Erectile dysfunction (ED) is a common condition that affects many men, but did you know that your medications might be the root cause? Whether you’re taking medicine for blood pressure, depression, or even hair loss, certain drugs have been linked to ED. In fact, around 25% of all ED cases are due to medications. At Genesis Lifestyle Medicine, we specialize in addressing ED with personalized treatments, but it’s important to recognize if the medications you rely on for other health conditions are contributing to your symptoms.
Here are the top medications that may be affecting your sexual health.

Finasteride (Propecia, Proscar)

Used for: Hair loss and prostate issues
Finasteride is commonly prescribed to treat male-pattern baldness and benign prostatic hyperplasia (BPH). While it can effectively manage these conditions by reducing the production of dihydrotestosterone (DHT), it can also interfere with sexual function. Many men who take finasteride report problems with their libido and their ability to get or maintain an erection. This is likely due to the reduced testosterone activity caused by the medication.

Dutasteride (Avodart)

Used for: Prostate enlargement
Dutasteride, like finasteride, belongs to the class of drugs known as 5-alpha-reductase inhibitors. These medications work by blocking the conversion of testosterone into DHT, which is necessary for shrinking an enlarged prostate. However, the downside is that this mechanism can reduce your sexual desire and ability to maintain an erection.

Amlodipine (Norvasc, Katerzia)

Used for: High blood pressure
High blood pressure itself can be a cause of ED, but some medications used to treat the condition, like amlodipine, may also contribute to the problem. This calcium channel blocker works by relaxing the blood vessels to improve blood flow, but it can sometimes interfere with the blood flow to your penis, making it harder to achieve an erection.

Paliperidone (Invega)

Used for: Schizophrenia and bipolar disorder
Paliperidone is an antipsychotic medication used to treat mental health conditions like schizophrenia and bipolar disorder. While effective for managing symptoms, it can sometimes cause sexual dysfunction, including ED. Paliperidone affects dopamine levels in the brain, which can interfere with sexual arousal and physical response.

Citalopram (Celexa)

Used for: Depression and anxiety
Selective serotonin reuptake inhibitors (SSRIs) like citalopram are widely used to treat depression and anxiety, but they’re also known for causing sexual side effects, including ED. Citalopram increases serotonin levels in the brain, which can have a dampening effect on sexual desire and performance.

Sertraline (Zoloft)

Used for: Depression and anxiety
Similar to citalopram, sertraline is another SSRI that can cause ED. In addition to affecting serotonin, SSRIs may reduce dopamine levels, further complicating the ability to become sexually aroused or achieve an erection. If you’ve noticed a drop in your sexual health since starting sertraline, talk to your doctor about adjusting your dose.

Isotretinoin (Absorica, Claravis, Zenatane)

Used for: Severe acne
Isotretinoin is a powerful medication used to treat severe acne, but it’s also been linked to ED in some cases. Though the exact mechanism isn’t entirely understood, isotretinoin can interfere with the production of androgens, the hormones responsible for sexual desire and performance.

How to treat ED caused by medications

If you suspect that your medication is causing ED, the first step is to talk to your healthcare provider. There are several strategies you can use to manage and even reverse ED while continuing to treat your underlying condition.

Talk to your doctor about adjusting your medication

Your doctor may be able to lower your dose or switch you to another medication with fewer sexual side effects. It’s essential not to stop taking your medication without professional guidance, as this could lead to worsening symptoms of your primary condition.

Explore alternative treatments

For conditions like depression or high blood pressure, there are often multiple treatment options available. Your doctor may recommend trying another class of medication that is less likely to affect your sexual health.

Seek professional treatment for ED

At Genesis Lifestyle Medicine, we specialize in a variety of ED treatments, from medications and testosterone replacement therapy to shockwave therapy and the P-Shot. Even if medication-induced ED can’t be resolved through adjustments alone, our team can provide effective solutions to help you get back on track.

If you’re struggling with ED and suspect that your medication may be the cause, it’s important to take action. By working with your healthcare provider and exploring professional treatments, you can address both your underlying condition and your sexual health. Genesis Lifestyle Medicine supports you with a range of personalized ED treatments to help you reclaim your vitality. For more information, contact us today.