Question

Chief Compi y sex life just isn't what it used to be Peter Johnson is a 63-yea 4 HPl en is a 63-year-old man who presents to his PCP ove complaint. On questioning, he states that for the la been able to achieve only partial erections that are in for intercourse. He does not notice nocturnal penile tumes ance. He feels that the problem is leading to a strained relationship with his wife, and he is interested in trying an herbal product or "nutritional supplement" for help. NO PMH Type 2 DM X 14 years HTN HF (NYHA class II) Dyslipidemia FH rather deceased at age 72 of cancer; mother alive with HIN

Answer 1

1)a. List of drugs therapy problems are :-

nausea

vomiting

headache

constipation

diarrhoea

rash

weakness

muscle pain

increased triglycerides & LDL

hypokalemia

hypercalcemia

dry cough (decreased bradykinin degradation)

decreased blood pressure

hyperkalemia (with renal insufficiency)

acute renal failure

teratogenic

sedation

dry mouth

bradycardia

orthostatic hypotension

orthostatic hypotension

decreased LDL

increased HDL

stress incontinence

mask response to hypoglycemia (diabetics)

hyperglycemia

fatigue/sleep disturbance

bronchospasm

exercise intolerance

verapamil

constipation

erection dysfunction

increases digoxin concentration

peripheral edema

gingival hyperplasia

drug-induced lupus syndrome

1) b. The risk factors for ED in this patient are :-

Age

Diabetes

Hypertension

Hyperlipidemia

HF.

1) c. Common Causes of ED

The common causes of ED today are the cardiovascular risk factors such as smoking, improper diet and exercise, obesity, waist circumference and excessive alcohol intake.

-The prevalence of ED increases with age.

-Diabetes, type 2 is the second most common risk factor for ED.

- HTN, Hyperlipidemia, Endocrine Disorders and Lower Urinary Tract Symptomology are all contributing diseases as well.

Patients most likely etiology is age and diabetes .

1) d. Conditions caused due to drug therapy :-

Erectile dysfunction

Diabetes

Dyslipidemia