The primary care NP is preparing to prescribe sildenafil for a man who has erectile dysfunction. The NP should remember to tell this patient:
a. to avoid oral nitrates while taking this medication.
b. that the drug may cause penile aching.
c. to use a condom if his sexual partner is pregnant.
d. dyspepsia may occur and may warrant discontinuation of the drug.
A
Deaths have been reported in men on concomitant treatment with oral nitrates who are taking sildenafil. Patients taking alprostadil may experience penile ache. Finasteride, not sildenafil, is teratogenic, and a man taking finasteride should use condoms if his partner is pregnant. Dyspepsia is a common but not serious side effect of sildenafil.
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