Why is a detailed medication history needed for the evaluation of erectile dysfunction (ED)?

Updated: Aug 08, 2018
  • Author: Edward David Kim, MD, FACS; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

It is important to obtain a detailed list of all medications taken during the past year, including all vitamins and other dietary supplements. (Patients often neglect to list dietary supplements they have tried in an effort to improve their sexual function.) Numerous prescription medications have been associated with ED, including the following:

  • Antihypertensive drugs

  • Antiulcer drugs (eg, proton pump inhibitors [PPIs] and cimetidine)

  • Lipid-lowering (eg, statins and fibrates) [62]

  • 5-Alpha reductase inhibitors (eg, finasteride and dutasteride) [63]

  • Antidepressants

  • Antipsychotic drugs (especially risperidone) [64]

  • Testosterone and anabolic steroids

In addition to prescription drug use, tobacco use, alcohol intake, caffeine intake, and illicit drug use should be documented. A smoking history is particularly important, in view of the contribution of smoking to vascular disease.


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