A 66-year-old man presents with several months of difficulty achieving and maintaining an erection sufficient for intercourse. He has ischemic cardiomyopathy (NYHA class II), chronic stable angina, type 2 diabetes mellitus and hypertension. His medications are isosorbide mononitrate, bisoprolol, ramipril and furosemide PO daily, and nitroglycerin SL as needed for angina. He is in a stable relationship, has no symptoms of depression and has no morning erections. He asks whether he can try "the little blue pill" that his friend uses. On examination, he is comfortable, with normal external genitalia and no penile plaques. Fasting morning testosterone and HbA1c are pending.
| Heart rate | 62/min |
| Blood pressure | 118/72 mm Hg |
Question 1 of 9
Which of the following are the most appropriate management options for his erectile dysfunction at this time?
Select 2. (0 / 2 selected)
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