What are the key considerations when prescribing medication for erectile dysfunction in older adults, particularly those with existing cardiovascular conditions? Erectile dysfunction (ED) is a common issue that increases with age and often coexists with cardiovascular diseases (CVD). Choosing an appropriate ED medication requires careful consideration of potential drug interactions, side effects, and the impact on existing health issues. For instance, medications like Sildenafil possess known interactions with nitrates commonly used in treating heart conditions. How do healthcare providers balance these factors to ensure safe and effective treatment for older adults? What protocols or guidelines should be followed when initiating ED medication in this demographic to mitigate risks associated with their cardiovascular health?

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