Sexual side effects of high blood pressure medications

Some high blood pressure medications may affect sex drive or sexual function.

• Water pills (diuretics). Diuretics can decrease forceful blood flow to the penis, making it difficult to achieve an erection. They can also deplete the body of zinc, which is necessary to make the sex hormone testosterone.
• Beta blockers. These medications, especially older generation beta blockers such as propranolol (Inderal, Innopran XL), are commonly associated with sexual dysfunction.

Taking medications exactly as prescribed can help lower the risk of side effects, including sexual problems. If that doesn't work, talk to your doctor about other possible medications that may have fewer side effects.