Lisinopril is a common ACE inhibitor that doctors prescribe for high blood pressure and some heart conditions. If your doctor has prescribed lisinopril, you might have heard that it can cause erectile dysfunction (ED).
It’s true that ED is a potential side effect of many medications, but it’s not a common side effect of lisinopril. The good news is that if you’re taking lisinopril, you probably don’t have to worry about it causing ED.
Still, it’s worth understanding the connection between lisinopril and ED. In this article, we’ll explore that connection, along with the potential causes of ED, other medications that might help, and how to manage ED.
Understanding Lisinopril and How it Works
Lisinopril is in a class of drugs called ACE inhibitors. ACE inhibitors work by blocking the angiotensin-converting enzyme, which in turn lowers your blood pressure. It’s often prescribed to treat high blood pressure and heart failure.
While lisinopril can have temporary side effects like erectile dysfunction, the benefits it provides for your cardiovascular health often outweigh those risks. Talk to your doctor if you have concerns.
Does Lisinopril Cause Erectile Dysfunction?
ED isn’t a common side effect of lisinopril. In fact, erectile dysfunction is rarely a side effect of ACE inhibitors overall, occurring in less than 1% of patients who take them.
In some cases, lisinopril may even improve ED symptoms by improving blood flow. In rare cases where sexual dysfunction is linked to lisinopril, the symptoms are usually temporary and resolve within a month.
Other Contributing Factors to ED
Underlying health conditions can contribute to ED. For example, diabetes, anxiety, and depression may contribute to erectile dysfunction. Other medications you’re taking might also interact with lisinopril and cause ED.
To help your doctor get a clear picture of your health, provide them with a complete list of all the medications you’re taking, including over-the-counter drugs, vitamins, and supplements, and be aware of the risks associated with medications like finasteride.
Comparing Lisinopril to Other Blood Pressure Medications
ACE Inhibitors vs. Other Classes
ACE inhibitors, as a class, are generally less likely to cause ED compared to some other blood pressure medications. Diuretics and some beta-blockers, for example, are more often connected to ED side effects.
Other ACE inhibitors like enalapril, ramipril, and benazepril work in similar ways to lisinopril, so they tend to have similar risks and benefits.
Alternative Blood Pressure Medications
ARBs (Angiotensin II Receptor Blockers) are another class of blood pressure medication. They’re often considered less likely to cause ED than ACE inhibitors and, in some cases, may even improve sexual function.
For example, some research comparing Cozaar (an ARB) to blood pressure control and sexual satisfaction showed improvements in sexual satisfaction.
Calcium channel blockers are another group of medications that are also considered less likely to cause ED.
What to do if you experience ED while taking Lisinopril
If you’re taking lisinopril and experiencing erectile dysfunction, here’s what you should do:
- Don’t stop taking lisinopril without talking to your doctor first. It’s extremely important not to stop taking blood pressure medication on your own.
- Talk to your doctor about your ED concerns. Tell them about the potential side effects of your blood pressure medication.
- Consider other ED treatments. If the problem continues, and other causes have been ruled out, your doctor might suggest ED medication if the ED is a side effect and not caused by underlying high blood pressure.
- Give it time. Sometimes, ED symptoms get better as your body gets used to the medication.
Lisinopril and Testosterone Levels
There’s a common belief that lisinopril lowers testosterone, which leads to ED. But studies on lisinopril’s impact on testosterone are conflicting, and there’s no solid proof that it directly causes ED by lowering testosterone levels.
Lifestyle Changes and Holistic Approaches to ED
Don’t discount the importance of lifestyle when addressing ED. A holistic approach to healthcare recognizes that cardiovascular health and sexual well-being are closely linked. What’s good for your heart is often good for your sex life.
Managing underlying conditions like diabetes, anxiety, and depression is also key, and it’s important to consider whether erectile dysfunction after trauma might be linked to PTSD. These conditions can contribute to ED, and treating them can improve both overall health and sexual function. So, take a look at the big picture, not just the symptoms.
Frequently Asked Questions
Can you drink alcohol while taking lisinopril?
It’s generally recommended to limit or avoid alcohol while taking lisinopril. Alcohol can enhance lisinopril’s blood pressure-lowering effects, potentially leading to dizziness, lightheadedness, and fainting. It’s always best to discuss alcohol consumption with your doctor.
Can lisinopril be hard on your kidneys?
Lisinopril can affect kidney function, especially in individuals with pre-existing kidney problems or those taking other medications that impact the kidneys. Your doctor will likely monitor your kidney function with blood tests while you’re on lisinopril, particularly when you first start taking it or if your dosage changes.
Does lisinopril affect testosterone?
Research on the direct impact of lisinopril on testosterone levels is limited. While some individuals may experience sexual side effects, like erectile dysfunction, it’s not definitively linked to a decrease in testosterone. If you’re concerned about testosterone levels, consult with your healthcare provider for appropriate testing and evaluation.
Can lisinopril affect erectile dysfunction?
Yes, erectile dysfunction (ED) is a potential side effect of lisinopril, although it’s not a common one. If you experience ED while taking lisinopril, it’s important to talk to your doctor. They may be able to adjust your dosage or switch you to a different medication.
Why is lisinopril considered a bad blood pressure medication?
Lisinopril isn’t generally considered a “bad” blood pressure medication. It’s a commonly prescribed and effective drug for many people. However, like all medications, it has potential side effects and may not be suitable for everyone. If you experience bothersome side effects or have concerns about lisinopril, discuss alternative options with your doctor.
Final Thoughts
Erectile dysfunction isn’t a typical side effect of lisinopril, so it’s probably not the first thing to suspect. Still, it’s important to talk with your doctor about any concerns and explore all the options available to you.
For many people, the heart-healthy benefits of lisinopril are more important than the small risk of temporary sexual side effects.