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The antihypertensive
drug Diovan® (valsartan) appears to not have the negative
impact on sexual function of the diuretics and beat-blockers commonly
used to treat high blood pressure, according to a study reported
in the August issue of the Journal of Human Hypertension.
Erectile dysfunction
among people whose high blood pressure is treated with diuretics
and beta-blockers is one of the major reasons why they stop taking
their medications.
Researchers
at University Hospital in Bern, Switzerland decided to see if
valsartan, an AT1-receptor antagonist, alone or in combination
with hydrochlorothiazide would have less of a negative impact.
Their
study involved 2,202 patients with hypertension whose average age was 54. Their
blood pressure was measured at the beginning of the study and after 8 and 16 weeks
of treatment. The
frequency that participants engaged in sexual intercourse was assessed with a
questionnaire at each of the three visits. While
the blood pressure of the participants in all three groups decreased significantly,
sexual activity decreased slightly in the conventional therapy group from 1.3
times to 0.9 times per week.
However, sexual
activity increased in the valsartan group from an average of one
time per week to 1.6 times. Similarly, sexual activity increased
in the combination group from an average of 0.9 to 1.3 times per
week.
No sexual
activity was reported by 21 percent of the 2,002 participants
at the beginning of the study, decreasing to 7 percent at the
end of 16 weeks of treatment.
"Valsartan
increases the rate of sexual intercourses per week, whereas conventional therapy
affects sexual activity adversely," concluded the researchers. Journal
of Human Hypertension 2003 Aug;17(8):515-521
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