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Old 02-26-18, 03:00 PM
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Re: Adderall sex question

Amphetamines cause vasoconstriction in the body’s extremities.

For men, this includes the penis. Erectile response is dependent upon blood flow, so the vasoconstriction caused by amphetamines will often cause erectile dysfunction.

That said, during the refractory period after orgasm, the body releases prolactin, which inhibits erectile response, regardless of the presence of amphetamine.

Being ready to go again in 15 minutes will be a challenge for most men who are a few years beyond the end of pubescence, due to prolactin.

Add in the vasoconstriction caused by amphetamines, and you’ve got a double-whammy.

In my experience, the erectile dysfunction caused by amphetamines is gone the day after the cessation of medication.

Some men may adjust over time to the side-effects caused by amphetamines, such that they are lessened. I have been taking dextroamphetamine sulfate for over 5 years, and I experience all of the side-effects I did in the beginning, and they haven’t lessened one bit.

Methylphenidate-class medications (Ritalin/Concerta/Focalin) may have less of an effect in this way for you, but they may not be as efficacious for your ADHD, and in my experience, the methylphenidate-class medications had other effects on my sexual response and experience that you may or may not find tolerable or acceptable.

That all said, you may be able to make use of an ED drug like sildenafil (Viagra/Revatio), vardenafil (Levitra), or tadalafil (Cialis) to counteract the erectile dysfunction caused by amphetamines.

I’m sure some combination of med changes and adjustment of expectation will allow you to find a happy place for both you and your partner(s).


Well Wishes,
Ian
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