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Are there blood pressure medications that don't cause ED?

Dr. Michael Roizen, MD
Internal Medicine
Your choice of blood pressure medications could make a difference in the bedroom (or wherever you like to have sex). Thiazides (diuretics or “water pills”) and beta blockers are the most likely to cause erectile dysfunction (ED), while alpha blockers the least likely. Alpha blockers work by reducing nerve impulses to blood vessels, allowing blood to pass more easily. Ask your doctor whether these or other blood pressure medications are best for you.
Blood pressure medications that are thought not to cause erectile dysfunction (ED) include angiotensin-converting enzyme (ACE) inhibitors (such as Capoten and Vasotec), calcium channel blockers (Cardizem and Procardia), angiotensin II receptor blockers (Diovan and Micardis) and alpha blockers (Flomax and Minipress).
Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
There are blood pressure medications that do not cause erectile dysfunction (ED). Some older blood pressure medications, especially beta blockers and thiazide diuretics, are the most likely to cause ED as a side effect. Better options include calcium channel blockers, which lower high blood pressure through a different mechanism. Don't just go off your medications, though; high blood pressure itself is a common cause of ED, so lowering your blood pressure is an important part of your ED treatment plan. And if you stop taking your blood pressure medications 'cold turkey', your blood pressure could actually sky rocket, putting you at risk for a heart attack or a stroke. Work with your doctor on ways to lower your blood pressure without lowering your sex drive.
Some families of blood pressure medications can be less likely to cause ED: angiotensin converting enzyme (ACE) inhibitors, alpha-blockers, calcium channel blockers, and angiotensin II receptor blockers (ARBs).

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.