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incorrect in most instances, especially with drugs from newer drug categories. Calcium channel blockers, ACE inhibitors and angiotensin II (AT,) receptor antagonists all have reported rates of sexual dysfunction that did not differ from placebos. If symptoms persist with these drugs other causes should be sought. It is important to listen to the patient but also reassure them that the drug is not necessarily to blame; sexual dysfunction as a perceived adverse drug effect is a potent cause of compliance failure. Sildenafil (Viagra) can be safely used in patients receiving any of the commonly used antihypertensive drugs.

As well as the concerns about sexual performance in treated hypertensives there may be concerns about fitness per se to attempt intercourse. The real possibility that it is hazardous is compounded often by their age and concurrent coronary artery disease.

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