Sildenafil has been shown to cause a modest reduction in blood pressure throughout the body.This occurs because the drug relaxes blood vessels (arteries) in the body, leading to a decrease in systemic blood pressure [FACTS].A single dose of Viagra can lower systolic blood pressure by about 8 mmHg and diastolic pressure by about 5 mmHg in healthy volunteers
[FACTS].
However, caution must be exercised in patients with low blood pressure, such as those with readings less than 90/50 mmHg[FACTS].
Studies have shown that sildenafil can have an impact on heart rate.For example, one study found that heart rate mildly increased after sildenafil use at rest and at peak exercise (p = 0.018)
[FACTS].
In patients taking antihypertensive medication, mean changes from baseline in heart rate were -0.6 beats/min after sildenafil and 0.9 beats/min after placebo.In comparison, for patients not taking antihypertensive medication, the changes were 0.4 beats/min and -0.6 beats/min, respectively [FACTS].
Sildenafil's interaction with antihypertensive medications has been studied.Treatment with sildenafil plus amlodipine, an antihypertensive medication, produced additive but not synergistic decreases in blood pressure, similar to those seen in normotensive patients
[FACTS].
This suggests that the combination of sildenafil and antihypertensive medications does not cause a significant risk of excessive blood pressure reduction.
In a study examining the effects of sildenafil on chemically induced stress, it was found that the increased heartbeat resulting from such stress was slowed by 50 percent when treated with sildenafil
[FACTS].
This led to a smaller increase in blood flow, suggesting that sildenafil can blunt the strengthened heartbeat caused by chemically induced stress, thereby lessening the excess amount of blood and force used to pump it to the body.
Research has shown that sildenafil can prevent and reverse the long-term effects in the heart from chronic high blood pressure
[FACTS].
This highlights the potential beneficial effects of sildenafil on cardiovascular health, particularly in those with chronic high blood pressure.
Although sildenafil has demonstrated effects on blood pressure, heart rate, and chemically induced stress, it appears to have little impact on heart function under normal conditions [FACTS]. This suggests that the drug primarily affects the cardiovascular system when it is under duress.
The Johns Hopkins University School of Medicine has conducted research on the effects of sildenafil on blood pressure and heart rate. Their findings confirm the aforementioned information, emphasizing the drug's role in controlling heart function under duress and its limited impact under normal conditions
[FACTS].
Overall, sildenafil's effects on blood pressure and heart rate are considered safe and clinically significant, particularly in those taking concomitant antihypertensive medication
[FACTS].
The drug's ability to enhance nitric oxide, a vasodilator, means that it can help lower blood pressure without causing undue harm to patients[FACTS].