brand logo

Am Fam Physician. 2003;67(6):1188-1189

Possible Side Effects Should Be Discussed with Patients

to the editor: I enjoyed reading the article, “Managing Hypertension in Athletes and Physically Active Patients,”1 in American Family Physician. As a primary care physician, I concur with the importance of screening this target group of athletes and other physically active persons for high blood pressure, and the emphasis on lifestyle modifications. The article1 provided an extensive review of pharmacologic therapy, including various drug side effect profiles. However, in my experience with treating patients, sexual dysfunction is a major side effect of antihypertensive medicine that is especially relevant to athletes and physically active patients and is a significant cause of patient noncompliance with medication regimens.2,3 Up to 25 percent of cases of sexual dysfunction, especially erectile dysfunction, are related to medication side effect.4 High blood pressure medicines are commonly associated with various types of sexual dysfunction.

All patients should be informed of the possible side effect of sexual dysfunction, especially athletes and physically active patients, because this may have a tremendous impact on their lives. Family physicians need to be prepared to discuss this issue with patients to avoid noncompliance.

Email letter submissions to afplet@aafp.org. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors. Letters submitted for publication in AFP must not be submitted to any other publication. Letters may be edited to meet style and space requirements.

This series is coordinated by Kenny Lin, MD, MPH, deputy editor.

Continue Reading


More in AFP

Copyright © 2003 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See https://www.aafp.org/about/this-site/permissions.html for copyright questions and/or permission requests.