Is it safe to take Cabergoline for erectile dysfunction due to Prozac?

Hi,

Welcome to icliniq.com.

I am happy to give you a second opinion on your problem. I can see the dilemma regarding your GAD (generalized anxiety disorder) treatment and erectile dysfunction (ED). I like to summarize your problems. You have,

1) Generalized anxiety disorder (GAD).

2) Social anxiety disorder (SAD).

3) Erectile dysfunction (ED).

4) Obesity (body mass index more than 30).

And your medication list is,

1) Prozac (Fluoxetine) 40 mg.

2) Crestor (Rosuvastatin) 2.5 mg.

3) Cialis (Tadalafil).

4) In past, Wellbutrin XL ( Bupropion) 150 mg.

5) In future, Cabergoline 0.5 mg.

Here is my opinion,

First, we need to understand the exact cause of your ED. Medication side effects could be one of the causes, but other factors might also play a role (one piece of evidence is that you did not improve with Wellbutrin). Your obesity, GAD, SAD, etc., could be the causes. I do not know whether you smoke or not. So, only stopping or changing Prozac is not the solution.

The second is to identify the cause of ED. Finally, you need thorough investigations (lipid profile, blood glucose, testosterone, prolactin, thyroid function, etc.) if not done already.

Thirdly Cabergoline could be tried for few months to see how you feel. But remember, since it is off-label, efficacy is unpredictable.

Fourth, about safety. Cabergoline is similar to one of our body’s reward hormones called Dopamine. So in that dosage range, it would be safe.

Fifth, the side effects of Cabergoline are nausea, vomiting, heartburn, constipation, tiredness, dizziness, breast pain, burning sensation, numbness, or tingling in the arms, hands, legs, or feet.

To answer your question regarding monotherapy with Prozac or continue Cialis or other options, your problem needs a holistic approach. It means you need to change your lifestyle, do regular exercise, diet modification, weight loss, and psychotherapy in addition to medications.