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Prescription Drugs That Have A Negative Effect on Female Sexuality

Drugs  That Cause Sexual Dysfunction

Drug Mechanism Impact
Oral contraceptive pills Reduced testosterone production Decreased desire
Increased sex hormone-binding globulin (SHBG)
SSRIs (Selective Serotonin Reuptake Inhibitors) Activate 5-hydroxytriptamine Inhibit arousal
Delay or absence of orgasm
SERMs (Selective Estrogen Receptor Modulators) Act as antiestrogen Increase vaginal dryness
Phytoestrogens
Estrogen
Increase dyspareunia (painful or difficult intercourse)
Spironolactone
Steroids
Codeine containing analgesics (pain killers) Acts as antiandrogens Decrease desire
Chronic alcohol abuse
B-blockers (beta-blockers) Antiadrenergic effects Impair lubrication
Tricyclic antidepressants Anticholinergic effects Impair lubrication
Monoamine oxidase inhibitors
Antipsychotics Anticholinergic effects Impair lubrication
Dopamine blocking effects Impair arousal and orgasm
Cyproterone acetate Act as antiandrogen Decreased desire
Medroxyprogesterone
Citalopram Increase prolactin Decrease desire
Paroxetine

Antidepressants that activate dopaminergic (bupropion, venlafaxine), central noradrenic receptors (mirtazepine, bupropion, venlafaxine) and 5-hydroxytriptamine (5-HT) A1 and 2C receptors (nefazodone, mirtazepine) may augment sexual response. Those that activate other 5-HT receptors, prolactin and gamma-aminobutyric acid reduce sexual response."

Source: Vaginal Anatomy and Physiology by Sohail A. Siddique, MD (J Pelvic Med Surg 2003;9:263-272)

Antihypertensive agents:

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Psychiatric illnesses that affect sexual functioning and managing sexual side-effects of psychiatric medications. Assistant Clinical Professor, Department of Psychiatry, UCLA School of Medicine. From the 2002 Women's Sexual Health Conference.

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Aldomet (alpha-methyldopa): Used to treat high blood pressure results in decreased libido and impaiblack sexual arousal in 10 to 15% of women who use it in low dosages, and up to 50% of women who use it in high dosages. Many of the drugs used to treat high blood pressure impair sexual function in women. There are numerous drugs available to treat this illness, a woman may need to try several different ones, or combinations, to find one that doesn't affect her sexuality adversely. Source: Masters and Johnson on Sex and Human Loving page 520.

"Traditional blood pressure lowering medications, like reserpine and guanethidine, often cause sexual dysfunction in men, along with dizziness and depression, and for this reason many doctors have moved away from them. Beta-blockers marketed under the names Inderal, Lopressor, Corgard, Blocadren, and Tenormin have fewer side effects, but many people who take them still complain of sexual dysfunction. In recent years calcium channel blockers, marketed as Adalat, Procardia, Calan, Isoptin, Verelan, Cardizem, Dilacor XR, and Tiazac have become more popular, in part because they have less effect on sexual function." Source: For Women Only by Jennifer Berman, M.D., and Laura Berman, PH.D.. Pages 89, 91

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Last updated: 10/05

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RELATED LINKS AND INFO

Antidepressants and Sexual Desire
Guidelines for Treating Antidepressant Induced Sexual Dysfunction
Many Doctors Don't Take Treating the Side Effects of Antidepressants Seriously Enough
Managing Antidepressant Induced Sexual Dysfunction
Viagra and Antidepressant Induced Sexual Dysfunction
Herbal Remedies for Antidepressant Induced Sexual Dysfunction
Antidepressants Have Different Impact on Men and Women
Prozac: Side Effects for Women
The Sexual Side-Effects of Antipsychotics
Prescription Drugs That Have A Negative Effect on Female Sexuality
Non-Prescription Drugs That Have A Negative Effect on Female Sexuality

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