Volume 22, Number 2, 99-109, DOI: 10.1007/BF01542360

Effects of antihypertensive drugs atenolol and nifedipine on sexual function in older men: A placebo-controlled, crossover study

Diane L. Morrissette, Michael H. Skinner, Brian B. Hoffman, Roger E. Levine and Julian M. Davidson

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Abstract

Investigated the adverse sexual effects of two antihypertensive drugs, atenolol and slow-release nifedipine, in a placebo-controlled, randomized, crossover study. Subjects were 16 older men (mean age = 66.6 years, SEM = 1.4) with mild to moderate hypertension. Subjects completed daily self-reports on 13 measures of sexuality: frequency of desire, coitus, noncoital partner sex, masturbation, morning erections, spontaneous erections, orgasms in coitus and masturbation, firmness of morning, masturbatory and coital erections, and subjective pleasure in coitus and masturbation. Except for a significant decrease in masturbatory erectile firmness with nifedipine therapy, variables did not differ between the two drug treatments or between either drug and placebo. Although the sample was relatively small, small differences between treatment means suggest that these antihypertensive agents are fairly benign relative to sexual function in men.

Key words  sexual function - atenolol - nifedipine - hypertension

Supported by NIH grants DK07217-12A1 and AGO1437.
Dr. Hoffman is an Established Investigator of the American Heart Association

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