Erectile dysfunction (ED) means difficulty in achieving or maintaining an erection, and diabetes can contribute to this by damaging blood vessels and nerves essential for normal erectile function.

1. Understanding Erectile Dysfunction and Its Link to Diabetes

   • Diabetes can impair nerve and blood vessel function, making it harder to get or keep an erection even if hormone levels and sexual desire are normal.
   • Men with diabetes often experience ED earlier and more frequently than those without diabetes.

2. Overview of Your Medication History Before NEBI 5

   • Glycomet GPS 1 (Glimepiride 2mg + Metformin 1000mg): Helps control blood sugar by stimulating insulin and improving insulin sensitivity.
   • Cetaphin 500 (Metformin 500mg): Assists in managing blood glucose levels, often taken after meals.
   • Rosvas 10 mg (Rosuvastatin 10mg): A statin that lowers cholesterol to reduce cardiovascular risks, which is important since heart health affects ED.

3. Information About NEBI 5 (Nebivolol 5mg)

   • Nebivolol is a beta-blocker used to treat high blood pressure and mild to moderate heart failure by relaxing blood vessels and reducing heart workload.
   • It is usually taken as prescribed, but stopping it suddenly is not advised without consulting a doctor.
   • Common side effects include headache, dizziness, and fatigue; these often resolve over time.

4. Recommendations and Next Steps

   • Discuss your ED and medication history with a cardiologist or endocrinologist to tailor treatment safely.
   • Effective diabetes management is crucial to reduce ED risk and improve overall vascular health.
   • Your doctor may explore alternative blood pressure medications or specific ED treatments, including oral medications or other therapies.

If you want, I can explain more about ED treatments or how diabetes affects blood vessels in detail. Please consult your specialist doctor for personalized care.