Maybe I'm asking this in the wrong place - as evidently those who are using Viagra don't have medical reasons that they cannot use it.
Hubby is a regular use smoker [it's a rare day he doesn't smoke over a pack - sometimes as much as two]. He is approaching his late 40's and up until now E.D. has not been an issue so we don't have any experience with Viagra.
Hubby's line of work [through a local union] is such that each and every time he goes to work for a different company, he is sent for a drug screen and pre-employment physical. About a year ago, the physical revealed higher blood pressure readings than the company's stated limits which are 160 for the top number and 100 for the bottom one. [Sorry, EBF, I can never recall the proper medical terminology for these readings!] His problem was the bottom number.
The procedure to get him OKed was for him to visit our family doctor and get cleared through her. Time limit of three days before he could retest, as it was felt even if medication was given it takes that long before it's working. Sure enough, doctor put him on medication. Three days later he passed the pre-employment requirements and was put to work.
Next time out through the union hall, he passed the requirements fine. But the next time once again his blood pressure was in excess of their range despite the medication. Back to family doctor, and the dosage was doubled.
I have heard and read that blood pressure medication can result in E.D. The "Catch 22" of this situation is that the medication helps the blood pressure but assists in causing E.D. - - and those with high blood pressure severe enough to require medication are not suitable candidates for Viagra.
So, anticipating a time this may become an issue for us, what is the solution for those in his circumstances since Viagra can be life threatening for them?