*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
Adderall side effects in men may include erectile dysfunction, penile shrinkage, or premature ejaculation. Everyone responds differently to medications, so not every man will experience these symptoms.
If you’re considering Adderall, you will be limited in your options for obtaining an assessment and prescription online. Klarity and Circle Medical are two online psychiatry platforms that can and will prescribe stimulant medications, which are controlled substances. Their providers offer assessments and prescription consultation, and can answer any questions you have about Adderall side effects in men.
Boxed Warning: Amphetamine, dextroamphetamine mixed salts (Adderall) - Risk of medication misuse or abuse
Adderall has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA). Amphetamines, an active ingredient in Adderall, have a risk of misuse (abuse) which can lead to dependence on the medication, serious heart conditions, and even sudden death.
Adderall is a controlled substance, which means that it’s more likely to be misused or cause dependence. There are federal and state laws that limit the amount of medication that can be prescribed or dispensed within a certain period of time.
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What Is Adderall & How Is It Used?
Adderall (amphetamine/dextroamphetamine salts) is an FDA-approved treatment for adult ADHD and narcolepsy, and prescribers may recommend the medication off-label for other mental health conditions. Adderall is a controlled substance due to a high potential for addiction, and individuals must receive a new prescription every month to refill their medication.1
Adderall works by increasing neurotransmitters in the brain, such as dopamine and norepinephrine. While Adderall can improve inattentive and impulsive symptoms of ADHD, the drug comes with the risk of adverse effects.
Side Effects of Adderall in Males
Sexual changes are an expected side effect for men starting Adderall. Clinical studies reported changes in sex drive, erectile dysfunction, and frequent or prolonged erections.2 Some may also experience decreased erectile rigidity and sexual satisfaction.3
Adderall side effects in men may include:
Changes in Sex Drive
Many men may wonder, “Does Adderall affect sex drive?” Not every male will experience decreased sex drives, but low libido is a common side effect of Adderall in men.3 In some cases, individuals report an increased sex drive before a steady decline. These changes may partly relate to lower testosterone levels when taking Adderall. However, more research is needed to support this connection.4
While a slight decline in sex drive may be acceptable to some men, discussing side effects that reduce your quality of life with your doctor is essential. Your prescriber can recommend a different dose or an Adderall alternative to better suit your needs.
Penile Shrinkage
Penile shrinkage is a known potential side effect of Adderall, and some patients may describe their penis as being “sucked” into their body when taking the medication.5 While penile shrinkage can be alarming and cause significant anxiety, these changes are temporary. The penis will return to normal over time.
Premature Ejaculation
Some men prescribed Adderall may experience premature or spontaneous ejaculation. This side effect may result from how Adderall affects neurotransmitters, such as dopamine. In fact, research suggests increases in dopamine are associated with hypersexuality and spontaneous ejaculation.6 These symptoms typically resolve after discontinuation.
Does Adderall Cause Erectile Dysfunction?
The connection between Adderall and erectile dysfunction in men is not well understood. However, researchers theorize that Adderall constricts blood vessels, allowing less blood flow to the penis. These changes may decrease rigidity and cause erectile dysfunction.5
Of course, reactions to medications vary significantly. Not every man will experience erectile dysfunction when taking Adderall, and one study found that half of participants did not report any sexual changes.3Users can expect sexual symptoms soon after taking the medication, as Adderall is a fast-acting drug. Discuss different treatment options with your doctor if these side effects negatively impact your life.
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How Adderall Side Effects in Men Affect Sex Life
Erectile dysfunction can have a draining effect on sexual self-esteem and confidence. Relationships can significantly suffer from a lack of sexual intimacy as many men may struggle to discuss these symptoms with their partners.
Remember, sex is important in a relationship for many people. Therefore, an honest conversation about erectile dysfunction when taking Adderall can build trust and offer partners the reassurance they need.
When to See a Doctor About Adderall Side Effects in Men
Talking about sexual side effects with your physician can be uncomfortable. However, your doctor is here to help with any healthcare concerns you experience. Doctors encounter similar problems daily, and your symptoms will not be “weird” or strange to them.
Doctors may elect to decrease your Adderall dosage or prescribe other medicines that may help reduce sexual side effects. You should always feel safe and comfortable enough to raise health concerns with your provider. Consider contacting your doctor if you experience impaired sexual desire, erectile dysfunction, or similar side effects of Adderall to improve your well-being.
Questions to Ask Your Doctor About Adderall Side Effects in Males
Talking about the side effects of Adderall, such as erectile dysfunction and sexual dysfunction, can be daunting. However, everyone in your treatment plan should know how you respond to medication so they can update your treatment profile.
Before consulting your doctor, you can develop a list of questions about the possibility of sexual side effects. Having this plan can ensure you obtain the information necessary for making an informed decision about your treatment. Your doctor will ensure you receive the best care.
Questions a man should ask his care team before taking Adderall include:
- Am I at risk for experiencing erectile dysfunction?
- Whom should I speak to if I experience sexual side effects?
- What are my options if I experience erectile dysfunction?
- How long should I expect the side effects of Adderall to last?
- What non-sexual side effects should I look out for?
- How often should I see the doctor for checkups when taking Adderall?
- Are there ways to reduce sexual side effects while taking Adderall?
- How long does Adderall last in your body?
In My Experience
Adderall can cause several undesirable side effects specific to men. Always consult your doctor to determine the best medication for you. They can help you safely stop taking Adderall if you need to switch prescriptions.
Additional Resources
Education is just the first step on our path to improved mental health and emotional wellness. To help our readers take the next step in their journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy may be compensated for marketing by the companies mentioned below.
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For Further Reading
- Health Unlocked: CHADD’s Adult ADHD Support Groups
- Adderall Weight Loss: Risks & What You Need to Know
- Stimulant vs Non-Stimulant ADHD Meds: Key Differences
- Adderall & Alcohol: Understanding the Risks
- Adderall Withdrawal: Symptoms, Duration, & How to Cope
- Strattera Vs Adderall: Differences, Similarities, & Which Is Better
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