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The official literature (from Eli Lilly, FDA, et al) only lists negative side effects, saying about 1% have decreased libido, plus 2% of men have performance problems. Then there are anecdotes of people who avoided sex due to urinary discomfort. On the other hand, many people attest to increased libido and/or performance on Strattera. However, some of that might be because their illness was under control and they felt better about their lives, rather than any direct pharmacological effect.

Final answer: it's a roll of the dice, could be good or bad for your sex life, or quite possibly have no effect.

There is significant anecdotal evidence of sexual effects from this drug. Alterations in urine flow, alterations in ejaculation, and impotence. This effect seems to occur very quickly for those so effected.

OK, just took a 60mg pill for the first time ever about 2 hrs ago. Felt super horny, so I proceed accordingly... limp erection, weird precum, and straining sensation when I ejaculated. I was more focused than usual though! - by Wiiwacky on 13 April 2009

I just started taking Straterra about a month ago. I didn't notice my sex drive increase until about a week ago when I went up to 80mg. I started having sex more often, had very strong orgasms, and in a couple of cases had two orgasms within 10 minutes, something I have never had happen before. I didn't even think about it being related to the straterra until tonight after it happened again, so I thought I'd research it. There really isn't a lot of evidence for it, but I'm definitely thinking it has an effect.

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14y ago
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8y ago

Strattera's side effects could make someone depressed. For about the last year and a half I've been off and on Strattera. During the school year, I felt a lot more anxiety and depression while on it, since I was drowsy, and it made me feel withdrawn and irritable, and I wasn't performing very well in school. I stopped taking it during the school year, and I've started up in the summer. The side effects seem to be getting less intense, but if they don't my doctor is going to decrease the dose. Feeling "Emotionally Flat" as she said is a sign that the dose is too high.

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8y ago

None that I could feel.

The list of possible side effects on Straterra include 'sexual side effects" but does not specify what kind. I would assume that a broad range of side effects is covered.

am a 51 year old male, recently diagnosed with ADD, but my wife has been compensating for 30 years for me. I've been on Strattera, 40 mg daily, for 10 days. Urinary problems vary, depending on how much I have had to eat, and how long it has been since taking the Strattera. The worst effects occur at the first urination after taking the medication, especially if I took it before eating. It almost feels like I am having a bowel movement through my penis, that is to say, it comes in waves, and takes a long time. Very strong urge to urinate, very slow flow, never sure if I am done. The symptoms improve throughout the day, and if I take the medication on a full stomach they are very much less severe, basically just a weak stream, and some dribbling. + + Sexual problems seem similar, the closer the activity to the time I took the medication the worse. Today for example, I was very horny, no sex yesterday, but I had cum twice on Saturday. (more on that in a moment.) My wife was in a hurry, she was on her way out of the house for an appointment, so she agreed to masturbate me. (She is very accomodating.) She couldn't get me to cum (not unusual) so I took over. It had been very good, but took a lot of work to get off. But the pain immediately after orgasm was exquisite. It's like ejaculating hot peppers. + + Other experiences have been similar. The other day I was very horny, but couldn't get hard, but I came still soft, it was kind of unnerving, not as satisfying as it should have been, a lot of leakage as has been reported, it almost seems like the ejaculation and the orgasm are unrelated events. Very odd. Saturday I wasn't feeling horny, but got some stimulation. I couldn't get full hard, and during masturbation, I didn't want to cum yet, so I quit stroking. But I ejaculated anyway, just not very satisfying. I thought, if I can ejaculate without orgasm, maybe I can orgasm without ejaculating, so I continued stroking. Pretty soon I had a very satisfying orgasm with ejaculation, less than 1/2 hour after the first. Pretty good for an old man after 3 days of good sex in the days leading up to it. But still the burning in the urethra and prostrate. It just is less severe when it has been all day since taking the medication. + + If all this doesn't get better I am going to go back to being ADD.

With most of the reading I have done on Strattera, the largest bulk of sexual side effects seem to happen to men. I've been to many forums and read many reports and for women it's sort of odd: about half report an increase in libido on Strattera and about half report a decrease, but those are the only female side effects I've come across in my reading.

For men it looks to be more complicated: I have seen reports of men having a lot of precum leakage without sex; premature ejaculation; lowered libido, difficulty getting an erection. In most of the reports, the problems seemed to be temporary, fading off as their bodies became accustomed to the drug. Obviously every person is different, so every experience will be different, though.

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15y ago

I am not sure what happens for long periods of going without since being on Strattera; but have found that when I miss a day of my two doses of 40 mg each (80 total/day) I end up cranky and with a headache. If I am not mistaken, Strattera is a drug that you have to slowly come off of.

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14y ago

Headache is listed as one of the side effects of Strattera for adults, but it is much less common in adults than in children. In adults, it is listed as "sinus headache." So, it can cause headaches in adults, but it is not one of the primary side effects.

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14y ago

Not in my experience. It's persistent and consistent.

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Q: Can Strattera increase sexual drive
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