Cardiologist Questions

can my husband take viagra?

My husband has always taken viagra. He's basically in good health. He was just in the hospital due to a spike in blood pressure. They did all kinds of tests. No stint had to be put in but they said his heart was functioning at 38 percent and a couple of blocked arteries. One 40 percent and the other ten. Gave him lisinipro, 2.5 carvedilol 3mg twice a day and a small cholesterol drug. No heart disease in family. He is 82 and in good health until this. Can he still take Viagra once in a wile?
Thank you
Barbara

Male
Complaint duration: recent
Conditions: just this

3 Answers

This is a difficult question to assess without seeing your husband. It is a good drug when used safely. I think you should talk to his cardiologist and go over the medications with him to make sure it is safe.
That is a question he should ask his practitioner. There is no easy answer. He is not taking any nitrate preparation according to your information.
I hesitate to answer this question as I am not your husband’s cardiologist. An ejection fraction of 38% is significantly decreased so he is not “basically” in good health. However, the treatment for what your husband seems to have, nonischemic cardiomyopathy, is excellent now and, depending on what is causing his decrease in ejection fraction (heart function) it should not affect his life expectancy. Based on your description of the coronary angiogram results, the cardiomyopathy is probably not due to blocked arteries. You need to ask his cardiologist what it is due to. That is very important to his future cardiac management.

With the understanding that the information I have is limited, he can take Viagra. The medication one should NOT take with Viagra is nitroglycerin. However, my advice is to ask your husband’s cardiologist. Go with him to his next visit. Very frequently patients either forget questions or forget what the doctor says. Ask the doctor about Cialis and whether that would be preferable to Viagra. (And don’t forget the importance of your contribution to enabling your husband to have a satisfactory erection.)

Most important, you and your husband need to understand in much more detail what his heart condition is and what the medicines he is taking do. Based on the numbers you gave me, he is only on starting doses of the meds. There are at least two other meds he should be on, an SGLT2 inhibitor and Entresto. Entresto would take the place of lisinopril. Discuss all this with your doctor.