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Erectile Dysfunction: Talking to Your Partner
The authors concluded that the drug may help COPD patients -- whether they have developed PAH or not -- quickly control their pulmonary blood pressure in some situations.
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Depression that accompanies ED is treatable. The first step in overcoming depression is to be honest with yourself, your partner, and your doctor. After depression has been brought out into the open, coping with it will be easier and less stressful.
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The management of angina in patients who have taken sildenafil within 24 hours involves the use of non-nitrate antianginal drugs such as beta blockers. The use of heparin, narcotics, aspirin or calcium channel blockers for acute coronary artery syndromes is not contraindicated. If nitrates are inadvertently administered to a patient who has taken sildenafil and hypotension occurs, aggressive fluid resuscitation with the patient in the Trendelenburg position is the first step. An intravenous alpha-adrenergic agonist (phenylephrine) or an alpha- and beta-adrenergic agonist (norepinephrine) can be given if needed to support blood pressure. An intra-aortic balloon counterpulsation pump can be used if pharmacologic measures are ineffective.19
Advice for women on how to cope with their partner's erectile dysfunction.
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This work was supported by National Institutes of Health Grant DK21723 (to J.B.) and the University of Washington Cardiovascular Pathology Training Grant NIH HL-07312 (to A.B.).
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