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Bupe Suboxone and (male) sexual difficulties

SKL

Bluelight Crew
Joined
Sep 15, 2007
Messages
14,647
Not the easiest thing to admit but I thought I'd throw it out there. I spent about 3 years on suboxone a while back, and recently got back on after a bit less than 6 months on heroin. Anyway, as is the case for most men IME, on heroin I take slightly longer to get an erection, but then it lasts forever and I generally speaking fuck like a champ. Sometimes I last even too long. My sex drive is much decreased but that is another issue, I am talking strictly about "technical difficulties." On the sex drive side of things I've tried with some success adding a bit of supraphysiological test cyp. On suboxone however I have difficulties both getting and maintaining an erection, to the point that last time around I was experimenting with Viagra. I attribute this to the different pharmacology (mixed agonist) of the bupe, but I have not really heard about this other than my own personal experience. Again not the easiest thing to share but I wonder if anyone has had similar issues?
 
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Those types of "difficulties" are often a side effect of some more serious cardiovascular condition. The bup' may be contributing to that, have you spoke woth your doctor about this?


- Hopeless 7nos
 
I can't stay hard on suboxone for the life of me... any other opiate I'm usually fine.
 
started on 16MG bupe; could not get hard even if I was sleeping w/ the hottest chick ever. sure, sometimes it worked but not always.

dropped down to 8MG overnight; things were better w/ me and the wifey but still not at the top of its game. barely even watched a porn on my own time.

down to 4MG bupe nowadays; I watch porn, get hard, do it all. its almost like my dick is back in action.

on dope; never worked, never and thought/looked at girls. just cared about the dope and only the dope.
 
bump and to add (embarrasing and difficult to discuss) details

Honestly, now at 8mg, to be embarrasingly honest, the hardest part is the duration. I finish very rapidly, whether with a woman or with pornography. I am pretty close to 100% certain this is due to the mixed action of buprenorphine but can't say for sure and haven't heard much about this either anecdotally (perhaps for obvious reasons) or in the literature. Testosterone helps with the drive, and the initial arousal, but again not with the duration: a nonissue or above average on proper opiates and probably average without any. I can and perhaps will get prescribed some viagra or cialis, and will report on the results; but this is a really unfortunate issue with Suboxone, and IME it is more so with sub than methadone, heroin, oxy, or anything else, again, I think it's pharmacological. A former girlfriend of mine had trouble with this and didn't really believe me, it caused some serious issues in our relationship :( but I think it is a real thing. Hard (no pun intended)difficult as a thing to discuss it's good to hear that others have had some simlar experiences.
 
opiates killed my sex desire and ability..kratom does the same thing..i remember having a few hot girls into me when i was strung out and i was just indifferent..
 
4mgs... Even my left hand won't return my calls.....
lol. really at 4MG NOTHING?! I went from 8MG and down to 4MG and I am visiting "the sites" 2x's a day and always looking for new girls! I just cant stop; I feel like I am 16 again.

hoping to get down to 2MG's and have it be even better; will be like losing the virginity all over again.
 
I am very glad to hear that others have this problem and the courage to admit it. Central to my issue is that Suboxone for whatever reason (again I suspect the mixed action of bupe) causes drastically worse male "technical difficulties" than any opiate I've experienced, which more or less covers the whole spectrum. Again I'm not talking sex drive, that's a well known issue with opiates and a slightly lesser known one being low T (thus my twice weekly injection of test cyp), but issues getting and maintaining an erection, and premature ejaculation, even with some pretty high class call girls etc. (Once wound up spending a nickel for an hour and a half or so of cuddling but that's not as bad as it sounds ttytt.) I think I will get a prescription for one of the *fil drugs the next time I see my bupe dr, and see the results. If I were in a long term serious relationship I, having fucked up one with this issue (among other things or course) would, should usual ED treatment fail, probably switch to methadone, which IME has not caused this particular bedroom issue, assuming I can't guerilla-pharm another solution.
 
another update:

for all the other men who have posted or even are just reading this, you aren't alone in this and it's not your fault.

this is not commonly discussed for a reason, because a lot of people are ashamed to do so. I was.

making this thread wasn't easy, it's not easy to casually admit even behind a pseudonym that your potency is not what it could be, regardless of the reason. in our society most men would probably admit to anything other than being broke or being impotent. well, a lot of us on suboxone may be both. and it's a hard enough thing, either one. thanks to a few people above and some who PM'd me about this and others who I've read or heard from online who've had the issue. thanks for your courage.

it's not even easy to admit to your intimate partner. in my case it was not even easy for her to believe. our relationship ended. this was by no means the reason why or the "only" reason why, my psychological reactions to this "bedroom issue" not only only compounded the problem but lead to me having difficult expressing a certain emotional reciprocity with her, but to me withdrawing from her physically in general, I guess out of fear of further "humiliating" myself because of this issue. she had her own issues of course which I won't get into detail about but felt not only the psychological but the physiological aspect of this to be a sort of rejection of her on my part which was by no means the case, but the ensuing dynamic was catastrophic to our relationship, it wound up with a lot of insincerity, emotional distance, "emotional infidelity" and other problems and eventually we went our separate ways in a fashion that was so abrupt as to be traumatic.

most of us who are using suboxone aren't using it because we want to, we're using it because we have to because all other attempts at managing our lives have failed. we all know that kicking dope is easy, but staying off is hard. it requires some sort of inner strength that we at the moment might lack and we need some pharmacological back up. I think there's no shame in that whatsoever.

however, it's not without it's consequences. suboxone makes me constipated unlike any other opiate I've ever taken. I need to take milk of magnesia every other day. this is a physiological reaction to the drug and not one that we might speak of in public company, but not one that has profound psychological and relational consequences like this one. read the pharmaceutical packaging or the printout or the literature, you'll find constipation; you'll not, as far as I know, find this. and yet it is real, and it is a different kind of problem to the lack of sexual desire that's initiated by heroin or other classical opiates. this is a pet theory but I'd put money on it being due to the different pharmacology of bupe.

but this is all academic. it doesn't matter why. it happens. it's not just me. it's not just you. it's not just the small number of men posting in this thread, and I'm sure more who are reading it: hundreds of you so far. opiates cause testosterone droppage, we all know that. does every doctor that prescribes them? no. every chronic pain or maintenance patient deserves testosterone testing and possible supplementation. and, in suboxone's case, perhaps a *-afil rug or similar for difficulties not on the drive but on the practical end of things, that in addition to a an ED drugi; suboxone being particularly difficult as opposed to say, methadone, in that it will cause both low T and "technical difficulties." methadone and sometiimes dope for the matter may dim desire and lengthen the period it takes for a man to be physiologically aroused, but they won't cause difficulties with maintaining an erection, in fact, they're more likely to keep it too long, even 'till she's ready to stop. suboxone is different, and I think people don't get this. some of our girlfriends don't get this. mine didn't at the time.

please don't be ashamed. i was for years. recently this whole thing was brought up for me again, and in public, and certainly not by my own choice, but, I think, for the better. recalling the time in my life during which this was a relationship problem is very emotional for me; and to think (I'm not in a relationship currently) that it could be a problem in the future. thankfully, I'm finding some help.

opiates constipate you. milk of mag, colace, whatever, even this fancy new stuff with the twee dancing pill, you might need some help with that.

opiates cause low T and a lack of sex drive. test cyp/enanthate, the gel, whatever, you might need some help with that.

suboxone, in particular, seems to cause problems sustaining and maintaining an erection. this seems to respond at least adequately in a few anecdotal experiences of mine, to tadalafil in addition to the already-mentioned test.

men who are going through this shouldn't be alone or without help.

please if you're going through this don't be afraid to reach out either posting here or by PMing me, if the latter I promise I'll keep whatever you say in confidence.

with respect and regards to you all
skl
 
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god bless you, brotha.

I am down to roughly 2MG/day and having sex more than ever! loving it, man. takes me a bit more to "get off" if its just me and a girl but if I am doing it MYSELF then I fire off in no time, right? yes, I am right, lol. ha.

but I am having a good time w/ the ladies and FINALLY GOING OUT, MEETING GIRLS, wanting to FUCK GIRLS, and having fun again. it is good to be OFF DOPE and actually have a sex life back! man, its been years and years, and this past year has been GREAT FOR ME w/ THE LADIES! being sober is the way to go, right? yes, sir.. it is right!
 
Hey. guys. I know this is sort of turning into SKL-suboxone-ED blog but I really hope that guys read this and get information and importantly support—you are not alone &c.—from it.

Pleased to report that I remain on 8mg and my current regimen to address the sexual issues (I'm calling it T&T, testosterone and tadalafil) is working swimmingly. I'd had only "trial runs," uh, manual, so to speak; not being in a relationship and not into random pickups, but nonetheless I wanted to try out this treatment "in the wild," so to speak, so the other night I booked a (pretty classy and very pleasant even just to talk to) escort and things went swimmingly. So I guess there's hope. I think it is even more so the testosterone that is doing things for me which suggests to me that my difficulties may have been especially related to low-T, which we all know that opiates can cause, but still, suboxone was the worst for me; my money's still on the mixed action being a problem but 'm also not aware of any research on the relative effects on testosterone of different opiates. So who knows. But anyway I guess I'm posting/bumping to let guys know that there's stuff out there that works; it works for me anyway, and there's hope of you finding something that will work for you too.
 
Hey. guys. I know this is sort of turning into SKL-suboxone-ED blog but I really hope that guys read this and get information and importantly support—you are not alone &c.—from it.

Pleased to report that I remain on 8mg and my current regimen to address the sexual issues (I'm calling it T&T, testosterone and tadalafil) is working swimmingly. I'd had only "trial runs," uh, manual, so to speak; not being in a relationship and not into random pickups, but nonetheless I wanted to try out this treatment "in the wild," so to speak, so the other night I booked a (pretty classy and very pleasant even just to talk to) escort and things went swimmingly. So I guess there's hope. I think it is even more so the testosterone that is doing things for me which suggests to me that my difficulties may have been especially related to low-T, which we all know that opiates can cause, but still, suboxone was the worst for me; my money's still on the mixed action being a problem but 'm also not aware of any research on the relative effects on testosterone of different opiates. So who knows. But anyway I guess I'm posting/bumping to let guys know that there's stuff out there that works; it works for me anyway, and there's hope of you finding something that will work for you too.
 
I have the wd problems with suboxone as far my junk goes. Can't last more than 5 minutes.
This is whether I'm doing straight subs or bouncing around with using. It's always the same.
 
Continuing experiments; still a problem I am tinkering with different pharmacological approaches to. A bit worried especially since I brought Suboxone up to 8mg again. For merely documentary reasons I will include this, with the caveat that it is markedly contradictory to normal medical practice. I take Wellbutrin XR 300mg; this is the notional maximum daily dose. Heroic doses are in the 450 milligram range. I have never seen anything in excess of this used clinically but for experimental reasons relating to the subject at hand I chose to go ahead and double the dose for a total of 600 mg. This puts the user at marked risk for seizure. The two reasons that I felt comfortable attempting to this are that I concomitantly took 300mg Lamictal (to my usual 200mg) and 10mg Valium in AM and PM (as is usual for me), both of whom are fairly effective as antiepileptics.

The bupropion (look at the structure if you're not familiar BTW and realize that it might be a reject cathinone RC ca. 2010) about an hour before an appointment with a call girl from a respectable agency, very attractive. I was diaphoretic and visibly anxious to the point that the girl thought I might be LE.

Relaxing and cuddling with her for a bit made the anxiety go away but not a certain physical tension. I was unusually horny and on the aggressive side (*not in the sense of doing violence), and erection in fact lasted longer than what was desirableable for her, which has been known also to happen with heroin, but I performed well and achieved quality orgasm. Friendly and pleasant conversation following.

Also on board at the time Suboxone 8my, estosterone as mentioned; one 40oz Budweiser; Viibryd 40mg (an atypical SSRI which by virtue of 5HT1a activity is actually neutral or even pro-sexual vs typical SSRIs which are inhibitory in that regard. Compare the MoA of flibanserin.)

Conclusion: far too much. Felt agitation and insomnia going forward, required additional eventual adjunctive lorazpeam 2mg, i.m. However cathinone family tree might contain a few fruits useful for us. Titration, concomitant use of sedatives, and consideration of the setotonergic side of things important (contemporary model of note, again: flibanserin.)
 
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yes i have some difficulties due to suboxone, I've been on it for 4 years (8mgs), I'm always able to get hard but my problem is sometimes it won't STAY hard, embarrassingly to the point of slipping out during sex

100% these issues are due to this powerful opiate I'm a 23 year old male of course its guna fuck you up
 
How do you people compare bupe's effects on libido and erection as well as stamina to other opiates?

My BF is about to enter suboxone opiate replacement therapy and I would like to know how it might affect to his sex drive.

if he can hump for hours when on oxycodone could that same still apply when on bupe? <3
 
No. I was just about to answer the poster above you in these terms fairly strongly. It is not due to buprenorphine being a strong opiate, many if not most men can fuck just fine on opiates, tend to last longer, but suffer from low sex drive and lowered T levels. Suboxone seems to have particular qualities that cause it to give men sexual difficulties and I suspect those lie in its mixed action; I would also not be surprised if bupe (methadone too, actually) causes worse hypogonadism than morphine or heroin, although I have no proof of this. So Suboxone is particularly bad for some men's sexual functioning on all levels (including myself) hence my experimentation with various drugs as above to try to deal with the problem. It's for some of us an unfortunate part of the cost-benefit analysis. Your boyfriend is really lucky to have in you however a woman who understands that this can happen and hopefully will be supportive of whether or not it does. And if it does, there are measures that can be taken as you can see here in this thread
 
Sounds to me like you're a bit too concerned with pleasing your partner. Just tell her to go slower or, if you feel you're gona cum just take it out and do it with your hand or mouth. You can stick a foot in there too if she likes it. You don't have to do it in one way from beginning to end. Communication is good too, if she's blowing your brains out cause she's too hot say exactly that "you blow my brains out, you're too hot" then take it out and shove a fist in there. She'll take it as a compliment instead of you having a "pen-e-cap". Then you can do it with the dick again until you edge then take it out. The worst is to just let go and be like a fuck I'm done.

Another thing is, with amphetamines, it means nothing if you let go, because 30 seconds later you'll be right back at it. Lol. So there's lots of options there bud. Not to worry. Good luck with your penile endeavors. There's no cost-benefit analysis either man lol. The cock has no education.

Women got all kinds of demands, you gotta be like this you gotta be like that, you gotta do this, you gotta do that, and if you're all that maybe we can be together. Dude, we need to come up with demands ourselves like cmon...our dick is not a dildo...hello? I don't know where they get the idea that they can take an SSRI and then madly ride your dick until it catches fire because the SSRI prevents them from cumming. That's not viable. Either they lose the SSRI so that they can cum faster too, or they do that on a plastic dildo while sucking your dick. And yes, sucking dick is not optional ladies, get in the habit :)
 
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