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[How to prescribing Viagra in practice...]
D Lalej-Bennis1, R Sellam, J L Selam
1Service de Diabétologie, Hôtel-Dieu, Paris.
Diabetes & Metabolism
|December 19, 2000
Summary
Diabetes can cause sexual dysfunction, with Sildenafil (Viagra) offering partial relief. Careful consideration of cardiovascular health is crucial before prescribing Viagra to diabetic patients.
Area of Science:
- Endocrinology
- Urology
- Cardiology
Background:
- Diabetes mellitus is a significant risk factor for sexual dysfunction, affecting a large proportion of diabetic patients.
- Sexual disorders, particularly erectile dysfunction, are common complications of diabetes due to various underlying mechanisms.
- Current management of sexual dysfunction in diabetics is often inadequate, as many diabetologists lack specialized training.
Purpose of the Study:
- To outline the management of sexual disorders within the comprehensive care of diabetic patients.
- To provide guidelines for the safe and effective prescription of Sildenafil (Viagra) in individuals with diabetes.
- To address the challenges and considerations associated with treating sexual impotence in the diabetic population.
Main Methods:
- Review of current literature on diabetes-induced sexual dysfunction and its treatment options.
- Analysis of the efficacy and safety profile of Sildenafil (Viagra) in diabetic patients.
- Discussion of alternative treatments for erectile dysfunction, including intracavernosal injections and vacuum devices.
- Emphasis on the importance of cardiovascular assessment prior to Sildenafil prescription in patients with diabetes.
Main Results:
- Sildenafil (Viagra) is effective in approximately 60% of diabetic patients with erectile dysfunction.
- Alternative treatments are necessary for non-responders to Sildenafil.
- Diabetic patients are at increased risk for silent myocardial ischemia, necessitating cardiovascular evaluation before Viagra use.
- Concerns regarding reported adverse events with Sildenafil have limited its prescription, despite its therapeutic potential.
Conclusions:
- Sexual dysfunction is a prevalent issue in diabetes requiring integrated management strategies.
- Sildenafil (Viagra) can be a valuable treatment option for erectile dysfunction in diabetics, but requires careful patient selection and cardiovascular assessment.
- A structured approach to prescribing Sildenafil, considering patient-specific risks and alternative therapies, is essential for optimal outcomes in diabetic patients.