Is vardenafil hydrochloride suitable for patients with hypertension complicated by erectile dysfunction?

Nov 06, 2025 Source: Cainiu Health
Dr. Cao Zhiqiang
Introduction
Vardenafil hydrochloride may be suitable for some patients with hypertension complicated by erectile dysfunction, but only if their blood pressure is well-controlled and they are not taking contraindicated antihypertensive medications. Prior to use, a physician's evaluation is essential to avoid health risks associated with self-medication. If dizziness, palpitations, or abnormal blood pressure fluctuations occur after taking the drug, discontinue use immediately and seek medical attention.

Vardenafil hydrochloride may be suitable for some patients with hypertension and erectile dysfunction, but only if their blood pressure is well-controlled and they are not taking contraindicated antihypertensive medications. Use must be evaluated by a physician beforehand; self-medication should be avoided to prevent health risks. If symptoms such as dizziness, palpitations, or abnormal blood pressure fluctuations occur after taking the medication, discontinue use immediately and seek medical attention.

In terms of eligibility, hypertensive patients whose blood pressure has been consistently maintained below 140/90 mmHg through lifestyle modifications or drug therapy, and who are not taking contraindicated medications such as nitrates or alpha-blockers, may use vardenafil hydrochloride under medical supervision. This medication improves erectile function by vasodilation and has minimal impact on blood pressure, making it tolerable for most patients.

However, caution is necessary: if blood pressure is poorly controlled or if the patient is taking contraindicated antihypertensives, using vardenafil hydrochloride could lead to excessive drops in blood pressure, potentially causing orthostatic hypotension, dizziness, or even fainting. Additionally, the drug is contraindicated in patients with severe cardiovascular or cerebrovascular diseases, such as those who have recently experienced myocardial infarction or stroke.

Patients with hypertension and erectile dysfunction should maintain a low-salt diet, exercise regularly, strictly adhere to prescribed antihypertensive regimens, avoid smoking and alcohol consumption, and monitor blood pressure routinely. If adjustments to antihypertensive therapy are needed during treatment, patients must inform their doctor in advance to ensure medication safety.