Sildenafil Citrate and General Precautions

Many mature and elderly men have erectile dysfunction (ED), associated with hypertension. For hypertension treatment, alpha blockers (e.g.: Prazosin, Doxazosin, Terazosin, Phenoxybenzamine) are prescribed for men.

Given the fact that Sildenafil citrate can increase hypotensive effect of alpha blockers, men may suffer dizziness and even fainting after the joint use of these drugs.

  • If unstable hemodynamics is observed in men after the use of alpha blockers alone, he should start the ED treatment with minimal doses of Sildenafil citrate.
  • If man is already taking Sildenafil citrate but has never taken alpha blockers, he should start anti-hypertension therapy with minimal doses of alpha blockers.

Making sure that a simultaneous use of low doses of Sildenafil citrate and low doses of alpha blockers do not cause dizziness and fainting, man can gradually increase the daily doses of these drugs.

Sildenafil citrate can intensify the hypotensive effect of not just alpha blockers, but also other antihypertensive drugs (like Calcium Channel Blockers, ACE Inhibitors and Beta Blockers). Therefore, man should be careful when taking the ED treatment along with antihypertensive therapy.

Besides, Sildenafil citrate should be used with caution by men with:

  • Leukemia
  • Sickle cell anemia
  • Peyronie’s disease
  • Multiple myeloma
  • Cavernosal fibrosis
  • Active peptic ulceration
  • Anatomical deformation of the penis

If you decided to buy Sildenafil citrate online, but you have never taken this drug for ED treatment, you may have a professional consultation of our pharmacist before placing your order.

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