ADHD Sex Drive: Do Medications Help or Hurt?

Filed Under: Side Effects of ADHD Meds, ADHD Expert Tips, Sex and ADHD, ADHD and Relationships, ADHD Dating

Q:

"Do the drugs used to treat attention deficit hyperactivity disorder (ADD/ADHD) cause side effects that improve or negatively affect an adult's libido, or interest in sex?"

ADHD drugs and medicine
A:

There is no formal or published research that I am aware of that addresses the question of how medication affects the level of interest an adult with attention deficit hyperactivity disorder )(ADD/ADHD) has for sex, just anecdotal experience of practitioners. In general, people see one of two opposite responses. By far, the most commonis that sex becomes better because the ADDer isn’t distracted in the middle of making love. Medication helps patients -- men and women -- focus, pay attention, suppress distractions, and stay in the moment.

The other side effect of ADD/ADHD medication affects males only. Sex drive and the ability to maintain an erection are impaired presumably due to the mild to moderate serotonergic effects of both methylphenidate and especially amphetamine. Impotence is not uncommon with alpha-2 agonists, such as clonidine and guanfacine and, when coupled with the serotonin effects of amphetamine, is often the reason (along with severe dry mouth) that adult males stop taking guanfacine. Adult male patients who do well on amphetamine, not methylphenidate, have to plan for sexual activity by forgoing medication prior to anticipated sexual activity. Drugs like Viagra help, if the patient can get an erection to begin with.

ADDitude does not provide medical advice, diagnosis, or treatment. The material on this web site is provided for educational purposes only. See additional information.

Dr. Bill Dodson is a board-certified adult psychiatrist who has specialized in adults with ADHD for the last 23 years. He has written on how the basic research on ADHD can be applied to everyday clinical practice.

Dr. Dodson is currently in private practice in Denver, Colorado. He is a Life Fellow of the American Psychiatric Association and was the 2006 recipient of the Maxwell J. Schleifer Distinguished National Service Award for his work with people with disabilities. His upcoming book is titled, What You Wished Your Doctor Knew About ADHD.

 
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ADDitude does not provide medical advice, diagnosis, or treatment. The material on this web site is provided for educational purposes only. See additional information.
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