rnohou2010 Posted November 4, 2016 Share Posted November 4, 2016 Hi all... My pdoc has had me on Adderall for about nine months now, 45mg per day, off-label for depression. It was pretty effective at first and gave me lots of energy and motivation. Now those benefits have worn off, and neither my doc or I wants to increase the dose. And I have a major complaint about Adderall: I believe (but I could be wrong) that it is causing me ED and almost total loss of libido. I have been on so many anti-depressants over the years (I'm 66 now) and if sexual effects are a 1% probability of a given med, I'll be in that 1%! So now I have a new pdoc (actually a nurse practitioner) who wants to substitute Evekeo for the Adderall plus she has started me on Lamictal. (As a side note, I am amazed that so many pdoc's have no clue about the side effects of withdrawing from Adderall-- she had me reduce it from 45mg to 30mg and I am absolutely dying of fatigue and irritability.) But my main question is this: is there any reason to believe Evekeo will not cause the sexual problems that Adderall has caused me? I understand the mix of salts is 50-50 in Evekeo as opposed to 75D/25L in Adderall. But I am doubtful that such a small difference would affect the sexual issue. Any thoughts or opinions? The cynical side of me thinks my nurse practitioner gets a financial benefit in prescribing a new med still under patent. Thanks so much! ' Link to comment Share on other sites More sharing options...
notloki Posted November 4, 2016 Share Posted November 4, 2016 Generally amphetamines are free of sexual side effects.In fact some find them prosexual. I cases of extreme abuse they can the opposite effect. Link to comment Share on other sites More sharing options...
cloudmonger Posted November 4, 2016 Share Posted November 4, 2016 They stimulate the release of dopamine, the "pleasure" neurotransmitter, so I would think that the only sexual effects would be positive (unless of course you abuse/take too much, become tolerant so it loses effectiveness or you somehow deplete your dopamine stores?) Link to comment Share on other sites More sharing options...
rnohou2010 Posted November 5, 2016 Author Share Posted November 5, 2016 Thanks for the responses. I do not abuse Adderall and take a doctor-supervised dose of 45mg daily, divided in three portions of 15mg. I have been on it for only about nine months. If you google "Adderall sexual side effects" there are a ton of people on forums who do get sexual dysfunction with this med. Hardly any such comments of Evekeo boards, but then again, Adderall has been around a lot longer than Evekeo. I do have a number of compulsions that may, as cloudmonger suggests, be depleting my reserves of dopamine. Thanks again. Link to comment Share on other sites More sharing options...
notloki Posted November 7, 2016 Share Posted November 7, 2016 Google anything and you will find lots of posts about it. Link to comment Share on other sites More sharing options...
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