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Gjiia) : Mark

A 60-year-old man with type 2 diabetes mellitus, benign prostatic hyperplasia, and diabetic retinopathy is experiencing erectile dysfunction. He has decreased sensation in his feet and mildly decreased pedal pulses on the right, suggesting peripheral neuropathy or vascular disease. The most important concern in prescribing sildenafil to this patient is the interaction between sildenafil and doxazosin he is currently taking for his prostate issues, as this could cause hypotension.

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jmohideenkadhar
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101 views2 pages

Gjiia) : Mark

A 60-year-old man with type 2 diabetes mellitus, benign prostatic hyperplasia, and diabetic retinopathy is experiencing erectile dysfunction. He has decreased sensation in his feet and mildly decreased pedal pulses on the right, suggesting peripheral neuropathy or vascular disease. The most important concern in prescribing sildenafil to this patient is the interaction between sildenafil and doxazosin he is currently taking for his prostate issues, as this could cause hypotension.

Uploaded by

jmohideenkadhar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Q.ld: 4191 Prev1ous Next lab Values Notes Calculator Reverse Color Text Zoom
A 60-year-old man comes to the office due to erectile
dysfunction that has progressed
slowly over the last year. He finds it difficult to attain an
erection and has noted a
decrease in nocturnal erections. Medical history is
significant for type 2 diabetes mellitus
and benign prostatic hyperplasia. Ophthalmologic
evaluation 6 months ago revealed
diabetic retinopathy that was treated with
photocoagulation. The patient also had a
negative treadmill cardiac stress test 4 months ago after
presenting with atypical chest
discomfort. Current medications include metformin,
sitagliptin, rosuvastatin, and
doxazosin. Blood pressure is 122/70 mm Hg and pulse is
76/min. Cardiopulmonary
examination is unremarkable except for mildly decreased
pedal pulses on the right.
There is decreased vibration sensation in both feet.
Hemoglobin A 1 c measured 2 weeks
ago was 8%. The patient requests a prescription for
sildenafil. Which of the following is
the most important concern in prescribing sildenafil to
this patient?
o A Diabetic retinopathy
o B. Interaction with doxazosin
o C. Interaction with metformin
o D. Peripheral neuropathy
o E. Peripheral vascular disease
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