VI. Focus on the “sexual well-being” of hypertensive patients

 Li Song Lv Bao order De uncle recently always feel that they have become “unable to”, originally always “sexually active” he is also lack of “sexual interest” in conjugal life recently, usually life also The result is that within a few days, the blood pressure, which had been well controlled, rose again, and the face was red and dizzy all day. After the hospital visit, after questioning, Uncle Te stammered to reflect the situation, and only then did I understand the root cause of Uncle Te’s blood pressure has been well-controlled blood pressure rose again. It turns out that not long ago, because of weather changes, Uncle Te’s blood pressure is a little unstable, the doctor gave him additional betalactam to lower blood pressure. The cardiovascular disease specialist of Guangdong Provincial Hospital, Li Song betalac is a kind of β1 adrenergic receptor blocking effect-based (cardioselective) drugs, so it is very suitable for the treatment of hypertension and angina pectoris. It significantly lowers blood pressure in hypertensive patients, but does not cause postural hypotension or electrolyte disturbances, making it one of the most commonly used antihypertensive drugs in clinical practice. Although most antihypertensive drugs can cause erectile dysfunction in men, it is more evident in Betalac. About 52% of hypertensive patients have ED, of which more than 30% are considered to be caused by antihypertensive drugs, and about 50% of patients report varying degrees of decreased libido or erectile dysfunction after long-term use of Betalac. In the clinic, we often replace different types of antihypertensive drugs to obtain to avoid antihypertensive drugs cause male sexual dysfunction, like Uncle Te such a situation is not uncommon, China’s hypertension disease disease age is increasingly inclined to younger, many newly discovered hypertensive patients are only in their early 40s, and it is this age group of people on the quality of sexual life is more important, imagine in a man’s most golden age, should The time when a man is in his prime and should be vigorous, suddenly found that he can no longer, what kind of pain it is? Since the problem was discovered, someone to solve. In fact, there are no drugs that can make blood pressure drop or even blood pressure drop to the standard, and the drug does not affect the quality of life? The answer is yes, in addition to betalactam, several other antihypertensive drugs on sex life is actually not very prominent, especially the new members of the antihypertensive drugs ARB class of drugs, that is often said to be satanic antihypertensive drugs, there is almost no impact on the quality of sex life, some of the current antihypertensive drugs are not commonly used, such as Rexidim and other alpha 1 receptor blockers, not only does not affect the quality of sex life, but also has a certain The function of improving the sexual life level. However, due to various factors, such as economic factors, drug side effects, antihypertensive effect, etc., often do not start using these drugs that do not affect the ED, but choose betalactam, etc., for no other reason than that, because drugs like betalactam, nifedipine, hydrochlorothiazide and other drugs that inhibit sexual function have their special and powerful effects in lowering blood pressure, such as betalactam in addition to lowering blood pressure It can also prevent angina attacks of coronary heart disease, etc. After adjusting the medication and explaining in detail the various side effects of antihypertensive drugs, Uncle Te finally put down his heart and returned with the newly prescribed antihypertensive drugs. Because of the traditional influence of our country, many men are often ashamed to talk about it after the discovery of ED, in fact, this is not necessary, antihypertensive drugs category, many varieties, the impact on sexual function not only different categories of different effects, even if the same category of different varieties of the impact is not the same; different patients due to individual differences will also respond differently to this side effect. In the process of lowering blood pressure, patients need to communicate frankly with their doctors or pharmacists, and then carefully screened by doctors in order to find the right antihypertensive drugs for individual patients, which should not affect their lives and sometimes even their family life.