Excellent 4.9
★
★
★
★
★
Do you take any of the following medications?
Please check all that apply.
Antidepressants
Antipsychotics
Any nitrate medication
This answer will disqualify you from treatment
Recreational nitrates (“poppers”)
This answer will disqualify you from treatment
Alpha blockers (e.g., tamsulosin)
Beta-blockers (e.g., metoprolol, atenolol, propranolol)
Blood pressure medications
Clonidine
Diuretics (e.g., furosemide, hydrochlorothiazide [HCTZ], spironolactone)
Dopamine agonists
Isosorbide mononitrate/dinitrate
This answer will disqualify you from treatment
Nitroglycerin
Other ED medications
Ondansetron (Zofran)
Opiate or Narcotic medications
Trazodone
Medications that may prolong your QT interval
None of the above
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