Erectile dysfunction can sometimes occur in people with Hypertension, and it may also be related to stress, reduced blood flow, or side effects of certain blood pressure medicines. It is important to first discuss this with your doctor, who can review your current medicines and overall health. Treatment may include lifestyle changes such as regular exercise, healthy diet, quitting smoking, and stress management. In some cases, doctors may prescribe medicines like Sildenafil or Tadalafil to improve erections, but these should only be taken after medical advice to ensure they are safe with your BP medicines.

Since you are experiencing insomnia with atenolol and leg swelling with amlodipine, it would be best to consult your doctor to review your treatment. Your doctor can choose a more suitable blood pressure medicine based on your overall health and response to previous medications. Do not change or stop the medicine on your own. In addition to medication, following lifestyle measures such as a low-salt diet, regular physical activity, maintaining a healthy weight, managing stress, and practicing good sleep habits can also help control blood pressure and improve sleep quality.