Losartan for BP and ED

Anyone on here take Losartan for BP? I've been taking amlodipine and atenolol for BP which would barely keep me at 145/90 on a good day. I'm not certain but I believe these two meds have likely contributed to ED. I used to take Benicar, which is an ARBII like Losartan, but stopped a long time ago because it was giving me very bizarre nightmares. I've recently switched to Lisinopril which does keep my BP down but I've read that Losartan can increase NO and help with ED. Benicar would keep my BP in a perfect range of 120/70 but I just couldn't tolerate the nightmares and lack of sleep.

I know a Beta like Atenolol is pretty notorious for ED related problems, I was recently placed on a Beta called Metoprolol but on convo w the Carioldogist I chose not to take it because Ive got enough issues with ED. But I'm not up to speed on Losartan(?)

Vince Carter said:

I know a Beta like Atenolol is pretty notorious for ED related problems, I was recently placed on a Beta called Metoprolol but on convo w the Carioldogist I chose not to take it because Ive got enough issues with ED. But I'm not up to speed on Losartan(?)

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From what I've read both atenolol and amlodipine can cause ED but I started having some signs of dysfunction about the same time I had my head injury that led me to TRT. I was taking Lisinopril at the time so I'm not convinced it's the BP meds. I just had a lab draw to check my full TRT panel as well as prolactin. I'll be scheduling a consult with Dr. Saya after I get the results.

It's just irritating to have two potential, three if you account for my age at 45, causes of ED. I'm going to see my VA doctor next week about switching to some other BP option and talk about ED drugs but the VA will only do 4 100mg Viagra a month, if at all, so that's not really the best option for me.

If you did want to try Viagra its easy to obtain those things from overseas, many of us do that and it's not too bad in out-of-pocket cost. I try to stay off the VA except for maintaining my service connected rating, I'm fortunate to have a good private insurance thru work.

I have good private insurance too but all my local doctors are apathetic insurance filers so I'd rather go the VA. I actually get better care from them than private which is kind of sad.

Have you looked into doxazosin? It certainly has pro-erection potential at moderate doses.

I take Losartan because my BP was up to 165 and had been at questionable levels for years... so I read here that Nelson had chosen Losartan and that it had no ED effects. Anyways long story short I started Losartan at the recommended starting dosage of 50mg daily and my BP dropped to 120 so all was well and no problems with ED. It's been 6 months now and all is well!

Interesting study in rats:

Losartan improves erectile function through suppression of corporal apoptosis and oxidative stress in rats with cavernous nerve injury

As a doctor and a user of Losartan, I recommend making the change. Beta blockers and lisinopril, especially in combination, are not good for erectile health. At FirmTech, we are generating data that confirms this.
Elliot Justin, MD.

Elliot Justin said:

FirmTech

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And I thought my fitbit was sort of a pain to wear at night. Anybody sleep on their stomach with one of these bad boys?

ratbag said:

I take Losartan because my BP was up to 165 and had been at questionable levels for years... so I read here that Nelson had chosen Losartan and that it had no ED effects. Anyways long story short I started Losartan at the recommended starting dosage of 50mg daily and my BP dropped to 120 so all was well and no problems with ED. It's been 6 months now and all is well!

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Thanks for the post Ratbag ... Thats exactly what I needed to hear.

Elliot Justin said:

As a doctor and a user of Losartan, I recommend making the change. Beta blockers and lisinopril, especially in combination, are not good for erectile health. At FirmTech, we are generating data that confirms this.
Elliot Justin, MD.

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Hi Elliot

If you don't like Losartan (ARB ll) or a combination of Beta Blockers & Lisinopril, what do you prefer?

jacb said:

Hi Elliot

If you don't like Losartan (ARB ll) or a combination of Beta Blockers & Lisinopril, what do you prefer?

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That would depend upon the cause of and the degree of your hypertension. Also, Are you taking a diuretic?

I'm taking metoprolol. How does it effect ED?

Elliot Justin said:

That would depend upon the cause of and the degree of your hypertension. Also, Are you taking a diuretic?

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On a recent visit to the screening nurse (prior to my GP appointment) she said 172/101 - that was quite a surprise, as the say “the silent killer”.

I am not taking anything yet, but I do have an appointment later today to discuss the treatment options. I am therefore doing a little reading on the subject in order that I can have an informed discussion.

I know very little about CCB’s and Diureti’s, I was perhaps mistaken in thinking that you started on ARB’s (one of the options) and monitored the response just like balancing hormone.