Most Read Articles
18 Apr 2018
Higher intake levels of coffee appear to be associated with reduced risk of developing chronic kidney disease, according to data from the Atherosclerosis Risk in Communities Study.
Jairia Dela Cruz, 6 days ago
Infants delivered via caesarean section may be at increased risk of developing acute lymphoblastic leukaemia, according to a US study. Altered microbiota colonization is a possible explanation for this risk, although clear biological mechanisms have yet to be established.
5 days ago
Treatment with danegaptide does not improve myocardial salvage in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention, according to the results of a phase II study.
Pearl Toh, 3 days ago
Tai Chi may be equivalent to pulmonary rehabilitation (PR) in improving health status of patients with chronic obstructive pulmonary disease (COPD), a recent study shows.

Unravelling the puzzle: Tips for managing erectile dysfunction in hypertensive patients

Dr. Joe Lee
Consultant, Director of Andrology and Male Reproductive Medicine,
Department of Urology, National University Hospital
Assistant Professor, National University of Singapore
12 Apr 2018
·  A 70-year-old male with a history of diabetes, hyperlipidaemia and hypertension managed with atenolol presented to his family physician with lower urinary tract symptoms (LUTS) 
·  He was prescribed terazosin 
·  Over the course of a year he noticed worsening erectile dysfunction (ED) with difficulty maintaining a hard erection until orgasm 
·  His International Index of Erectile Function (IIEF-5) score was 7/25 
·  His antihypertensive medication was changed from atenolol to amlodipine and he was given a trial of sildenafil 100 mg on-demand, after initiating at 50mg
·  The patient had a good response to sildenafil on various occasions with an IIEF-5 score of 18/25. However, he experienced two episodes of giddiness after taking sildenafil with terazosin at night
·  Symptoms of postural hypotension improved after switching from terazosin to controlled-release doxazosin.1,2 The dose of amlodipine was also reduced by half

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Most Read Articles
18 Apr 2018
Higher intake levels of coffee appear to be associated with reduced risk of developing chronic kidney disease, according to data from the Atherosclerosis Risk in Communities Study.
Jairia Dela Cruz, 6 days ago
Infants delivered via caesarean section may be at increased risk of developing acute lymphoblastic leukaemia, according to a US study. Altered microbiota colonization is a possible explanation for this risk, although clear biological mechanisms have yet to be established.
5 days ago
Treatment with danegaptide does not improve myocardial salvage in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention, according to the results of a phase II study.
Pearl Toh, 3 days ago
Tai Chi may be equivalent to pulmonary rehabilitation (PR) in improving health status of patients with chronic obstructive pulmonary disease (COPD), a recent study shows.