A 62-year-old male with a history of myocardial infarction (MI) 3 weeks ago asks for a prescription for sildenafil for his ED. What is the most appropriate response?

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Answer

Defer sexual intercourse and treatment with PDE5 inhibitors.

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Defer sexual intercourse and treatment with PDE5 inhibitors for at least 2 weeks post-MI.

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Start sildenafil 25 mg, the lowest dose, to minimize cardiac risk.

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Prescribe tadalafil 5 mg daily as it has a better cardiac safety profile.

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Refer to cardiology for exercise stress test before prescribing.

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A 62-year-old male with a history of myocardial infarction (MI) 3 weeks ago asks...

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