- Male
- 38 Years
- 22/01/2025
I'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection issues. I'm wondering, could I switch from propranolol to Nevivolol? Or would it be okay to take tadalafil along with the propranolol? Could you give me some advice on these two options?
Answered by 1 Apollo Doctors
- Instead of Propranolol 40 mg, you can use Nebivolol. The recommended dosage for Nebivolol is 5 mg to 10 mg once daily. It is also effective in managing heart palpitations and anxiety, with a lower risk of causing erectile dysfunction compared to Propranolol. 2. You can take Tadalafil with Propranolol, but it is important to consult with your cardiologist or healthcare provider before combining these medications. Tadalafil is used to treat erectile dysfunction, and the combination with Propranolol may help alleviate the erection problem you are experiencing. The usual starting dose of Tadalafil is 10 mg taken prior to anticipated sexual activity, with a maximum frequency of once per day.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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I'm really worried about Hypertrophic Cardiomyopathy. If someone finds out they have it early on, can it be treated even if it can't be completely cured? What kind of problems might the person face, and how does it affect their chances of living a full life?
If Hypertrophic Cardiomyopathy is detected at an early stage, it can be managed effectively to improve symptoms and prevent complications. Medications such as beta blockers (e.g. Metoprolol) or calcium channel blockers (e.g. Verapamil) may be prescribed to help relax the heart muscle and improve blood flow. In some cases, antiarrhythmic medications like Amiodarone may be used to control abnormal heart rhythms. In addition to medications, lifestyle changes such as regular exercise, a heart-healthy diet, and avoiding excessive alcohol intake are important in managing Hypertrophic Cardiomyopathy. In more severe cases, procedures like septal myectomy or alcohol septal ablation may be recommended to relieve symptoms and improve heart function. Patients with Hypertrophic Cardiomyopathy may face issues such as shortness of breath, chest pain, fatigue, dizziness, and an increased risk of abnormal heart rhythms or sudden cardiac arrest. Regular follow-up with a cardiologist is essential to monitor the condition and adjust treatment as needed. With proper management and adherence to treatment, the survival chances for patients with Hypertrophic Cardiomyopathy can be good. However, it is important for patients to stay compliant with their medications, follow a healthy lifestyle, and attend regular medical appointments to optimize their long-term outcomes.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.