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Can discontinuation of Risperdal improve libido function?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 33-year-old male with height 180 cm, and weight 85 kg. I always been healthy. I do not have symptoms of depressions. I took Risperdal to treat minor vocal tics, and I have OCD. Now I have been off Risperdal for five months and still no libido, no sex drive. I searched for post-SSRI sexual dysfunction (PSSD). Why do no doctors recognize this? What is the solution now?

I took Risperdal three times for three months for the past two and a half years (on and off). Symptoms are no libido, no sex drive, and no feelings for sex. I am not taking any other medication (never took any). Why is everyone ignoring PSSD? What is the treatment?
Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

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Hello,

Welcome to icliniq.com.

The drug you used Risperdal contains Risperidone an atypical antipsychotics and it has an effect on libido, but it will wear off when you stop taking medicine.

So we need to find other reason causing low libido such as,

1. Decreased sensation in your penis.

2. Fear of failure.

3. Low self-esteem (chronic masturbation).

4. Homosexuality.

5. Religious constraints.

6. Long term illness.

7. Negative attitude towards your partner.

8. Hormonal issue.

9. Diabetes and hypertension.

These are other issues causing low libido. If you can share details regarding the above reason, we can work on your cause.

Patient's Query

Hello doctor,

The issue is the medicine did not wear off after I stopped. How long it might take for recovery? Will it stay permanently? The other reasons you mentioned are not applicable for me.

Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome back to icliniq.com.

SSRI are selective serotonin reuptake inhibitors drugs. It is a different class of drug. The drug which you used is Risperidone, an atypical antipsychotics (AAP), has a side effect of increasing prolactin lead to sexual problems like erectile dysfunction or sexual dysfunction. It is not a permanent issue. You should be alright in a few weeks. If you still have some issue, then we need to check prolactin level and testosterone level.

Taking Phosphodiesterase 5 (PDE5) and Sildenafil will be helpful if your blood reports are normal. Also, you can try exercise, yoga, and practice five minutes running every day.

Patient's Query

Hello doctor,

I have attached the results for Prolactin and Testosterone. It is been 34 days since I was prescribed and taken the below:

  1. Gentaplex (one pill, 3 times a day).
  2. Arcalion (two pills, morning)
  3. Andriol testocaps (two pills, once morning, once evening).

I still did not feel improvements in my libido.

Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

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Hello,

Welcome back to icliniq.com.

I am unable to view the attachment. Taking phosphodiesterase 5 (PDE5) Sildenafil will be helpful if your blood reports are normal.

Patient's Query

Hello doctor,

My test result. Testosterone (total) Result: 2.14 ng/ml, ref. Range 2.49 - 8.36.

Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome back to icliniq.com.

Yes, your testosterone level is a little less and you are already on the tablet to increase testosterone and supportive herbal and thiamine medications. So it may not be the cause. Have you tried PDE5 inhibitors Tadalafil or Sildenafil?

Patient's Query

Hello doctor,

No, I did not try because to my understanding Viagra does not help with libido. I do not have issues with erectile function. Once again, will my libido return back to normal after completion of the testosterone I am taking at the moment. Am I on the right track for this?

Answered by Dr. Raveendran S R

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com

You are on the right track for treatment. You need to continue your testosterone tablets as recommended. Along with the medications you can pump up your own testosterone by exercise (mild weights).

Medically reviewed by Dr. Nithila. A
Published At June 5, 2019
Reviewed At May 8, 2024

Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

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Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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Education:

MBBS

Professional Bio:

Dr. Raveendran S R is a dedicated diabetes specialist and sexual medicine expert committed to providing evidence-based, confidential, and patient-centered care. With strong clinical and academic experience, he specializes in managing diabetes, erectile dysfunction, male infertility, performance concerns, and other men’s health conditions through structured and scientifically guided treatment approaches. Dr. Raveendran focuses on accurate diagnosis, personalized treatment plans, and long-term health improvement while ensuring patient comfort and privacy. Known for his compassionate and professional approach, he believes in clear communication and helping patients make informed decisions to improve their overall health, confidence, and quality of life.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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