Q. My husband has suffered from high blood pressure and high cholesterol for years. HCTZ and fosinopril (Monopril) control his hypertension and Vytorin has lowered his cholesterol.
Since starting the drugs, he’s had trouble with impotence. He refuses to see a urologist but takes an herb called Horny Goat Weed instead.
I don’t trust this herb, but he thinks it will help. What effect would this herb have on his other medication?

A. Horny Goat Weed (Epimedium) may have a suggestive name, but clinical data to support its effectiveness for erectile dysfunction or low libido are limited. What’s more, products being sold as Horny Goat Weed vary tremendously. They don’t all contain the same ingredients.
This herb might interact with blood pressure medicines. Side effects could include dizziness from low blood pressure, nausea, dry mouth or respiratory difficulties.
Some of your husband’s medications could be contributing to his sexual issues. Here is a link to a FREE Guide to Drugs That Affect Sexuality and Treating Sexual Dysfunction.
You and your husband may also find this one-hour radio show of interest: Solving Sexual Problems.

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  1. BJ
    Reply

    I am a 61 year old female and had a hysterectomy in 1992. I was on hormone therapy from 1992-2008 when I had 2 heart attacks and consequently open-heart surgery. Now I just take OTC synthetic hormones and don’t have hardly any desire… Is there anything I can do? (been Married 35 years)

  2. Phil B.
    Reply

    High Blood Pressure and Cholesterol may be reduced with prescription drugs which also cause impotence. I got mine from 165/95 to 135/75 with a whole foods diet and daily exercise. Easy hiking one day and swimming the next is the best for me. It also keeps the brain (and penis) sharp at 76.

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