Question I've got high blood pressure. Most of the medication that my doctor has prescribed keeps me from having proper erections. Right now, I've been on Ismelin (guanethidine) for a long time. Are there any lifestyle changes I can make so I can have a proper sex life with my partner? Answer By Dr. Owens at Sexualhealth.com Erections are caused by increased blood flow to the penis. Medications against high blood pressure act by lowering the blood pressure in the entire body, also affecting the blood supply to the penis. Therefore it often becomes difficult for men taking this type of medication to achieve the increased blood flow necessary for having proper erections. A good resource book for various medications' sexual side effects is Sexual Pharmacology. Drugs That Affect Sexual Function by Crenshaw & Goldberg (1996) . Sexual side effects of guanethidine include impaired erectile function. Preferable alternatives are prazosin or similar alpha1blockers, calcium blockers...
I am just learning that I may have borderline high blood pressure and I am a big coffee drinker. What are the effects of coffee on your blood pressure? Caffeine is a stimulant. Caffeine speeds up the heart rate and increases blood pressure soon after consumption. It seems that the effects of caffeine on blood pressure are related to the baseline blood pressure. For example, those with high blood pressure would likely experience a greater increase than those with normal blood pressure from the same cup of coffee. An interesting effect of caffeine I see in some patients is the effect on daytime alertness. It is well known that caffeine helps prevent fatigue and sleep. The cycle some patients fall into is one where they consume caffeine several times per day when they feel tired or sleepy. Later that night they have difficulty falling or staying asleep. The next morning they awake feeling drowsy which persists until the first cup of coffee, and so on--a viscous cycle begin...
Exercise and losing weight are two things that can be done to naturally treat hypertension . Recently, new guidelines were released that highlight the importance of exercise in reducing high blood pressure.
Exercising for 30 minutes at moderate intensity to
get your heart pumping up to 70 to 85 per cent of your maximal rate on
most, or preferably all, days of the week is recommended for people
with hypertension. The 30 minutes of exercise can be at once, or
accumulated throughout the day - such as in three 10-minute walks.
Exercise can also help reduce the need for high blood pressure medication , and keep your blood pressure at a desirable level - less than 120/80mm Hg - as you age.
Improving your diet can also reduce your blood pressure and risk of stroke, coronary heart disease and heart attack.
Restrict your sodium intake to 1.5g/day (about 1
teaspoon). This will generally lower a person's blood pressure
regardless of whether he is suffering from hyperten...
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