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Are your medicines disrupting your sex life?

Health and Nutrition > Health Centres

 Are your medicines disrupting your sex life?  © NetDoctor/Geir
Are your medicines disrupting your sex life? (Contd)


Reviewed by Dr John Dean, specialist in sexual medicine

What can my doctor do?

Your doctor may switch you to another medicine in the same class, ie that acts in a similar way, in the hope that the new one will not cause the same side-effects.

Alternatively, your doctor may try a different type (class) of medicine altogether, providing it is suitable for you to take.

Some examples of erection-friendly medicines are listed below, but there may be no alternative for your condition.

Treatment of high blood pressure

  • Impotence seems to be less of a problem with ACE inhibitors such as enalapril.
  • Calcium channel blockers and alpha blockers cause fewer sexual problems than diuretics (water tablets) or beta blockers.
  • Loop diuretics such as furosemide have a lower risk of impotence than thiazide diuretics.
  • Treatment of depression

  • SSRIs cause the highest frequency of sexual dysfunction, followed by MAOIs (monoamine oxidase inhibitors) and then tricyclic antidepressants.
  • Treatment of high cholesterol levels

  • Not all statins are associated with sexual problems. Even in those that are, the risk of developing such problems is very low.
  • Statins may be less likely to cause impotence than fibrates.


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