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Drugs that may cause impotence

Definition

Alternative Names

Impotence caused by medications; Drug-induced erectile dysfunction; Prescription medicines and impotence

Information

Many different medicines and recreational drugs can have a man's sexual arousal and sexual performance. What causes impotence in one man may not affect another man.

If you think that a medication is having a negative effect on your sexual performance, talk to your health care provider. Never stop taking any medication without first talking to your doctor. Some medications may lead to life-threatening reactions if they are not carefully and slowly stopped or changed.

The following is a list of medications and nonprescription drugs that may cause impotence in men:

Antidepressants and other psychiatric medications:

  • Amitriptyline (Elavil)
  • Amoxapine (Asendin)
  • Buspirone (Buspar)
  • Chlordiazepoxide (Librium)
  • Chlorpromazine (Thorazine)
  • Clomipramine (Anafranil)
  • Clorazepate (Tranxene)
  • Desipramine (Norpramin)
  • Diazepam (Valium)
  • Doxepin (Sinequan)
  • Fluoxetine (Prozac)
  • Fluphenazine (Prolixin)
  • Imipramine (Tofranil)
  • Isocarboxazid (Marplan)
  • Lorazepam (Ativan)
  • Meprobamate (Equanil)
  • Mesoridazine (Serentil)
  • Nortriptyline (Pamelor)
  • Oxazepam (Serax)
  • Phenelzine (Nardil)
  • Phenytoin (Dilantin)
  • Sertraline (Zoloft)
  • Thioridazine (Mellaril)
  • Thiothixene (Navane)
  • Tranylcypromine (Parnate)
  • Trifluoperazine (Stelazine)

Antihistamine medications (certain classes of antihistamines are also used to treat heartburn):

  • Cimetidine (Tagamet)
  • Dimenhydrinate (Dramamine)
  • Diphenhydramine (Benadryl)
  • Hydroxyzine (Vistaril)
  • Meclizine (Antivert)
  • Nizatidine (Axid)
  • Promethazine (Phenergan)
  • Ranitidine (Zantac)

High blood pressure medicines and diuretics ("water pills"):

  • Atenolol (Tenormin)
  • Bethanidine
  • Bumetanide (Bumex)
  • Captopril (Capoten)
  • Chlorothiazide (Diuril)
  • Chlorthalidone (Hygroton)
  • Clonidine (Catapres)
  • Enalapril (Vasotec)
  • Furosemide (Lasix)
  • Guanabenz (Wytensin)
  • Guanethidine (Ismelin)
  • Guanfacine (Tenex)
  • Haloperidol (Haldol)
  • Hydralazine (Apresoline)
  • Hydrochlorothiazide (Esidrix)
  • Labetalol (Normodyne)
  • Methyldopa (Aldomet)
  • Metoprolol (Lopressor)
  • Nifedipine (Adalat, Procardia)
  • Phenoxybenzamine (Dibenzyline)
  • Phentolamine (Regitine)
  • Prazosin (Minipress)
  • Propranolol (Inderal)
  • Reserpine (Serpasil)
  • Spironolactone (Aldactone)
  • Triamterene (Maxzide)
  • Verapamil (Calan)

Among the antihypertensive medications, thiazides are the most common cause of ED, followed by beta-blockers. Alpha-blockers are, in general, less likely to cause this problem.

Parkinson's disease medications:

  • Benztropine (Cogentin)
  • Biperiden (Akineton)
  • Bromocriptine (Parlodel)
  • Levodopa (Sinemet)
  • Procyclidine (Kemadrin)
  • Trihexyphenidyl (Artane)

and hormonal medications:Chemotherapy

  • Antiandrogens (Casodex, Flutamide, Nilutamide)
  • Busulfan (Myleran)
  • Cyclophosphamide (Cytoxan)
  • Ketoconazole
  • LHRH agonists (Lupron, Zoladex)

Other medications:

  • Aminocaproic acid (Amicar)
  • Atropine
  • Clofibrate (Atromid-S)
  • Cyclobenzaprine (Flexeril)
  • Cyproterone
  • Digoxin (Lanoxin)
  • Disopyramide (Norpace)
  • Estrogen
  • Finasteride (Propecia, Proscar, Avodart)
  • Furazolidone (Furoxone)
  • H2 blockers (Tagamet, Zantac, Pepcid)
  • Indomethacin (Indocin)
  • Lipid-lowering agents
  • Licorice
  • Metoclopramide (Reglan)
  • NSAIDs (Ibuprofen, etc.)
  • Orphenadrine (Norflex)
  • Prochlorperazine (Compazine)
  • Pseudoephedrine (Sudafed)

Opiate analgesics (painkillers)

  • Codeine
  • Fentanyl (Innovar)
  • Hydromorphone (Dilaudid)
  • Meperidine (Demerol)
  • Methadone
  • Morphine
  • Oxycodone (Oxycontin, Percodan)

Recreational drugs:

References

McVary KT. Clinical practice: Erectile dysfunction. . 2007;357:2472-2481.

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    Encyclopedia content is provided as information only and not intended to replace the advice and instruction from your personal physician.