Dear Doctor, i gave a 40 yr old man  with mild hypertension  120/90mmhg, Telvas -H(telmasartan/ hydrochlorthiazide). However 6 months on the drug he complained of erectile dysfunction which is progressively worsening. Hes blood pressure is still high at 110/90mmhg. Should i change the drug? What should i do for him.
HelllloThanks for query. At the outset I would state that the problem of ED that your patient has can not be due to mild hypertension that he has, He needs to be investigated on following lines to rule out any organic cause for his ED, 1) Blood sugar levels to rule out Diabetes 2) Thyroid Hormone assessment .3) Color Doppler Ultrasound Scan of penis. If there is no organic cause for his Ed it can be considered to be Psychogenic in origin and guide him to Psychiatrist for counselling. You can try and prescribe him Sildenafil (Viagra). This may resolve his problem of ED. Chat Doctor.