Question:

I am a 57 year old male who was diagnosed with lupus in 1987. Over the last couple of years I have gradually had more difficulty in getting and maintaining an erection.I have been to a urologist who tried treating me with testosterone for approximately 1 year with no appreciable results. I am and have been taking medications including Prednisone, Coumadin, Plaquinal, Actenal, Metoclopramide, Domperidone, Avapro, Nexium, low dose Asprin, Cholestyramine over a long period of time and have for the last month been taking Azathioprine. Are there any products on the market that may help my situation and be safe to take under the circumstances?

Answer:
It is known (in the scleroderma literature, not studied in lupus as far as I am aware), that Raynaud's can be associated with erectile dysfuntion. You are on alot of meds that may suggest that you have circulatory problems (high lipids, on coumadin, etc). I would discuss further with your doctor (urologist) if and specialist for lupus if you would be able to safely use the drugs marketed for ED.