Drugs commonly used in MS that affect sexual functioning Although changes in sexual desire, performance and satisfaction often occur as a result of MS, they may also be a consequence of some medications. (Currently, the vast majority of the side-effects listed below are noted by manufacturers to be "infrequent" or "rare".)
| Drug | Symptoms treated | Drug effect on sexual function |
| | Fluoxetine | Depression Decreased libido Uncontrollable laughing or crying Delayed or absent ejaculation Fatigue | Inability to achieve orgasm (known as anorgasmia) Persisting, painful erection of the penis occurring without sexual stimulation (known as priapism) Anyone experiencing this should seek medical help immediately Menstrual irregularities Secretion of breast milk (known as hyperprolactinaemia or galactorrhoea) |
| | Fluvoxamine | Depression | Decreased libido Delayed or absent ejaculation Sertraline Depression Decreased libido Inability to achieve orgasm Menstrual irregularities Enlarged or painful breasts Irritation of the vaginal lining (vaginitis) Inflammation of the head of the penis and foreskin Secretion of breast milk Paroxetine Depression Decreased libido Delayed or absent ejaculation Inability to achieve orgasm Secretion of breast milk |
| | Citalopram | Depression | Decreased libido Delayed or absent ejaculation Inability to achieve orgasm |
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