Consult your cardiologist before starting sildenafil. This is paramount for individuals with heart conditions.
Specific Cardiac Conditions and Sildenafil
Sildenafil’s interaction with certain heart medications and conditions needs careful evaluation. For example, patients with unstable angina, recent myocardial infarction, uncontrolled hypertension, or severe heart valve problems should generally avoid sildenafil.
- Unstable angina: Sildenafil can increase myocardial oxygen demand, potentially exacerbating angina symptoms. Recent myocardial infarction: The increased cardiac workload could negatively impact recovery. Uncontrolled hypertension: Sildenafil’s vasodilating effects could lead to dangerously low blood pressure. Severe heart valve problems: The added strain on the heart might be detrimental.
Patients taking nitrates or alpha-blockers should also discuss sildenafil use with their doctor, as dangerous hypotension can occur.
Before Starting Sildenafil
Undergo a thorough cardiac evaluation, including a physical exam, electrocardiogram (ECG), and potentially other tests, as determined by your cardiologist. Provide your physician with a complete list of all medications, including over-the-counter drugs and supplements. Discuss your medical history, including family history of heart disease. Clearly communicate any symptoms you experience, such as chest pain, shortness of breath, or dizziness.
Monitoring During Sildenafil Use
Regular monitoring of blood pressure and heart rate is frequently recommended during sildenafil treatment, especially during the initial phase. Report any unusual symptoms immediately to your physician.
Alternative Treatments
If sildenafil is deemed unsuitable, your doctor might explore alternative treatments for erectile dysfunction or pulmonary arterial hypertension, depending on the reason for prescription. These options may include other PDE5 inhibitors, or entirely different approaches.
