Viagra (sildenafil) lowers blood pressure. This effect, while generally mild, can pose problems for individuals with stable angina, a heart condition characterized by chest pain during exertion. The reduced blood pressure can further restrict blood flow to the heart, potentially worsening angina symptoms or triggering a heart attack.
Factors Increasing Risk
Several factors amplify the risk associated with combining Viagra and stable angina. Pre-existing cardiovascular disease, taking other medications that lower blood pressure (like nitrates), and older age all contribute to a higher likelihood of adverse events. The severity of angina itself also plays a significant role. More severe angina increases the chance of complications.
Medication Interactions
Certain medications interact negatively with Viagra, exacerbating the risk for people with stable angina. Nitrates, frequently prescribed for angina, should never be taken concurrently with Viagra. This combination can lead to a dangerous drop in blood pressure, potentially life-threatening.
Recommended Precautions
| Viagra Use | Discuss Viagra use with your doctor, especially if you have stable angina or other heart conditions. |
| Medication Review | Provide your doctor with a complete list of all medications you take, including over-the-counter drugs and supplements. |
| Regular Monitoring | Follow your doctor’s advice regarding regular checkups and monitoring of your heart health. |
| Symptom Awareness | Be aware of the symptoms of angina and seek immediate medical attention if you experience chest pain, shortness of breath, or other concerning symptoms. |
Alternative Treatments
If you have stable angina and erectile dysfunction, your doctor can discuss alternative treatments for erectile dysfunction that may be safer given your heart condition. These may include other medications, lifestyle changes, or other therapies.


