Post Date December, 03 2023
According to statistics, about 25% of impotence patients are caused by drugs. Although the sexual dysfunction caused by drugs will not threaten life, it will directly reduce the quality of life of patients while bringing psychological pressure to patients, thus affecting the treatment of primary diseases.
Blacklist of drugs affecting sexual dysfunction
Do you know which drugs can cause male sexual dysfunction? Please see their blacklist:
1. General drugs: cocaine (cough medicine), cimetidine, alias: metformin, Tyveme (gastric ulcer medicine), morphine (analgesic).
2. Sedative drugs: tranquilizer, liminine, diazepam, barbital, methaqualone, bromine, etc.
3. Antihypertensive drugs: reserpine, propranolol, hydrazine, colatine, prazosin, metoprolol, a-methyldopa, hexahydrocarbonine bromide, methamine, etc., and other drugs such as cardiotonic, digitalis, and raffia alkaloids.
4. Diuretics: spironolactone, furosemide, diuretic acid, chlorthiazide diuretics.
5. Psychiatric drugs: hibernating spirit (chlorpromazine), imipramine, methylpyridazine, amitriptyline, lithium carbonate, fluperphenazine, phenquinazine, monoamine oxidase inhibitor.
6. Hormones: The use of female hormones in men can lead to impotence and ejaculation disorders.
7. Others: Anemarrhena asphodeloides and Phellodendron amurense can reduce sexual nerve excitability.
If the patients who use the above drugs have symptoms of various sexual dysfunction, the doctor should consider that it may be caused by the drugs. Andrology experts said that according to the change of sexual function before and after the drug use, the symptoms disappear after the drug stop, and the symptoms reappear after the drug use again, then the diagnosis can be made. However, it should be distinguished from sexual dysfunction caused by non drug factors, such as mental factors, endocrine diseases and organic diseases of the urogenital system. Impotence is often accompanied by hypertension, heart disease and diabetes, and may also be caused by spinal cord injury, pelvic or perineal surgery or radiotherapy. Long term smoking or drinking may also cause impotence.
Drug induced sexual dysfunction is generally reversible
It is necessary to tell the patient that the sexual dysfunction caused by drugs is generally reversible and non-organic. It often occurs when the above drugs are used for a long time or in a large dose. Individual differences are large, and it is related to the time and dose of medication. From 7 days to 6 months after drug withdrawal, most of the patients can recover to normal, reduce the dosage of drug, and the symptoms can also be improved or disappeared, which generally will not cause serious consequences. Only a few drugs can cause long-term or even permanent dysfunction, so the mental burden of patients should be relieved and patients should actively cooperate with treatment. If the situation is serious, it is necessary to weigh the advantages and disadvantages and decide whether to stop the drug, reduce the dosage or change other drugs.
If possible, avoid the use of drugs that may cause sexual dysfunction, or try to use drugs that can maintain the efficacy without affecting sexual function or have little impact on sexual function. Patients with drug-induced impotence may consider taking sildenafil citrate (Viagra) orally, but patients with cardiovascular disease and glaucoma should be cautious.
