A 55-year-old patient who takes nitroglycerin for angina asks for a prescription to aid with erectile dysfunction. What should the nurse do in response to this patient's request?
1. Explain why the erectile dysfunction medication is not a good idea with the heart medication.
2. Provide education about the medication once the prescription is provided.
3. Remind the patient to stop taking the heart medication when planning to take the erectile dysfunction medication.
4. Suggest a behavioral health consult to analyze the reason for the erectile dysfunction.
Correct Answer: 1
The use of medications for erectile dysfunction is contraindicated for the patient who is taking medications used to manage cardiac conditions. Sildenafil (Viagra) and vardenafil (Levitra) should not be taken by men who are also taking nitrate-based drugs. Tadalafil (Cialis) should not be taken if the man is also taking nitrates. Discontinuing cardiac drugs is not advisable. A behavioral health consult would not be the first or primary suggestion in this case as physical issues should be explored.
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