My sexual drive is reduced drastically after my intake of diabetic and high bp medication - I take glycomet trio forte 2 twice earlier and tel plus in the morning and metolar xr 50 at night with ecosprin + atorlip f. Please advise as I have reduced my intake of metolar xr 50 and glycomet trio forte 2 since couple of months to reduce my intake.

Dr. Prabhakar Laxman JatharEndocrinologist48yrs exp

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Hello, thanks for the query. In persons with diabetes, sexual drive does get affected. Particularly erectile dysfunction (ed) is a quite commonly seen early complication. Main reason for this is the affection of microvasculature (small blood vessels) supplying the penile muscles. The drugs used in treating diabetes rarely cause such problem. Even telmisartan and metoprolol usually do not cause this side effect. So it is very important to achieve a strict glucose control. Plus if need be drugs like sidenafil may be used thanks.  

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