Metoprolol and ED work by blocking the effects of adrenaline and noradrenaline on beta receptors, leading to a reduction in heart rate and blood pressure. While this can benefit cardiovascular health, it may also cause reduced blood flow to the penis, which can contribute to difficulty achieving or maintaining an erection. Adequate blood flow is essential for erectile function, and any medication that affects circulation may influence ED. Long-term use of metoprolol has been associated with sexual side effects, particularly in men.
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