What is the medication for erectile dysfunction and low libido?

Question

Hi doctor,

I am a 33-year-old male who has been dealing with schizophrenia and depression for the past 15 years. Currently, I am experiencing low libido and erection-related issues. I prefer not to use medications like Sildenafil or similar drugs. Could you suggest an alternative treatment for these problems? Additionally, I need assistance with physical exercises, as I am feeling low in energy. My current medications include Quetiapine 200 mg, Oxcarbazepine 600 mg, Bupropion 300 mg, Aripiprazole 30 mg, and a nutritional supplement. My testosterone levels are 150 ng/dL, and my weight is 295 pounds. I am also taking medications for diabetes and high blood pressure.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

Based on the information provided, the factors contributing to low libido and erection problems include obesity, diabetes, high blood pressure, medications, and low testosterone levels. To address these issues and improve your weight and sexual health, I suggest the following:

Testosterone decanoate: Consider taking 40 mg per day to increase your testosterone levels. This medication requires a prescription, and it is recommended to check your testosterone levels after three months of use.
A herbal supplement: This should be taken twice a day for three months. In my experience, 60 to 70 percent of individuals with erectile dysfunction have shown significant improvement within one month and near-complete resolution after a three-month course. It should be taken with milk.
Weight management: Effective weight management requires a combination of exercise and dietary control. There are no shortcuts, so it is advisable to consult with a dietitian to create a personalized diet plan for weight loss.
Physical activity: Aim for at least 45 minutes of physical activity daily, whether for exercise or recreational purposes.
Modafinil: If you are experiencing very low energy, you might consider adding Modafinil to your current medication regimen. Start with 100 mg and increase to 200 mg after one week if needed. This medication helps improve attention, alertness, and energy during the day and should be taken before 9 AM.

Please consult your doctor before making any changes to your treatment plan or starting new medications. Do not make any decisions without their guidance.

I hope this information is helpful. Feel free to reach out if you have any further questions.