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PostPosted: Wed Nov 18, 2015 12:23 pm 
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Has anyone experienced a drop in their sex drive? I am a 38 year old female who has always had an increased drive for ya know.... I noticed about 1 month after taking Subs that my sex drive not only declined but went from 100 to 0. I am in a 9 year relationship and we are still in love, but my relationship is suffering because honestly, I have no desire to have sex. I just want to know if I am the only one out there that is experiencing this? If Subs do lower or decrease your sex drive, does anyone know of any natural ways of increasing it? Or vitamins or supplements? I am ruining a good thing with my boyfriend, I don't want to loose him. I make myself have sex with him just to please him but the whole time i am wishing that i would want to do it, not just do it for him. I am new to this forum, I would appreciate any guidance or help :?


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PostPosted: Wed Nov 18, 2015 3:22 pm 
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Hi Jlove, Me too! But, I am also in menopause so it is a double whammy! My husband had a stroke so that slowed him down for a bit. But, he is getting back to his old self and looking forward to the return of our extracurricular activities! And quite honestly, I used to be the woman who never said no! Now, I just don't even think about it! I too would love to know if there is some all natural product that will help.


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PostPosted: Wed Nov 18, 2015 3:34 pm 
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Hey Jlove welcome!

I'm a 39 yr old female and been on sub almost four yrs. I personally don't blame much on suboxone because I'm so thankful for this medication that even if sub did cause my sex drive to go down, it wouldn't change me taking it or not. That being said, I have always had certain times of the month where my sex drive is more "alert" than others lol. Honestly from what I've read, it has a lot to do with ovulation time and just plain out getting older and closer to menopause. I'm sure sub has effected ppls sex drive though, and I have heard several guys say it does also, but I think anything with an opiate in it can have that effect sometimes. I wouldn't go so far myself to say that it's solely from the sub, however I'm sure someone else could disagree with me on that. Maybe Dr J can give u a better answer.

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PostPosted: Wed Nov 18, 2015 7:20 pm 
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I can say for me personally that it was definitely the Sub that lowered my sex drive and made it difficult to achieve orgasm at times. I know because when I jumped off of 16mg it came back like a tidal wave, and I had the best, and most frequent, and most orgasmic sex of my life - and I'm in my late forties. I consider it my consolation prize for the hell of jumping of 16 mg, lol.

Now, at 0.5mg it's not an issue. I would recommend working with your doc to get to the lowest dose that's reasonable for you. At least you're new enough to Sub that you still care. I've talked to people who have been on it for years, have essentially no sex in their relationship, and are completely apathetic about it. Like they forgot what they're missing.

Anyway, there was a woman on here a while back who was given something by her doc to boost her libido on Sub. It wasn't viagra, oddly, I think it was some kind of antihistamine - and she said it worked. I'll see if I can look it up for you.


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PostPosted: Wed Nov 18, 2015 8:08 pm 
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That would be great! Thank you all for your help. I have like zero drive:( it is sad, but true


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PostPosted: Wed Nov 18, 2015 10:32 pm 
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I'm no sex expert(!). But I was struck by the comment that sex drive went from '100 to zero' on Suboxone. So during the years of opioid dependence, when most of us felt like crap physically and mentally, lied to our partners, felt depressed d anxious, got crappy sleep, and experienced cycles of constipation and diarrhea, everything was 100%? And then you started buprenorphine, and suddenly everything went to zero?

That scenario is hard to understand. Most people develop a deep sense of shame during active addiction, and it takes months or even years to work things out. Most of my patients who were actively addicted to opioids describe 'asexual' relationships with their spouses, at least in early treatment. It takes time for partners to develop a sense of trust with each other... the type of trust that is needed for women to have a strong sex drive, anyway.

Some people learn to push their real feelings aside during active addiction. They can even use sexual feelings to escape reality. On buprenorphine, that escape is eliminated... and people have to deal with 'life on life's terms'. I don't know if that is the issue-- if maybe you've been able to put yourself into a state of mind where everything was OK, at least during sex. But for most people, 'sober sex' is a very complicated experience that requires openness, honesty, self-respect, trust... and if those things are missing, 'sex drive' doesn't happen.

As JennJenn suggested, side effects of buprenorphine-- if they are the cause-- can be reduced by getting to the lowest effective dose. But again, I would encourage you to take an honest look at how you felt and behaved when you were actively using-- because it is hard to imagine a healthy sex life in a person who is actively addicted to opioids. You may have some lingering issues from the days when you were using. If not, get your dose to the lowest effective level- which for most people is around 4 mg per day.


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PostPosted: Wed Nov 18, 2015 10:49 pm 
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That was exactly what I was going to say, Dr. J! I never noticed the lack of sex drive when I was in active addiction because I was so obsessed with using. All opiates cause this, but addicts only get worried about this side effect when they're in the much more stable position of being on suboxone.

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PostPosted: Thu Nov 19, 2015 12:10 am 
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Hi All, on this topic I have done all the work Dr. J suggests to do on one's self to have a very healthy sex life. My opiate addiction was different in that I never wanted to be high or numb. I just wanted to feel normal and not blah. Just a liitle vicodin or percocet did that for me which led to my dependence on tramadol. I needed more and more trams to be at my baseline, which was normal. Am I explaining that right? The depression that came along with withdrawl is what led me to suboxone. I had no joy, nothing to look forward to and for the first time ever, no sex drive while in withdrawl. Now, I just don't think about it and am fine without it. I do enjoy it when it happens. My husband and I have an amazing relationship! In part because we came together later in life. I was 37 and he was 41. We both had done work on ourselves and knew what we did and did not want in a partner. Also, I am a firm believer in communication being at the center of a healthy relationship! So, we talk about everything!!! Sometimes my husband will say " ok Michelle, time to let this one go!" And he is right, I can talk a situation to death...at times! lol So, I really think, in my case, suboxone is playing a role. But, remember, I am also menopausal! And we know that plays a huge role! I would love to know if it is an antihistamine that helped! Have a good night all! I can not tell you how truly grateful I am for this forum! I do thank my God for all of you each day!


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PostPosted: Thu Nov 19, 2015 2:53 pm 
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Cyproheptadine (Periactin) has been used off label of SSRI-induced anorgasmia. It is taken 1-2 hours before anticipated sexual activity, 4-16 mg. However, it doesn't get to your core question, a lack of libido but assists with the inability to have an orgasm.


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PostPosted: Tue Dec 01, 2015 8:53 am 
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I hear ya JLove.

I recommend reducing your dose until you find the lowest possible that contains your cravings. This side-effect seems to be largely dose-dependent.


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PostPosted: Tue Dec 01, 2015 9:16 pm 
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docm2, thanks for the tip--- I hadn't heard about that use of cyproheptadine. My concern about that med, though, is that I usually use it either to block nightmares from PTSD, or to increase the appetite (and body mass index) of anorectic patients.

I'm thinking of the irony of the meds used to treat sexual dysfunction... Viagra increases 'potency' but causes headache.... and cyproheptadine increases the ability to have orgasms, but causes significant weight gain.

If I was paranoid, I would suspect that the creator of all mankind has a warped sense of humor.


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