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    Drugs that may cause impotence

    Alternative Names

    Impotence caused by medications; Drug-induced erectile dysfunction

    Information

    Various medications and recreational drugs can have an affect on sexual arousal and sexual performance. It should be noted that what causes impotence in one man may not affect another.

    If you suspect that a medication you are taking is having a negative effect on sexual performance, discuss the matter with your health care provider. NEVER stop taking any medication without first consulting your health care provider, because some medications can produce life-threatening reactions if they are not tapered or switched appropriately.

    The following is a list of medications and non-prescription drugs that may cause impotence:

    Antidepressant and other psychiatric medications:

    • Amitriptyline (Elavil)
    • Buspirone (Buspar)
    • Chlordiazepoxide (Librium)
    • Chlorpromazine (Thorazine)
    • Clorazepate (Tranxene)
    • Desipramine (Norpramin)
    • Diazepam (Valium)
    • Doxepin (Sinequan)
    • Fluoxetine (Prozac)
    • Fluphenazine (Prolixin)
    • Imipramine (Tofranil)
    • Lorazepam (Ativan)
    • Meprobamate (Equanil)
    • Mesoridazine (Serentil)
    • Nortriptyline (Pamelor)
    • Oxazepam (Serax)
    • Phenelzine (Nardil)
    • Phenytoin (Dilantin)
    • Thioridazine (Mellaril)
    • Thiothixene (Navane)
    • Tranylcypromine (Parnate)
    • Trifluoperazine (Stelazine)
    Antihistamine medications:
    • Dimenhydrinate (Dramamine)
    • Diphenhydramine (Benadryl)
    • Hydroxyzine (Vistaril)
    • Meclizine (Antivert)
    • Promethazine (Phenergan)
    Antihypertensive and diuretic medications:
    • Atenolol (Tenormin)
    • Bethanidine
    • Chlorothiazide (Diuril)
    • Chlorthalidone (Hygroton)
    • Clonidine (Catapres)
    • Enalapril (Vasotec)
    • Guanabenz (Wytensin)
    • Guanethidine (Ismelin)
    • Guanfacine (Tenex)
    • Haloperidol (Haldol)
    • Hydralazine (Apresoline)
    • Hydrochlorothiazide (Esidrix)
    • Labetalol (Normodyne)
    • Methyldopa (Aldomet)
    • Metoprolol (Lopressor)
    • Minoxidil (Loniten)
    • Phenoxybenzamine (Dibenzyline)
    • Phentolamine (Regitine)
    • Prazosin (Minipress)
    • Propranolol (Inderal)
    • Reserpine (Serpasil)
    • Spironolactone (Aldactone)
    • Triamterene (Maxide)
    • Verapamil (Calan)

    Among the anti-hypertensive medications, thiazides are the most common cause of ED, followed by beta-blockers. Alpha-blockers are, in general, less likely to cause this problem.

    Parkinson's disease medications:
    • Benztropine (Cogentin)
    • Biperiden (Akineton)
    • Bromocriptine (Parlodel)
    • Levodopa (Sinemet)
    • Procyclidine (Kemadrin)
    • Trihexyphenidyl (Artane)
    Chemotherapy medications:
    • Antiandrogens (Casodex, Flutamide, Nilutamide)
    • Busulfan (Myleran)
    • Cyclophosphamide (Cytoxan)
    • Ketoconazole
    • LHRH agonists (Lupron, Zoladex)

    Other medications:

    • Aminocaproic acid (Amicar)
    • Atropine
    • Clofibrate (Atromid-S)
    • Cyclobenzaprine (Flexeril)
    • Cyproterone
    • Digoxin (Lanoxin)
    • Disopyramide (Norpace)
    • Estrogen
    • Finesteride (Propecia, Proscar)
    • Furazolidone (Furoxone)
    • H2 Blockers (Tegamet, Zantac, Pepcid)
    • Indomethacin (Indocin)
    • Lipid lowering-agents
    • Licorice
    • Metoclopramide (Reglan)
    • NSAIDs (Ibuprofen, etc.)
    • Orphenadrine (Norflex)
    • Prochlorperazine (Compazine)

    Opiate analgesics (painkillers)

    • Morphine
    • Methadone
    • Fentanyl (Innovar)
    • Meperidine (Demerol)
    • Codeine
    • Oxycodone (Oxycontin, Percodan)
    • Hydromorphone (Dilaudid)

    Recreational Drugs:


    Review Date: 7/28/2004
    Reviewed By: Scott M. Gilbert, M.D., Department of Urology, Columbia-Presbyterian Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.
    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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