Erectile dysfunction: The Daily PANCE Blueprint

Erectile dysfunction: The Daily PANCE Blueprint

A 61-year-old male with a history of hypothyroidism, CAD, BPH, and hypertension presents to the clinic wanting to talk about a medication he heard about on TV for erectile dysfunction. He says it is called tadalafil. Which of the following medications can he not take while on tadalafil?

A. Nitroglycerin
B. Levothyroxine
C. Atorvastatin
D. Aspirin
E. Finasteride

Answer and topic summary

The answer is A. Nitroglycerin

Erectile dysfunction is defined by the inability to acquire/maintain an erection during sexual intercourse. There are many causes including substance abuse, medications (BB, SSRIs), social stressors, cardiovascular disease, diabetes, neurological disorders, and endocrine issues. 1st line treatment is PDE5 inhibitors (e.g., tadalafil, sildenafil, etc). They are contraindicated in patients taking nitrates.

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Covered under ⇒ PANCE Blueprint Genitourinary ⇒ Penile disordersErectile dysfunction

Also covered as part of the Internal Medicine EOR topic list

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