Medical Forum / Diseases and Disorders / Prostate Cancer / January 2005
important notice about ED drugs and heart attacks.....
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c palmer - 28 Jan 2005 23:49 GMT i went with the wife to the doctor. i've known him for many years and i will ask for a free sample of the ED meds, but he has always given me viagra and said not the take the other ED meds.
this time, he made a comment similar to that, so i pinned him down and ask why is viagra so much better than the other two because my thinking is that it doesn't last as long.
he said that if you have taken an ED drug and you were to have a heart attack later, than you can't have the nitro or some of the other drugs they use for heart attacks in order to save your life because the ED drug is still in your system and could interact with it.
since the viagra lasts only a short while, if you had a heart attack the next day - for example - there would be no problem.
since he's a doctor, i have no reason to doubt what he has said, but i'm curious why i haven't heard anything about this fact. has anyone else heard about this fact?
~ curtis
knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc
JerryW - 29 Jan 2005 00:18 GMT Curtis,
This is true. All of the ED drugs, Viagra, Levitra, and Cialis will interact with nitrate-based drugs like nitroglycerin, for example, to dramatically and dangerously lower your blood pressure. I had a heart attack in 2001, and I carry nitroglycerin pills with me all the time, even though I haven't had to take one in over two years. I asked my Cardiologist about using these meds, and he OK'd Viagra because it is relatively short-lasting. He ruled out Cialis due to its longer life. He just warned me if I took a Viagra not to take a nitroglycerin for chest pain within 24 hours. In case of chest pain, call 911 and let them know you've taken a Viagra.
By the way, I have not tried Viagra yet. In fact, I just now came home from the pharmacy with my first prescription for it. Have been using the pump...not too excited about it, though.
 Signature JerryW jweindel at flash dot net
2/11/04 PSA 2.6, Suspicious DRE (age 62) 2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe 5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes 7/13/04 PSA <0.1 10/12/04 PSA <0.1 1/18/05 PSA <0.1
>i went with the wife to the doctor. i've known him for many years and > i will ask for a free sample of the ED meds, but he has always given me [quoted text clipped - 22 lines] > invariably fatal. Prostate cancer is only sometimes so." > http://community.webtv.net/PALMER_ENT/doc Claude - 29 Jan 2005 00:48 GMT > Curtis, > [quoted text clipped - 8 lines] > pain within 24 hours. In case of chest pain, call 911 and let them know > you've taken a Viagra. Isnt Viagra only effective for about 4 hours? If so, why do you have to wait as long as 24 hours to escape the danger of its interacting with nitrates?
JerryW - 29 Jan 2005 01:04 GMT I'm not sure if he was just being cautious, or if there was some residual effect possible. IIRC, he did say 24 hours, but then I've been having "senior moments" more often lately and may have misheard. Someone will surely set the matter straight.
 Signature JerryW jweindel at flash dot net
2/11/04 PSA 2.6, Suspicious DRE (age 62) 2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe 5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes 7/13/04 PSA <0.1 10/12/04 PSA <0.1 1/18/05 PSA <0.1
> >> Curtis, [quoted text clipped - 13 lines] > wait as long as 24 hours to escape the danger of its interacting with > nitrates? JerryW - 29 Jan 2005 01:20 GMT Claude,
Now that you've mentioned this and I've thought back, my Cardiologist may just have warned against using the nitroquick while using the Viagra. It's possible I conjured up the 24-hour rule (probably because that's what I intend to do). The package insert warns about nitrates but doesn't indicate any time lapse between using the two. Interestingly, the package insert does talk about separating the use of alpha-blockers and Viagra by 4 hours.
 Signature JerryW jweindel at flash dot net
2/11/04 PSA 2.6, Suspicious DRE (age 62) 2/23/04 Biopsy: Gleason 3+4=7, T2a, left lobe 5/18/04 RRP, Path: Gleason 4+3=7, T2c, both lobes 7/13/04 PSA <0.1 10/12/04 PSA <0.1 1/18/05 PSA <0.1
> >> Curtis, [quoted text clipped - 13 lines] > wait as long as 24 hours to escape the danger of its interacting with > nitrates? ron - 29 Jan 2005 01:39 GMT It was in the 2003 flick "Something's Gotta Give" with Jack Nicholson...Ron
jhhtexas@ieee.org - 29 Jan 2005 02:09 GMT > It was in the 2003 flick "Something's Gotta Give" with Jack > Nicholson...Ron I am taking my chances with Cialis. My wife goes to bed early and I have to have my pleasures of the flesh in the morning. It bothered me to wait an hour in the morning or to get up an hour earlier. Cialis works just fine when I take it the night before.
Beverley - 29 Jan 2005 15:14 GMT Viagra was developed as a blood pressure medication but when it went into study it was discovered that it had a very unusual side effect and really was not very effective in lowering BP. Viagra is a vaso-dilator as is nitroglycerin. Can you see the correlation?
My daughter is a paramedic. She says she always asks a conscious male patient who is having a heart attack if they have Viagra or other ED drug in their system. The reason she must ask is there is a whole long list of things they can use on a patient who is having a heart attack but right at the top of the list is a vasodilator. So if the patient has Viagra or other similar drug in their system they skip down to the next drug.
Now think of the guys who were in that initial study for the new BP med. "Gee, doc I don't know what is in this pill but ever since I started taking it I've had the best erections!" And just think, they were probably taking it at a minimum of at least daily. Some of these guys were seeing life where it hadn't been seen in years.
Seriously, listen to the ads on TV. I looked up the web sites and posted direct quotes from each concerning the drug. All three sites are loaded in information. It is worth taking a few minutes and reading through them. I thought it was interesting that the one should not be taken with erythromycin. That is a very common Rx. Bev
http://www.viagra.com/index.asp Remember that no medicine is for everyone. Only your doctor can prescribe VIAGRA for you. If you use nitrate drugs, often used to control chest pain (also known as angina), don't take VIAGRA. This combination could cause your blood pressure to drop to an unsafe or life-threatening level. Be sure to ask your doctor if your heart is healthy enough for sexual activity.
ALSO on that site they have a special deal where you can get every 7th refill free!
http://www.levitra.com/index.htm LEVITRA is a prescription medicine that is used to treat erectile dysfunction (ED).
Men taking nitrate drugs, often used to control chest pain (also known as angina), should not take LEVITRA. Men who use alpha blockers, sometimes prescribed for high blood pressure or prostate problems, also should not take LEVITRA. Such combinations could cause blood pressure to drop to an unsafe level. You should not take LEVITRA if your doctor determines that sexual activity poses a health risk for you. Men who experience an erection for more than four hours should seek immediate medical attention. LEVITRA does not protect against sexually transmitted diseases. The starting dose of LEVITRA is 10 mg taken no more than once per day. Your doctor will decide the dose that is right for you. In patients taking certain medications such as ritonavir, indinavir, ketoconazole, itraconazole, and erythromycin, lower doses of LEVITRA are recommended, and time between doses of LEVITRA may need to be extended. In clinical trials, the most commonly reported side effects were headache, flushing, and stuffy or runny nose. LEVITRA is available in 2.5 mg, 5 mg, 10 mg, and 20 mg tablets.
http://www.cialis.com/?ccd=cialis226 CIALIS is not for everyone. If you take nitrates, often used for chest pain (also known as angina), or alpha-blockers (other than Flomax 0.4 mg once daily), prescribed for prostate problems or high blood pressure, do not take CIALIS. Such combinations could cause a sudden, unsafe drop in blood pressure. Don't drink alcohol in excess (to a level of intoxication) with CIALIS. This combination may increase your chances of getting dizzy or lowering your blood pressure. CIALIS does not protect a man or his partner from sexually transmitted diseases, including HIV.
The most common side effects with CIALIS were headache and upset stomach. Backache and muscle ache were also reported, sometimes with delayed onset. Most men weren't bothered by the side effects enough to stop taking CIALIS. Although a rare occurrence, men who experience an erection for more than 4 hours (priapism) should seek immediate medical attention. Discuss your medical conditions and medications with your doctor to ensure CIALIS is right for you and that you are healthy enough for sexual activity.
*Individual results may vary. In clinical trials, CIALIS was shown to improve, up to 36 hours after dosing, the ability of men with ED to have a single successful intercourse attempt. CIALIS has not been studied for multiple sexual attempts per dose.
CIALIS? is a registered trademark of Lilly ICOS LLC. Flomax? (tamsulosin HCl) is a registered trademark of its owner.
CIALIS is available by prescription only. For additional safety information, talk to your doctor about this medicine and see the full Patient Information.
Olfart - 29 Jan 2005 16:43 GMT > Viagra was developed as a blood pressure medication but when it went into > study it was discovered that it had a very unusual side effect and really [quoted text clipped - 80 lines] > talk to your doctor about this medicine and see the full Patient > Information. If none of the above work, you have probably developed Noassitol syndrome
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