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ed may be caused by underlying vascular disease. if you have vascual disease and have not spoken to your gp about your ed, we would recommend you do.
fatal reaction: there can be a fatal reaction between ed tablets and nitrate medications such as gtn spray. you must not take or purchase ed medication from us if you take nicorandil, a gtn spray, tablets, patch, gel or cream or any nitrate tablets (usually for heart conditions).
vasculogenic conditions alter the flow of blood to the penis. erectile dysfunction is closely linked to cardiovascular disease, so your doctor might start by looking at this. high blood pressure (hypertension) and diabetes can both cause ed. diabetes is a condition caused by a surfeit of glucose in the blood that affects both the flow of blood to the penis and the nerve endings in your penis. it is therefore both a vasculogenic and a neurogenic condition.