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Erectile Dysfunction after adderall abuse (warning: very long!)

bunnyx

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Joined
Mar 25, 2011
Messages
5
Hi guys,

I apologize for the very long post, but the in-depth detail of this will help to provide a background and may help for people suffering the same thing that I am. Please, if you can help, read the story and provide advice.

I need some advice and having some issues in (and out) of the bedroom. Basically, I had never done any hard drugs before, just smoked weed very occasionally and I liked to drink. Pills were always super super effective on me and two cups of coffee would make me stay up all night and give me the shakes/tremors, so I was ALWAYS reluctant to try anything. I have always had a super addictive personality, but finally half way through my junior year of college, my friends convinced me to take adderall to help with my studies (my dad passed away unexpectedly and I was having a lot of trouble keeping up with school work so they got the best of me). The first 5 mg pill I took.. I was hooked. I swore up and down that I had ADD my whole life and this finally "opened my eyes to what normal people feel like". Well, the good old saying in NA is "one is too many and a thousand is never enough".. and that's what happened to me.

The first time I tried it, I continually took 5 mg every 1-2 hours until I peaked around 40mg. I played video games for about 10 hours straight, studied for like 8 hours, and stayed up for 3 days. I hallucinated pretty bad trying to go to sleep after it but I didn't care at all, I felt like I had finally found what I was missing in my life (damn addictive personality... I KNEW this would happen, but I was so weak and down from my dad's death). Anyways, I convinced myself that I would only use for school work and I did just that, I used for EVERY SINGLE test, homework assignment, project, etc. I would dose about 40-60mg in a sitting and let the effects hit, it was complete bliss. For my finals week, I went 5 days straight dosing about 60mg a day and didn't sleep, I snorted it for the first time then too, about 20mg, because oral dosage wasn't cutting it on the 5th day of being awake. This usage continued until the end of my senior year, but I only snorted it twice ever, all the other administration was oral, I was scared to mess up my nose. I would say I used about 40-60mg every week for 1.5 years and on three occasions I used 40-60mg for 3-5 days straight. The last 6 months using the drug, I kept telling my roommate that I HATED this shit and it gave me the worst hangovers ever, I would just lay in bed for 2 days after and I didn't want to do ANYTHING at all.. dopamine depletion or something. I literally forced myself to take it just to do school work, I was dependent on it and didn't even know.

At the time my friends told me it was like strong caffeine so I never knew about the negative effects. I was spiraling into depression during this time and all I could attribute it to was my dads death, I didn't even THINK the adderall was the cause. I had decreased sex drive, issues with erections, trouble focusing in school, felt like complete shit. I started working out hardcore to make up for the bad feelings and it helped... if I didn't work out one day I felt horrible so I thought that I had to workout everyday. I graduated and stopped using for 6 months, I was away from my friends and didn't have school work so no need to use. I couldn't find a job though and the depression was lingering so I felt like it was a good idea to move back up with my friends so I wasn't alone at home. Little did I know they were still using a lot of Oxy, heroin, and adderall. I would never touch any other drug but I said "sure" to the adderall. I dosed hard, daily, for about 2 months. All I did was play video games and drink on it and talk to strangers outside our apartment, I was in bliss while on it again and I felt like I was cruising again in life.

One day though I took a huge dose, like 200 mg's over 2 days and I had really bad amph psychosis. My heart was beating like 120+ beats a minute and I thought I was going to die. I had voices in my head and people were having full fledged conversations that didn't exist. I saw hallucinations and shadow people. I took sleeping pills and forced myself to sleep, I never felt right after that day. I left my friends immediately after that, I felt like I was destroying my life there and I would either end up in a mental hospital or dead if I stayed. I searched for jobs all over the country and found one within a week and moved away immediately.

In my new life, I was doing well in my job and I wasn't using. I just drank a lot because if I didn't work out or drink, I felt horrible, I had induced myself really bad depression from the adderall (but I still didn't realize it was the adderall at the time). I drowned myself in a bottle of wine a night and I ran in the morning, at least an hour, or I felt horrible. I didn't enjoy playing video games anymore unless I was chugging coffee.. come to think of it, I didn't enjoy anything unless I was on a stimulant or drunk. Oh well, I felt that this is just the pains of life and it would work itself out, depression runs in my family so I'd get through it.

I met a girl and fell in love, we dated for a few months. I was smooth with her and we kicked it pretty good. I would drink whenever we were together though because I just felt like shit not on anything. I found if I had like 3-4 drinks, I could talk socially like I was on 5mg of adderall and I didn't have any depression, I was amazing. We hit it off well and started a relationship pretty quickly. After a few months, we tried having sex... my erection lasted for a minute, maybe two minutes, I put it in and it went down. I thought "what the hell is happening??".. we tried again, same thing. I could only stay up for a minute. This has never happened to me before and I've had some wild crazy sex girlfriends in the past (... before the adderall usage). I didn't understand at all. I thought if I just stuck it in and kept going it would get up again.. so we tried it and I was limp the whole time, ejaculated limp (WTF). Then, I started thinking, I didn't really ever masterbate anymore or look at porn; hell I didn't even have a sex drive at all. Come to think of it, I haven't had an erection in a while.

I looked up online for ED in young males (I'm 25 btw) and found that drug abuse was a cause... drug abuse I thought... not the adderall... it couldn't be. I looked up adderall abuse and holy shit my eyes were opened. I read and researched like a mother fucker, for days, weeks. I learned everything I could learn about this shit and the effects of abuse... I now realized I hadn't had a morning erection or spontaneous erection since my 2 month binge (9 months ago)... and I was RARELY turned on by anything in this 9 month period. This was in December of 2010.

I freaked out... bad. I became super depressed/anxious and I couldn't function. My life was wrecked. No sex drive, no erections, no enjoyment in daily life activities. Had to be drunk or had to exercise to feel remotely okay for just that day. What have I done to myself I thought? I became suicidal, what's the point of living like this. Trapped.. like a prisoner of war or holocaust victim or something. I wanted to die, I called my mom and told her I couldn't bear this anymore. She flew up the next day from FL (I'm in VA) because I was going to commit suicide that night, it was over.. she asked me to hang on for 1 day and I did. She stayed with me for a week and walked me through the week, ensuring I didn't kill myself. It felt better to talk to someone about it, even if I was talking about how I couldn't possibly survive anymore and that my life was ruined, it still helped. Within that week she convinced me to start therapy and go to a psychiatrist... I admit, I fucking love life, and I realized that because I loved life so much was the reason why I was suicidal... it pained me so much to have damaged the gift of life, that I couldn't bear it.

I started therapy and the psychiatrist put me on seroquel and cymbalta immediately. I've been on seroquel for about 2 months and cymbalta for 1.5 months. I've been going to therapy every week for over 2 months now. It's all helped a little bit, I can get through the day now, I don't want to commit suicide... but life sucks still, it's not fun and it sucks... but it's manageable. My GP also gave me cialis and it works, 20mg at first and it was working for a month, then 10mg and I can have sex with my girlfriend, thank god. I tried 5mg but it didn't work, oh well there was a SMALL light in a vast realm of darkness.

At the time of taking anti-depressants I quit drinking and continued to work out. I started a multi-vitamin and omega 3 pills. I've been eating healthier and working towards a healthy lifestyle.

My girlfriend and I decided to take two weeks off of sex and I abstained from all porn. I didn't receive one erection during this two week period. During the middle of the night I will wake up with a semi-erection but it goes away within 10 seconds or so. Still VERY low sex drive.

Now here I am... 13 months since my last adderall use, 2 months clean of alcohol and I'm on anti-depressants. Still suffering from ED, still suffering from lack of sex drive, still don't enjoy anything in my life. I look in the mirror and see a fat and unattractive person (I'm 6 ft tall and 160 lbs) yet everyone says they see a hot, muscular, and fit person but that I'm a bit too skinny... I see fatness. I've developed BDD (body dysmorphic disorder)... and also, of course, the anxiety, and depression.

All the doctors say it's psychological. It's the adderall. I was never like this before, I was always SUPER horny and I loved life. Maybe it's because addiction and depression run in my family. Maybe it's because I now know that I am not invulnerable. Maybe it's because I now fear death and whenever something is out of the ordinary (irregular heartbeat, blurry vision, etc.) I run to the phone and have my fingers on 9-1-1 in case I need to call the ambulance and I start thinking of how I want to die. Whatever it is, it all started from that first use, from that first pill. I KNEW I shouldn't have taken it... but I did. And here I am, looking for any advice, anything that can help.

Is there a light at the end of the tunnel? Will I ever be horny again? Will I ever enjoy sex, video games, food, anything in my life? Will I ever be happy? Will I ever have an erection without cialis again? I need help guys and I need help bad. No doctors can give me answers, so I need help from people who have been here.

TLDR version - took a shit load of adderall for 1.5 years, 13 months later and still suffering from Anhedonia and ED. No erections, no sex drive, no enjoyment in anything. Please give advice.

Thanks,
Bunnyx
 
I'm preeeety sure this kind of thing is supposed to blow over in time. But seems like you're a little past "in time". Maybe see someone concerning mental health stuff, a general doctor probably isn't the best person to comment on this kinda thing. Very possible that something can be done about this.
 
Is there a light at the end of the tunnel? Will I ever be horny again? Will I ever enjoy sex, video games, food, anything in my life? Will I ever be happy? Will I ever have an erection without cialis again? I need help guys and I need help bad. No doctors can give me answers, so I need help from people who have been here.

TLDR version - took a shit load of adderall for 1.5 years, 13 months later and still suffering from Anhedonia and ED. No erections, no sex drive, no enjoyment in anything. Please give advice.

Thanks,
Bunnyx
Yes, there is a light... just stay away from stims if you can. Try kratom for some mild mood brightening, and if you need something more please consider an antidepressant -- they do work mood-wise, although they may not do much for your sex drive.

P.S. tell you what it feels like to me after overdoing stims between the 7th and the 20th of this month... if say I do a line of coke, everything is too enhanced, almost surreal, like a Photoshop filter with too much brightness and contrast. And if I'm not on anything, everything is too dull, half alive, like a picture with too little brightness and contrast. It's like there's no in between, and I don't care much for either state. Sucks.
 
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Thanks for the reply nearjat and Dedbeet.

I've been to both my GP and a urologist. I've also been seeing a psychiatrist and a therapist for a couple months now. The GP and urologist both did a full blood panel, the only thing found was high liver enzymes, which after 2 months of sobriety from alcohol and a re-test - came back very good. Testosterone was normal and all that good stuff.

I've been on anti-depressants for a couple months now and while I feel that have helped with my mood, they have caused more sexual side effects such as unable to ejaculate which throws another thing in to the sex equation (and I thought it couldn't get any worse).

Any other comments and/or advice appreciated. By the way, I plan on updating this thread as time goes so that anyone else finding themselves in my position down the line will not come across a dead thread. If I get better or worse - I will update.

Thanks,
Bunnyx
 
Amigo!

Which anti depressant are you on? Some of them are prone to causing.... flaccidity...

On the other hand, I feel like you must have covered the above question before, but I didnt see any mention of your awareness of Anti-D induced ED while reading your paragraphs

I had a friend that was 19 with OCD who was prescribed Prozac and he soon realized he couldn't get it up at all. I remember him saying in disbelief, "WTF I'm 19 and I'm taking boner pills!" Once my friend ended his regime or whatever he returned to normal.

I hope you are nothing more then "blocked" by the Anti-d's interference. Furthermore, I have one more thing to share which may dilate that closing light at the end of the tunnel. I used to take lots of Adderall XRs to cruise through anything and everything during university(rarely taken just for fun).

Anyways, those fucking pills just chip away at everything you take for granted. After awhile it got to the point that the next day after taking them - even with a very healthy diet - id need to work out for 1-2 hours to feel "good." Anyways, long story short, I was getting used to that shitty life which was repeating like a scooby doo background.

Then it all changed. I took some L with some great friends of mine and everything, EVERYTHING I ever wanted *from myself*, returned -almost magically- in a permanent way. I couldnt believe it. While I took the Lsd I found myself wanting to do certain things like look away from the eyes of the people i was talking with, apologize for certain talking points, and in general living a sloven lifestyle, all of which I confronted. The L just allowed me to separate what I wanted from what I didnt want and it fucking stayed that way. LSD is very unpredictable though, so be on as few drugs as possible if you do imbibe...... and for the record I have had a bad trip some years ago which was not beneficial in any way and left me in a fog of confusion for many months.

Ok, well the above anecdote may not discuss ED, but your mentality is honest to god so much more important than hedonistic sex. I do not want to sound too conceited though, I really do hope everything returns to normal and you can enjoy sex like that guy in American Psycho (it dangerous to take the literally BTW).

Cheers,
 
I would say that the antidepressants might be the culprit especially after a year or more later. Perhaps you should look at alternatives, do you really need them?
 
SSRI's like cymbalta cause a decrease in sex drive and ED. A death in the family will cause you to lose your sex drive also, trust me. It may have been partly due to the adderall initially, but the adderall happened at the same time of the death, and the effects of adderall wear off completely in a few hours/days depending on dose.
 
Thanks for the responses guys. The big consensus is that Cymbalta + Seroquel (the AD's) are causing the issue with low sex drive + ED. However, keep in mind that this was an issue before getting on the AD's.

@IntergalaticMagic: Quoting you here: "Anyways, those fucking pills just chip away at everything you take for granted. After awhile it got to the point that the next day after taking them - even with a very healthy diet - id need to work out for 1-2 hours to feel "good." Anyways, long story short, I was getting used to that shitty life which was repeating like a scooby doo background."

I couldn't agree with you more. I had noticed (before I placed things together about the adderall hangovers/withdrawal bringing my mood down) that I was working out more and more, hours a day, just to feel "normal". I still now have to work out everyday, albeit not as much, to feel "okay" with myself. But I look in the mirror and I'm just unhappy with the way I look, I never used to have this problem and I weighed more before.

Maybe it was a coincidence that I started to experience BDD (body dysmorphic disorder) and depression at the same time I was abusing adderall, but I can't convince myself that it had nothing to do with it. Even when I broke up with my girlfriend of 3.5 years a while back, I still was able to have morning erections, was horny, and was generally happy with other things in my life, I was just sad about the relationship.

I know the death in the family can cause the feelings as well but it's been 3 years since my fathers death, I would say that I am emotionally over it and I did mourn appropriately; I didn't bottle anything in AFAIK.

I can't help but say... "If I didn't do adderall, I wouldn't have these issues". That may not be 100% true, I may still have issues if I didn't do adderall and that's something I need to remember. But I definitely think it has had some impact, the pieces just fit too well.

A brief update on my mood: I've been feeling pretty good. The AD's are helping and I've been enjoying things in my life a little more. I've been able to focus on work and video games and hang out with friends, my mind isn't wandering a lot. The cialis still works, sex is okay, I still don't have the drive but I don't expect it to come back magically.

I'm going to cut my AD's in half in about 2.5 weeks when I meet with my psychiatrist again to see if it helps reduce any of the sexual side effects. I'll update when I do.

Thanks all.

-Bunnyx
 
Where are you Bunnyx? How did everything work out? I am seeing similar issues and would like to know where your path took you? Praying that life is good for you and that hope will find me. thanks
 
Where are you Bunnyx? How did everything work out? I am seeing similar issues and would like to know where your path took you? Praying that life is good for you and that hope will find me. thanks

Hi Lucilleie,

I just replied to your PM. I also figured I would post my reply here so others can see:

Sorry for not updating the thread, it's been a long battle. What I did was take anti-depressants for about a year and a half and got my life in order with everything outside of sex and a relationship. I then went off the anti-depressants to try and get my sex drive back and also met a girl but i went through a lot of shit trying to make the relationship work. I ended up having to take Cialis to have sex for the first 6 months of the relationship because I couldn't maintain an erection due to low sex drive; however, things eventually got more comfortable and I stopped needing the Cialis. I'm happy to say that I can have sex 1 or 2 times a week now without medication and my relationship is going pretty well. I will unfortunately tell you that my sex drive is very very low and it never returned to what I would have liked it to. I have been successful with other things in my life and I do have a good relationship with an understanding girl which is nice, but there is always something in the back of my mind wondering what is the cause of the low sex drive.

I wish the best for you Lucilleie and please reach out to me again if you need someone to talk to.
 
I find it hard to believe adderall is to blame, considering all the drugs I have done on my life. My boners are so frequent and persistent, I would go so far as to say they are a problem
 
I find it hard to believe adderall is to blame, considering all the drugs I have done on my life. My boners are so frequent and persistent, I would go so far as to say they are a problem

You may be right, soul mate. It's hard to actually determine what the cause is; also, I've been off of adderall for about 4 years now but it's hard to say if there was any permanent damage done or not. I do know that I suffered (still suffer) from many problems and it happened to coincide with the time that I did a lot of stims making it very difficult for me to pinpoint for sure what the cause is. I have been to many doctors, had many blood tests done, had my T levels checked, been to therapy, etc. and I have still not been able to find the reason. I have sort of given up on the medical front and just gone about my life to try and find happiness in other things; though as I mentioned before, it is always something that creeps into my head from time to time as something unsolved and ultimately a detriment to my life.
 
You may be right, soul mate. It's hard to actually determine what the cause is; also, I've been off of adderall for about 4 years now but it's hard to say if there was any permanent damage done or not. I do know that I suffered (still suffer) from many problems and it happened to coincide with the time that I did a lot of stims making it very difficult for me to pinpoint for sure what the cause is. I have been to many doctors, had many blood tests done, had my T levels checked, been to therapy, etc. and I have still not been able to find the reason. I have sort of given up on the medical front and just gone about my life to try and find happiness in other things; though as I mentioned before, it is always something that creeps into my head from time to time as something unsolved and ultimately a detriment to my life.
may be
 
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I had similar symptoms. Had my GP tell me my hormones and T were normal. Found out I was at the bottom of the normal range I was 249.1 and 28 years old. A new doc told me that just because its in the normal range doesn't mean its normal for all ages. Check your numbers. Google testosterone by age and see where you fall. Keep in mind also that some men perform better and feel better at the higher end of normal as well. Find a provider that is very knowledgeable in hormone therapy if you think your to low for your age. In your 20's you should be 600+.
Sorry lack of further details, sending this from my phone. Hope that helps.

-Tyler
 
You briefly mentioned pornography in this post so I have a question for you: how much and how long have you watched porn?

Recently I did a study on porn on the male brain and found the study to be really shocking. Large amounts of young men are suffering from erectile dysfunction and pornography is a leading cause. I can message you some studies.

Stop watching porn for 5 months and it will reverse the process. Yes it takes time.

And drugs aren't always the problem nor the answer.
 
You may be right, soul mate. It's hard to actually determine what the cause is; also, I've been off of adderall for about 4 years now but it's hard to say if there was any permanent damage done or not. I do know that I suffered (still suffer) from many problems and it happened to coincide with the time that I did a lot of stims making it very difficult for me to pinpoint for sure what the cause is. I have been to many doctors, had many blood tests done, had my T levels checked, been to therapy, etc. and I have still not been able to find the reason. I have sort of given up on the medical front and just gone about my life to try and find happiness in other things; though as I mentioned before, it is always something that creeps into my head from time to time as something unsolved and ultimately a detriment to my life.


You did not do permanent damage doing what you did with the adderall. I've dealt with the same things almost exactly as you describe (sex drive and erection side effects) - hard enough to begin the act but it's a struggle to maintain, then finally going completely soft, when really it shouldn't be a struggle at all when you're in your 20's lol. Also the exact same issues where a week or even 2 will pass and I'll realize "Hey, I haven't jo'd in a longgg time", when before, it was like a 2-3x a day thing.

What I've learned over 10 years of being off and on various Meds is that I get bad sexual side effects from adderall, and SSRI's to a lesser but still pretty noticeable extent. It seems like there's a certain percentage of men that seem to really be affected in this way by these specific drugs. I even had a doctor test my T levels (which ended up being on the very low end of normal). Not sure if you've ever used opiates for a period of about 3 months or longer, but it will eventually harm your body's natural testosterone production. This was the case with me, so my doctor prescribed testosterone cypionate injections - did it help with my sex drive and erection issues? *Maybe* 15%, but not enough. I also, like I believe you mentioned, have been diagnosed with BDD and anxiety, and this anxiety definitely seems magnified when on adderall, almost to the point of fearing erection issues thus almost causing them. This was what I thought was going on until I quit adderall completely and greatly reduced my SSRI dosage. Once I did that, my sex drive came back better than ever -within 2 days actually. This time around I was only on an SSRI for about a month, if you've been on one for a longer period then perhaps it will take longer for these issues to resolve once you've greatly reduced or eliminated the SSRI, if that's an option for you.

Anyways, the point being I wanted to ask are still on any SSRI's? What Meds are you currently taking if any? Something is affecting your sex drive and at 28 years old, 95%+ of the time my money would be on something physiological - a medication you're taking, low T, etc. Now - if you're struggling with your sexuality and with the wrong partners, or you have a history of let's say a traumatic/abusive childhood, then psychological is definitely possible, but I highly doubt this is the cause just based on what you've said so far.
 
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Both Amphetamines in low and even high doses, and alcohol can do what you described having happen to you to some men; but it's just temporary when they're either on the amphetamines, or drinking.

If you have questions about your body you should see a doctor or medical professional and just be honest with them.

OK I read about how you did see a medical professional, it does sound like it's possibly psychological if you no longer drink or take amphetamines.
 
Sorry to hear you are having these problems still. I had a nervous breakdown a year ago and got into some heavy self medication and comletely flipped out. I had to go to a psych and i got put on seroquel and lexapro. I NEVER took the lexapro. I didnt even want the seroquel but my family made me take it. It cured me. But it was tough because i also couldnt function. i always refused the SSRIs because once i was given one for nerve trauma after an operation and i couldnt get a hard on for about 9 months.

Anyway what i want to share from those experiences are the following. Seroquel alone was good enough as an anti depressant. It really stabilizes your brain but for most peopke its not meant to take in high dosage long term. Just to snap you out of your vortex. I now only take the minimum dosage of 25mg and even cut it in half sometimes if i know i have to get up super early for a flight or something. I have to have caffeine in the morning though and if i overdo it i can get manic cravings for alcohol which i have to either control with a quarter pill of 25mg seroquel or a couple drops of clonazapan in low dose liquid form. Anyway, you may not need the SSRIs and they definitely kill your dick and it can take months to recover.

Try to minimize the seroquel and since you have stimulant addictions, instead of coffee go for a quality green tea or something.

try to stay away from booze, especially beer. excercise is your friend. so is yoga. Just make sure your routine involves some heavy weights. Otherwise it will do nothing for your sex drive.

I also add that taking b vitamins really helps you heal your brain.

I fiund this post because i have ADD bad and i wanted to try adderall but reading through my own advice id probably do better if i just followed my own advice better
 
Your primary issues now are the "atypical anti-psychotic" (Seroquel) and that "anti-depressant SSRI" (Cymbalta), almost certainly. But use this information intelligently. Your doctors won't agree and the drugs they put you on can be disheartingly difficult to stop taking without some emotional support ('tho fortunately brief).

Do kegel exercises. Yes, for men. More effective in the long-run than Viagra or the others.

Use Yohimbe. Start real slow... you can always take more. Take several hours in advance. Start small or you'll feel like shit...although you'll have a hard-on 6 hours later when you feel a little more relaxed.

Stop using Viagra, Cialis, any of 'em. After you've been off of them 6 months, maybe you can consider 2.5 mg of Cialis daily, or 25 mg Viagra on rare occasion.

Stop watching porn or touching yourself.

Exercise like a mad bastard yelling: "Give me boners or give me death!" (You don't have to yell... you get the idea).

I'm a Registered Nurse, male, an old hippie, and I've been through this and know -- first-hand and through numerous patients -- the real deal.

I also know much of the clinical literature (a high percentage of which is NOT the real deal, the studies having been hugely manipulated to hide bad results from the studies Big Pharma pays for and publishes....assuming the studies are favorable).

OK, I'll get off my soapbox. You'll do fine if you've got a solid goal. Believe in yourself and stay serious about getting your mojo back. When you reach your 60's and can still rock 'n roll, you become a valuable object of sexual attraction to others your age and younger.

Stay interested and you'll stay interesting. Question authority. Learn mindfulness. Live!
 
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