Can You Take Viagra If You Have Kidney Disease

Gfr And Kidney Disease Stages

The National Kidney Foundation lists the following GFR scores and kidney disease stages, and what to expect in each:

As you advance through the stages of kidney disease, you will notice more and more symptoms, and your treatments may need to become more intense.

Hemodialysis is a treatment where an artificial kidney filters and circulates your blood when your kidneys can no longer do their job. Its a common method for managing end-stage kidney disease and kidney failure. However, with early diagnosis and careful management, you may be able to at least slow down the progression of your kidney disease.

Medications & Kidney Disease

People with chronic kidney disease are often prescribed multiple medications. Understand the impact of medications plus which ones to avoid.

If you have chronic kidney disease you can often be prescribed multiple medications, some of which can slow down the damage being caused to your kidneys. It’s important to understand the impact these can have on your kidneys.

If you’re living with chronic kidney disease, your health professional may prescribe several medications including:

• anti-hypertensives to control your blood pressure
• medications to keep your heart healthy, for example cholesterol tablets
• medications to control other health conditions you may be living with such as diabetes, thyroid disorders, pain and arthritis
• diuretics to increase your urine output
• phosphate binders to control your phosphate levels
• vitamin D to maintain strong bones and other benefits
• injections, including erythropoeitin and iron, to control anaemia

The medications you’re prescribed will depend on your overall health, the stage of chronic kidney disease you have and your treatment options. The medications you take will also adapt over time as your overall condition and health change.

Some medications, such as certain medications for blood pressure and diabetes, can actually slow down the damage to your kidneys. Each medication is given for a particular reason and should be taken as directed.

To get the full benefits of your medications, it’s important to:

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Healthconditions That Require Kidney Screenings

If you have one of thesehealth conditions, or if you or your family has a history of kidney problems,its important to have your kidneys checked once a year:

• Diabetes.
• Obesity.
• High cholesterol.

But even if you dont haveany risk factors, a yearly check-up with blood pressure check, lab and urinetests is the only way to get a clear picture of your kidney function, says Dr.Heyka.

What Is Ed And Who Should Care

Erectile dysfunction is defined as regular difficulty getting or maintaining an erection for satisfying sex. The key word here is regular. Its normal for men to have problems getting hard on occasion, but when successful erections become the exception more than the rule, or when they flat out dont happen anymore, thats ED.

This can be a sign theres something else going on inside. Thats because the same things that cause erectile dysfunction can also cause problems with your heart and blood vessels. So if you have erectile dysfunction, you are likely to have heart disease and vice versa.

Most people with heart disease take blood pressure-lowering medicine.

The most common medications to cause erectile dysfunction are blood pressure drugs . Here are some other medications that can cause ED:

Other heart medicines called beta-blockers have a small risk of ED. These include popular drugs like metoprolol , atenolol , propranolol and bisoprolol .

If youre having ED and take one of these medications, its not all bad news. Here are blood pressure medications that do not often cause ED:

• Alpha-blockers like doxazosin, prazosin, and terazosin

• ACE inhibitors like lisinopril, benazepril, enalapril, ramipril, quinapril, and ramipril

• ARBs like losartan, irbesartan, and valsartan

• Calcium channel blockers like amlodipine, diltiazem, verapamil, and nifedipine

Worth knowing:

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Can You Take Viagra If You Have Kidney Disease

Shbg And Other Associated Hormonal Alterations

Sex hormone-binding globulin is the principal binding protein for testosterone in the circulation, with approximately 70% of the circulating hormone bound to it in normal circumstances. It is usual in men for SHBG levels to rise with advancing years, thus reducing available testosterone and exacerbating the age-related decline in testosterone production. In CKD, it appears that SHBG levels are unaffected by a decline in GFR. When adjusted for confounding factors, subjects with normal renal function or CKD stages 35-ND have similar measured SHBG . In a study of men with type 1 diabetes, progressive renal disease was not associated with SHBG alterations . It has been shown that a change from standard hemodialysis treatment for men with CKD stage 5-D to alternate nightly, longer sessions results in increased testosterone levels, while measured SHBG is unaffected . This suggests that greater delivery of dialysis improves testosterone bioavailability but not through SHBG effects.

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Is Viagra Prescribed In Dosages Of 100 Mg 150 Mg Or 200 Mg

The highest recommended Viagra dose for treating erectile dysfunction is 100 mg per day, according to the drugs manufacturer. Doses of 150 mg or 200 mg would be considered off-label use. Off-label is when a drug is prescribed to treat a condition it isnt approved to treat, or in a dose thats not approved by the Food and Drug Administration .

If you have questions about the highest dosage of Viagra thats safe for you, talk with your doctor or pharmacist.

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Ed And Cardiovascular Risk

Several traditional risk factors were related to ED in medical literature with some evidences coming from well designed epidemiological trials. Age seems to be the clearest risk factor with strong association with the presence and severity of ED . After adjusting for age, the correlation between ED and modifiable risk factorshypertension, diabetes, hyperlipidemia, obesity, sedentary, and smokingremained significant . The increase of EDs prevalence with aging is followed by atherosclerotic lesions in vascular tree . Most men with hypothetic vasculogenic ED present at least one traditional cardiovascular risk factor . These evidences allowed the consideration of ED as a clinical manifestation of a functional or structural abnormality in penile circulation as component of a systemic vasculopathy .

Erection is a complex psiconeurovascular process and involves several system interactions that converge to an increase in hypogastrian-penian blood flow and subsequent activation of veno-occlusive mechanism of corpus cavernosum . It is well known that the blood increment towards cavernous tissues necessary for a rigid erection is huge and even small hemodynamic disturbances could produce sexual dysfunction . So, traditional risk factors such as hypertension, diabetes, and hyperlipidemia could contribute for ED development or worsening even in situations where psychological etiology seems more likely.

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Can Women Take Viagra

No, Viagra isnt approved for use in women. And there isnt enough evidence to show that Viagra works for treating sexual problems in women.

One review of studies showed that current research has conflicting results on how Viagra affects women. For example, in women with female sexual arousal disorder, the review showed the following findings:

• In one study, some women whod gone through menopause were given Viagra. These women had improved arousal, vaginal lubrication, and orgasm when they took the drug.
• In another study, both women whod gone through menopause and those who hadnt were given Viagra. These women reported no significant positive effects from taking the drug.

In men, Viagra improves blood flow to their penis by blocking the action of a chemical called PDE5. This chemical is also found in the vagina and the clitoris of women. So in theory, if a woman takes Viagra, it could increase blood flow to her genitals.

But in reality, theres less PDE5 in a females genitals than there is in a males penis. This could explain why Viagra has less of a physical effect in women than it does in men.

And keep in mind that sexual problems in women often have a lot to do with reduced sexual desire and arousal. Viagra is unlikely to address these issues.

What Drinks Are Hard On The Kidneys

Sodas. Several recent studies indicate that drinking two or more carbonated sodas, diet or regular, each day might increase your risk for chronic kidney disease, according to the American Kidney Fund. It has been noted that both carbonated beverages and energy drinks are associated with kidney stone formation.

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The Kidney Disease Solution Cookbook

The 133-page guidebook is packed full of recipes that are easy to follow and must incorporate into a kidney-friendly diet. Each recipe provides you with the necessary daily nutritional needs of your body. The book also teaches you how to develop healthier eating practices. Additionally, it provides special recipes for other health conditions you might suffer from, like hypertension and diabetes.

Sex Hormone Abnormalities In Chronic Kidney Disease

No organ system functions or fails in isolation. As CKD progresses, so the accumulating physiological derangement disturbs the activities of other organs and tissues. With CKD, many components of the endocrine system are influenced. This is most evident in the extreme case, dialysis-treated end-stage renal disease . Disruption to the hypothalamicpituitarygonadal axis in men with CKD results in significant functional impairment and quality of life is affected.

A reduction in renal function may affect hormonal actions in a number of ways. Many hormones are metabolized or excreted by the kidneys. Sensitive feedback mechanisms are destabilized by CKD. Circulating binding proteins can alter in concentration, where there is renal dysfunction. Hyperprolactinemia and hypogonadism are two significant endocrine disturbances that occur in the setting of CKD.

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If You Have Kidney Disease Other Medications Can Be Harmful

If your kidneys are already damaged, certain drugs can make them worse or lead to kidney failure. Talk to your doctor before taking cholesterol or diabetes medication, antacid medicine for an upset stomach, or antimicrobial meds, like antifungal and antiviral drugs. In some cases, you may be able to take a smaller dose that’s safer for you.

You also should talk to your doctor before having some kinds of imaging tests. With a magnetic resonance imaging or computed tomography scan, doctors sometimes use a dye to help them see a specific area of your body better. In rare cases, this dye can cause serious conditions called contrast-induced nephropathy or nephrogenic systemic fibrosis . Ask your doctor about other tests you might have instead.

Show Sources

National Kidney Foundation: “Contrast Dye and the Kidneys,” “How Your Kidneys Work,” “Oral Sodium Phosphate Safety Alerts,” “Pain Medicines ,” “Watch out for Your Kidneys When You Use Medicines for Pain,” “Which Drugs are Harmful to Your Kidneys?”

MedShadow: “6 Medications That Can Harm the Kidneys.”

Cleveland Clinic: “Supplements, OTCs May Hurt Your Kidneys.”

Male Sexual Dysfunction And Chronic Kidney Disease

• 1Department of Nephrology, Hull and East Yorkshire Hospitals NHS Trust, Kingston upon Hull, UK
• 2Hull-York Medical School, Kingston upon Hull, UK

Male sexual dysfunction is common in chronic kidney disease , particularly in end-stage renal disease. Historically, this cause of considerable morbidity has been under-reported and under-recognized. The ideal approach to diagnosis and management remains unclear due to a paucity of good quality data, but an understanding of the pathophysiology is necessary in order to address the burden of this important complication of CKD. This paper will review the endocrine dysfunction that occurs in renal disease, particularly the hypothalamicpituitarygonadal axis, discuss the causes of erectile dysfunction, infertility, and altered body image and libido in these patients and suggest appropriate treatment interventions.

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Does Drinking Alcohol Affect Your Kidneys

It can impair the kidneys ability to filter blood as a result of alcohol consumption. You kidneys perform many other essential functions as well as filtering blood. Your body is also responsible for maintaining a healthy amount of water in it. The kidneys are affected by alcohol when they perform this function.

Pathophysiology Of Erectile Dysfunction

Numerous sexual stimuli are processed by the brain and transmitted to the penis by parasympathetic impulses that pass through the nervi erigentes to the penis. This results in vasodilatation of the arteries, relaxation of the smooth layer, and compression of the veins against the rigid tunica albuginea, thus allowing blood to build up under high pressure in the erectile tissue of the penis. The vascular muscle in the spongy area becomes engorged with blood resulting in ballooning of the erectile tissue to such an extent that the penis becomes hard and elongated.

Erectile dysfunction is often the result of multisystem disease processes involving the hypothalamicpituitarygonadal axis, vascular supply, and penile tissue damage from either infections or trauma. Psychological factors such as fatigue, stress, and depression may result from chronic illness and contribute further to the patient’s loss of erection.

Hyperprolactinaemia has been reported in 2557% of male ESRD patients and has been implicated in impotence, hypogonadism, and reduced desire. Hyperprolactinaemia interferes with gonadal responses to gonadotrophins, resulting in a reduction in sexual steroid secretions. Interestingly, it is not clear from the literature what the sexual effects of hyperprolactinaemia are and the underlying mechanism remains obscure .

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