon.com Sex:

                      Wonderful Wellbutrin?

                      I've been very fortunate so far that I've experienced no sexual side-effects from the high doses of beta-blockers I've been on. But now I REALLY don't have any side-effects. LoL. I gotta tell you guys... I feel like Smilin' Bob from the Enzyte commercials. If things get any better, I'm going to need a bigger notebook to carry around at school.

                      There are other benefits to Wellbutrin as well. If you smoke, it'll most likely curb your desire to (it's the same drug as Zyban)... and you'll probably lose some weight as well. I've lost 8 pounds so far which I can directly attribute to the med.

                      I realize not everyone will have great results, and there are probably other reasons why certain persons can't take the drug, but I would at least consider discussing it with your doctor. Unlike Viagra, you don't take it when you are 'ready' then watch the clock. You just take it once or twice a day, and you're pretty much just h---y all the time. LoL. This might actually be the only negative side-effect I've had.

                      Jim
                      "Some days you're the dog... some days you're the hydrant."

                      Comment


                      • #12
                        Goodness, Jim! Glad to hear that it's working for you!

                        Side effects from my beta blocker (atenolol) were mild but enough to be somewhat irritating. I've found that since I've been switched to Toprol XL, things work a little better now. They could be better, but I guess I should be happy with what I've got now.

                        I'm intrigued about the Wellbutrin, but I'm uncomfortable about taking an antidepressant when I'm not depressed.
                        Life is a banquet...and I got botulism! -- Me

                        If time flies when you're having fun, will I age faster at Disneyland? -- Joel Perry

                        Comment


                        • #13
                          Hiya Tim,

                          Wow, that was quick! I was still editing the spelling in my original post when I noticed you had already responded to it.

                          It's understandable that you would hesitate to take an anti-depressant when you aren't depressed. Bear in mind though that millions of folks have been prescribed the drug to quit smoking (as Zyban) and lots of people take it to lose weight as well. In fact I'd be willing to bet that more people take it for other reasons than for actual depression.

                          Anyway, I just wanted to mention it as a safe alternative to Viagra for HCM'ers.

                          Take care,

                          Jim
                          "Some days you're the dog... some days you're the hydrant."

                          Comment


                          • #14
                            Jim you are right it does help in sexual arousal and it was given to my daughter when she tried to quit smoking i have been thinking of going back on it for weight loss, hopefully it will work


                            Shirley
                            Diagnosed 2003
                            Myectomy 2-23-2004
                            Husband: Ken
                            Son: John diagnosed 2004
                            Daughter: Janet (free of HCM)

                            Grandchildren: Drew 15,Aaron 13,Karen 9,Connor 9

                            Comment


                            • #15
                              Hi Gary I love your tattoo!I find that my level of sexual arousal and frequency of arousal have been affected by toprol 200mg.I have also observed that my weight contributes .I have recently went back to weight watchers and have lost about 6 pds.I can see a differnce already if this keeps up I might have to get glasses only kidding.I think improving my circulation is key.watching saturated fats and diet in general,and to keep moving I try and walk everyday.I read your a nyc firefighter.Ihad tried to get on but was rejected for abnormal ekg.which was really undiagnosed hcm. best of luck and dont worry things will start looking up before you know it take care mike
                              One day at a time.

                              Comment

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