Which antipsychotic doesn't cause sexual dysfunction?

Medications
1

Guys,I am on abilify since 2009 and had suffered sexual dysfunction from it,I stopped abilify once for a year,after I stopped for 4 months my erection returned to normal,and semen volume also…now I need antipsychotic and my
Meds,just curious which antipsychotic doesn’t raise prolactin and doesn’t cause sexual dysfunction?

I am on 5mg abilify,30mg mirtazapine and 200mg sodium valproate

2

I am on Risperdal and in my opinion it is one of the worst sexual dysfunction offenders - raising prolactin.
Usually Abilify is not so bad, I would say it is one of the better choices. Everyone is different and reactions will be very individual. For me Abilify and Seroquel were not so bad - low dose Zyprexa was ok too.
I think that it also can be dose dependent - higher antipsychotic doses usually can make things worse.
Good luck to you on finding the right one!

1 Like
3

I’ve used Haloperidol (Haldol), Aripiprazole (Abilify) and Quetiapine (Seroquel) and never had any problems. I think Quetiapine is meant to be one of the best ones with regards to prolactin, I don’t think it does much to prolactin levels at all.

4

Do you have high prolactin from Abilify?
From my understanding Abilify and Seroquel are the least to cause sexual side effects.

5

Yes I believe I do,even though I haven’t tested my prolactin level but I am sure I had sexual dysfunction,less interest in sex and also erectile dysfunction

But I hope I can do better mentally first

6

My doctor says Abilify wont’ cause an increase in prolactin. I was on invega sustenna for about 2 months and it increased my prolactin, was soft as bubble gum.

7

I am on prolixin. Risperdal made me impotent and Abilify had no sexual side effect on me, but I was delusional on Abilify, so now I’m on prolixin and I feel like I"m not even on meds !!