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Lithium And Sexual Side Effects

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#1 Pillboxfox


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Posted 01 June 2009 - 06:38 PM

Does lithium have any sexual side effects? Can it affect your sex drive? I have sexual side effects on my current cocktail and wonder if the lithium could partly be responsible.


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Diagnosis: Bipolar type 2 disorder and substance abuse disorder (working hard on staying clean)
Daily med combo: Lithium 600mg + Remeron 30mg + Zyprexa 5mg (all taken at bedtime)
Lithium level: 0.5
PRN meds: Librium 10mg capsules, Haldol 2mg tabs
Emergency/crisis meds: Xanax 0.5mg tabs, Prolixin (fluphenazine) long-acting injection
Previously tried: Seroquel, Risperdal, Nozinan (levopromazine), Depakote, Lamictal, Effexor, Serzone, Trazodone, Celexa, Wellbutrin, Klonopin, Ativan, Restoril, Serax, Valium

#2 classactrachael


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  • Current Meds:Lithium 900, Lamictal 100, Seraquel 50, Ambien CR 12.5, Ativan 1 mg as needed
  • Location:AZ

Posted 07 March 2010 - 07:57 PM

Between the horrible depression and the Lithium I want to have sex at the most once a month. I'm married so we do it more frequently but not because I want to. That is how low my sex drive is. Even when I am not as depressed my sex drive on the Lithium (and until recently Lithium was the only med I was on so I know it's the cause) is next to nothing.
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#3 korey1015


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Posted 07 March 2010 - 08:06 PM

I'm on lithium along with an SSRI, but I've managed to overcome the sexual side effects. It might have something to do with the fact that I'm also on Wellbutrin, but I'm not certain.
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Current Rx:
Wellbutrin XL 300mg, Eskalith CR 900mg, Luvox 200mg, and Restoril 30mg

Things I have been prescribed:
Lexapro (escitalopram), Zoloft (sertraline), Celexa (citalopram), Prozac (fluoxetine), Paxil (paroxetine), Luvox (fluvoxamine), Effexor XR (venlafaxine), Remeron (mirtazapine), Wellbutrin SR/XL (bupropion), Eskalith CR (lithium), Topamax (topiramate), Valium (diazepam), Xanax (alprazolam), Ativan (lorazepam), Tranxene (clorazepate), Ambien (zolpidem), Restoril (temazepam), Rozerem (ramelteon), Desyrel (trazodone), Ritalin (methylphenidate), Adderall (amphetamine salts), Dexedrine (dextroamphetamine), Inderal (propranolol), Lopressor (metoprolol), Thorazine (chlorpromazine), Lamictal (lamotrigine), Abilify (aripiprazole), Depakote (divalproex), Geodon (ziprasidone), Sinequan (doxepin), Somnote (chloral hydrate), ProSom (estazolam)

#4 In_Remission_jook

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Posted 08 March 2010 - 03:34 PM

Does lithium have any sexual side effects? Can it affect your sex drive?

Yes and yes.
It put my libido into the tank.
Also caused impotence.


#5 In_Remission_leeannesd

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Posted 13 March 2010 - 05:51 PM

Lithium completely eliminated my sex drive. ZERO drive. I told my psychiatrist, my psychopharmacologist--repeatedly--they said people just don't get sexual side effects with lithium. They thought it was the prozac, which I have been on nearly 20 years. I'm on only 20 mg. prozac. Tried to stop and didn't do well. Added wellbutrin. No relief. This went on for over a year. Went to a new psychopharmacologist who at least listened. We tapered down from 1200 mg. lithium to 600 mg. Lo and behold, the sex drive returned!!! Okay, not what it was, but okay. So, I do believe that I was right all along. Unfortunately, I need at least 900 mg. for stability which is still problematic for my libido. If I could find another drug to substitute, I would, but lithium is a fantastic drug for me otherwise. (weight gain sucks too, but I got 15-20 lbs. which I think I can contend with). The answer is don't let them tell you it is not the lithium!!! It can and does affect sex drive!

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