Drug Induced Diminished Desire

• Hyperprolactinemia: (described earlier)

• Strategies for antidepressants (22; p. 60): (i) decrease dosage, (ii) drug holiday, (iii) small dose of neostigmine 7.5-15 mg before intercourse, and (iv) add dopaminergic agent [e.g., bupropion 150 mg/day or more; dextroamphetamine, methylphenidate, permoline (starting with low dose, for example, 5 mg of methylphenidate and titrate up)].

• Cancer chemotherapy: Androgen replacement therapy is often suggested to men who have received high dose chemotherapy associated with bone marrow transplantation.

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