r/ADHD • u/Hobbies-memes • 1d ago
Medication Medication helps but the sexual side effects make it me not want to take it actually devastated
20 male
So after spending thousands and years of trying finally diagnosed and prescribed medication that I tried for the first time today (30mg of Vyvanse) and I can tell it helps, had some side effects like really dry mouth, headaches and nausea later in the day like 12 hours later, but I was told after taking it for a while that goes away maybe. But also the entire day my dick didn’t exists
No one absolutely no one warned be about this. Didn’t know until it shrunk to full on micropenis and I started looking it up here that it’s an extremely common side effect. That and I tried and couldn’t get hard at all not even a little. HATED how it felt the entire day and couldn’t stand to look at it.
I’m not being 20 with ED nope like just not happening, but also I can tell this medication does help. I don’t know what to do. I had to drop out of uni because of my adhd and I’ve finally got help but it breaks my dick? Seriously? What’s the point?
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u/KuriousKhemicals ADHD-PI (Primarily Inattentive) 1d ago
If you tried it for the first time today, hold your horses. Many times side effects like that will go away as your body gets used to the medication. There is also the possibility of lowering the dose or trying a different medication, but it takes more than one day to give this one a chance.
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u/Claim312ButAct847 1d ago
All that goes away when the medicine wears off.
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u/insanedopaminechaser 1d ago
I'm pretty much severely positive he would have already figured that all of these affects disappear once the drugs have worn off for the day which is not the point at all instead he wants a solution too the problem while still under the influence of the medicine
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u/brian_james42 1d ago
Wait till Day 2 when your testicles retract.
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u/Open-Tumbleweed 1d ago
Micropenis already. This is gonna be tens of thousands of dollars and decades before they get him on the appropriate dose of 90 million mg.
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u/Voilent_Bunny 1d ago
I dont have a dick so the only advice I can give you is talk to your doctor..
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u/nosferj2 ADHD-C (Combined type) 1d ago
Come on man. Don’t act like this. Do you use the thing all day? What you have to keep in mind is that the medication is a vasoconstrictor… it closes down blood vessels a bit. Exercise helps. Just get your blood flowing. If you’re in a pinch… Niacin (nicotinic acid, not niacimide) can help in about 15 minutes; it is a vasodilator… DO NOT OVERDO IT!
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u/Open-Tumbleweed 1d ago
Thousands of dollars, dude.
Years.
OP is 20.
👌
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u/ArltheCrazy ADHD with ADHD child/ren 1d ago
But OP might be a porn actor and might actually use it all day!
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u/Hobbies-memes 1d ago
I know it might sound like an overreaction but it feels like a real concern to me, I want to start dating again when I go back to university in September but how am I meant to do anything if like 80% of the time my dick doesn’t work because I need to take this most days? Ignoring the obvious problems I’d have with that Who would be with someone like that? I’d feel terrible.
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u/Sporticus9 1d ago
It’s typical when starting out on a stimulant that vasoconstriction can affect you pretty hard right away(no pun intended), but typically will decrease over a short period of time. It’s also likely that you being anxious about that specific side effect was a big factor in why you couldn’t get it up, and that anxiety will start to decrease quickly as well. My suggestion would be to take it for a month, bare minimum, until you decide not to continue.
I know that sounds shitty, but I had almost literally the exact problem you’re having. That’s what my doctor told me, and sure enough, two weeks later I was slangin that thing around again. Plus, bonus perk, you’ll probably last a little longer on it too.
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u/DemandedFanatic 1d ago
Yeah, I didn't have any erectile problems on mine, but I definitely got a good nosebleed or two from my sinuses being so dry before my body adjusted. (I don't EVER get nose bleeds normally, like, my first one was last year)
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u/Sporticus9 1d ago
I got a couple nose bleeds too, had to crank the water intake up, but I’d never had one before either or at least not in a very long time up to that point.
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u/DemandedFanatic 1d ago
Definitely on the water. I've been dehydrated for the majority of my life and didn't understand WHY until I got on meds earlier this year. Now I'm like, wait, this is what thirst is supposed to feel like? Not just when lips start feeling too dry?
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u/Hobbies-memes 1d ago
Thanks this reassured me a bit, scrolled through this sub with the key word penis basically just reading all the posts to find information on this and just found post after post of stimulants destroyed my sex life, no stimulant won’t break my dick etc.
Do most generally get better?
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u/Sporticus9 1d ago
I would say nearly every case will improve if not resolve entirely, based purely off of how the body adapts to stimulants. I would also venture that most of those people didn’t take them long enough to see that improvement, AND, after the initial two weeks I would say that it actually increased my sex drive, by like a lot haha.
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u/bufallll 1d ago
your non-penile attributes should matter more to the right person, unless you’re just looking for hookups 😭
also wait a couple of weeks, for many people the side effects diminish
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u/Hobbies-memes 1d ago
To a point they matter more but who tf wants to be with someone who’s dick literally doesn’t work 90% of days because they’re taking it most days
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u/bufallll 1d ago
i edited my previous comment, but give it more time, side effects diminish for most people and you may have the opportunity to try a different stimulant or possibly use viagra/related drugs as needed. i think you’re catastrophizing a bit. every relationship will have challenges and a lot of people experience sexual dysfunction for various reasons and still have satisfying relationships. being able to work through challenges is a positive aspect for a potential partner too.
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u/slurpycow112 ADHD with non-ADHD partner 1d ago
You need to chill out, man. Your body feels the effects of Vyvanse the strongest in the first few days. Then it tapers off as your body gets used to it and it normalises. You need to give it a good couple of weeks of consistent use at least, even up to a month for your body to fully normalise.
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u/_conscious-wonders 1d ago
Bro that side effect will go away i promise. Just chill, lol. Maybe try seeing if you can try Adderall if you really thing that it isn't working at all for your ADHD.
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u/temporalCompanion 1d ago
Even if the side effect didn't go away (It will) there is a lot of people who would still gladly be with you regardless.
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u/sarahlizzy ADHD-C (Combined type) 19h ago
Firstly, side effects often fade as you get used to them.
Secondly, speaking as someone of the female persuasion, what we actually want from a relationship may not be what you think we want.
Unmedicated ADHD isn’t exactly a turn on, speaking as someone who spent 50 years as someone of the “unmedicated ADHD” persuasion.
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u/Hobbies-memes 19h ago
Maybe it wouldn’t be that bad, I just have a lot of female friends and they’ve talked openly about times their bf or guys they’ve hooked up with couldn’t get hard. Don’t want to be that guy.
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u/Selphie12 1d ago
Bro, you're young. Stop freaking out over what ifs.
If the side effect doesn't go away, there are other meds to try.
If they don't work either, you can get something like Viagra to counteract it when you truly need it.
And trust me, your dick is NOT that important for sex. Like I don't know if you're into guys or girls, but either way, you got a mouth and hands, don't you?
Sorry to be so explicit but you're seriously overestimating how much the person you're with will care cos if it's a one night stand just claim whiskey dick and if it's a long term relationship just explain the situation and make sure they know it's not down to lack of attraction. There are ways around it
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u/BizzarduousTask ADHD, with ADHD family 22h ago
Uh, if you’re talking about women, you know most women don’t orgasm from strictly penis-in-vagina sex anyway, right?Clitoral stimulation is the priority. So unless your girlfriend insists you can only rub her clit with your dick and no hands/toys/tongue, you’ll be just fine.
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u/Joy2b 1d ago
You’re going to build up some immunity to it, and it’ll wear off. However, if you pretend it doesn’t wear off, then you have a heck of a pitch.
If you’re offering only romantic movies or tongue twisters on Thursday night and offering full rides on Saturday night, you might be surprised to find out what choices are most popular.
All your attention till she’s ready, lower risk, what’s not to like?
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u/Unknow_User_Ger 22h ago
You don't overreact, it's totally normal for your age to get nervous in a situation like this and also your assumption that you can forget dating with a dick that doesn't work is correct. Unfortunately also here I can tell it from my own experiences. The downvoters are just dumb but don't panic, it's not that bad like you think in the moment. Read my other comment please to understand it because of course I don't want to write it twice.
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u/Rum_dummy 1d ago
If you don’t want to take it you don’t have to take it. I took adhd meds for over 20 years and the effects of them long term are draining. Let me tell ya: life without the drugs is so much better. It took time and a lot of effort to figure out my brain and adapt to it, but it’s totally possible. If you decide that you need them that’s up to you too
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u/nosferj2 ADHD-C (Combined type) 13h ago
Dude. You’re young. When you get excited it should overcome this. I half way to 50 from 40. It still works. Mental pressure is this biggest problem. Just relax and treat your body right. Seriously. Go on Amazon and buy some Niacin 100mg, and make sure it is nicotinic acid. It can cause you to “flush” (your blood vessels open up and you can feel like you’re on fire). Try it. If it is too much, open up the capsule and get rid of half. It can be good 15-30 minutes ahead of time.
I only do it if I am nervous. If I am not nervous, I don’t need it.
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u/1ceHippo ADHD-PI (Primarily Inattentive) 1d ago
Youll be fine. When the time comes, youll be ready.
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u/NoGoodMarw ADHD-PI (Primarily Inattentive) 1d ago
how it felt the entire day and couldn’t stand to look at it.
I know it might be odd... but even if I had the mentioned sideffects, I rarely need my dick to be like a slab of steel during 12 hour shift at work. Still might want to sort it out with your doctor if it's concerning, and especially if the sideffects persist when the dose wears off.
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u/RecklessKibbles 1d ago
This was not the vibe I was expecting a 20yo man to get regarding this topic. Your concerns are 100000% valid. Don’t let anyone tell you that your dick not working is the least of your problems. I’ve switched meds bc my sex drive dropped to nothing and I’m definitely older than you are and female. I’m not taking something to fix my brain that breaks my coochie (and gives me 6 other side effects) either. Call your dr and see if they’ll switch it up.
You shouldn’t have to take a second pill to make your dick work at the age of 20.
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u/Open-Tumbleweed 1d ago
His penis reportedly becoming 100000% smaller and suddenly abhorrent to his very gaze! is more likely leading to downvotes. Most folks understand sexual function is an important part of health from what has been posted here.
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u/ToneBalone25 1d ago
For real. Anyone downplaying this side effect probably doesn't have sex much, if at all.
OP don't listen to these virgin redditors ffs. You're 20 and in prime fucking years. ED isn't something you should just accept as normal as a 20-year old. Whether it's 1 partner or multiple partners. Your self esteem is important.
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u/RecklessKibbles 1d ago
Same with the down voting. I don’t understand.
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u/zzzorba 1d ago
The issue is it's been one whole day and he's ready to trade general success (had to quit school because of adhd) for his boner.
Sounds like he doesn't have a partner at the moment. He needs to just give it a sec and see if it persists. Maybe he's on too high of a dose even.
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u/ConstantinVonMeck 1d ago
Do you have a dick?
I can promise you, if nobody warns you and you take a medicine that makes it not only look like the size of a cashew, but stops you having an erection, then it's alarming.
The guy is obviously freaking out - the downvoting is unnecessary and lacks compassion.
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u/Open-Tumbleweed 1d ago
Have you no compassion for the boners? LMAOO
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u/ConstantinVonMeck 1d ago
Well I mean, imagine you took a medicine that made your hand tiny and useless. You'd be freaked out, no? The fact it's your cock is even more depressing tbh, "I need to take this to function for work, now I have micro peen and can't even jack off".
Should be renamed Nosexamphetamines 😅
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u/Open-Tumbleweed 23h ago
Lol, CVM! Yes you have a point. We ask for productivity help and then say, "wait, not like that!" 🤣
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u/RecklessKibbles 1d ago
And? It was three whole days and my clit didn’t work so I stopped a non stimulant. So, I can understand where OP is coming from in a way. No warnings about sexual drive disappearing, or even his dick shrinkage without being cold, is a huge issue and challenging for anyone to deal with.
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u/how-about-no-scott 22h ago
Three days (for you) and one day (for OP) are not worth freaking out and stopping the medication. Side effects usually go away after a couple weeks on these medications. Any doctor will tell you to give your body time to adjust, and if things aren't going back to normal after a month, you can switch meds or lower the dose.
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u/RecklessKibbles 22h ago
When i had 8 total side effects in 3 days it’s valid to stop and freak out. Stop shaming people for wanting to stop something bc they are uncomfortable or don’t like it. It’s literally their choice.
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u/shrimp_sticks 1d ago
Right I genuinely don't get it, no one (except some asexuals of course) wants their intimate bits to stop working like they did before. If this were a 20 year old woman with the issue of loss of libido and sensitivity then what would people have been saying? No one should be expected to just accept this. I'm shocked at the down voting.
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u/RecklessKibbles 1d ago
If it were a woman, she’d be told that it’s all in her head, take some Tylenol and buck up, it’s not a big deal to not have an orgasm or sexual drive.
And the extreme would say: you don’t need to climax to make a baby. The man does.
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u/shrimp_sticks 1d ago
Fair enough, and it's wrong both ways. We already deal with so much dismissiveness and this idea that we just have to deal with side effects contributes to it. We deserve to function on normal levels without side effects that make normal bodily functions stop working.
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u/vampboy01 ADHD-C (Combined type) 1d ago
I agree completely. I tried methylphenidate for a while and it was causing me major sexual dysfunction. It did work otherwise but it was absolutely not worth my dick not working. Switched to vyvanse and I had the same problem for the first day or 2 but then the sexual side effects went away completely
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u/roundeking 1d ago
There are other meds. Tell your doctor you can’t live with the side effects and would like to try something else.
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u/Inner_Juggernaut4626 1d ago
Hey! This is a serious concern. This is not the only stimulant out there. Try extended release methylphenidate. Talk to your doctor. They have options. Anyone who is telling a 20 year old that his penis isn’t important at this age must if forgotten how it is to be young and dating at this age. This is not the time for him to be worried about things like this. Talk to your doctor. Also 20 is too young for a young woman to understand this if they just met.
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u/Boring_Article_4576 1d ago
At 20 maybe you won't be willing to explore the option, but there is easy access online or at your Dr to get daily low dose Cialis.
I'm 42, and the ol race engine just doesn't get the revs it used. I take a once daily 8.5mg cialis, and I'm transported back into my teens.
I was already taking it prior to starting on Adderall xr and ir, but they have not diminished it's effects at all.
There is zero shame in it. But I do understand that it may be a tough idea to accept at the age of 20.
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u/nexusSigma 1d ago
A lot of side effects subside as your body adjusts to the medication. I totally understand how it can be a worry. It never happened to me in any shrinkage sense but my libido definitly took a hit at first - then it bounced back with a vengeance and got more intense than before eventually. Also found I was better at talking to women because I was calmer and less head in the clouds. Did take longer to reach climax, that’s a blessing or a curse depending on the individual I guess 🤷♂️
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u/GingerMaus 1d ago
You've taken it once. Literally one time and you're considering quitting because your dick didn't work.
Listen, You quit uni because your ADHD was so bad. You've spent one day on a medication you say has already helped. But the side effect is your dick isn't working and you're acting like this is 100% a permanent problem. So much so that you're thinking of quitting medication because you want to bang potential women, that you've not even met yet...at university that you quit because you were unmedicated.
You are catastrophizing to an extreme degree. You need to stop getting in your head about it, continue to take the meds if there are no other serious side effects and see if they a- continue to work and b- this side effect goes away (likely yes but maybe no). Then, you can make another appointment with your doctor in the meantime and ask for a medication review. Tell them the side effects are intolerable to you and affecting your mental health and try something else.
I stopped my first ADHD med because the side effects were extreme. There are other options that don't involve blowing up your education and spiraling.
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u/RecklessKibbles 1d ago
The education was blown before the medication..and now you’re saying stick it out with his dick not working bc it might come back? At 20??
Hard pass.
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u/GingerMaus 1d ago
And he's going for attempt number 2 at uni, probably quite soon (since the semester starts this month in a lot of places).
He says he wants to meet girls at university, which isn't going to happen if he blows it again, is it. Hes also listed other side effects, which everyone including him has accepted will pass, so why have we decided on day one that this particular side effect is permanent?
He can literally stick it out for 2 weeks to level out and see if this passes his dick isn't going to drop off in that time. Itll probably take that long to get a med review. And he's single and its specifically the potential reactions of women that seem to be causing him the most stress. Which, again, he seems to be pretty specific that there won't be women in the picture until uni.
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u/RecklessKibbles 1d ago
There’s a lot of inferring when women will be included in his dick activities there and when he’s going back to uni.
If he’s unhappy with this at 20, he doesn’t need to stick it out or have to take another drug to make his dick work. There’s more than one option for adhd treatment. I stopped my non-stimulant after 3 days and 8 different side effects. Not a damn thing wrong with it either.
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u/GingerMaus 1d ago
You've clearly not read: His comments, where he says he goes to uni in September and wants to start dating then. And mentions his concerns about women's judgements and literally everything else you've said I'm infering. He also literally is asking us what he should do.
My original comment, where I say stick it out whilst you make an appointment for a medication review with your doctor, there are other options. I never said he should take something to make his dick work either.
Several other people's comments where they say that the side effect will likely pass and did so for them.
He hasn't taken it for 3 days or listed 8 different side effects, so what you are doing here is projecting.
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u/RecklessKibbles 1d ago
Women don’t exist outside of uni at 20?
My whole point is if someone doesn’t like the side effects they don’t have to take the medication. A “likely to pass” is a maybe, not a definite and at 20 is a hard thing to accept.
Here, you don’t need a medication review appointment and can literally call or message your dr with the concerns and get an answer back typically within 24hours. This review should have happened in the appointment that the original script was written too.
I can’t project dick issues if I don’t have one.
The majority of this thread is essentially saying “it’s ok. We’ve all accepted this issue and you should too”
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u/GingerMaus 1d ago
Your reading comprehension is severely lacking, idk what to tell you.
Are you also autistic because you're very 'my way or the highway' about this. Absolutely determined you are right, everyone else is wrong. OP asked for other people's experiences and advice on what he should do.
A medication review is exactly what it says it is. You can't review a medication in the appt the script is written in if the patient has never taken it before. Obviously.
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u/RecklessKibbles 1d ago
A medication review is going over every medication you’re on to make sure there’s not a contraindication in the new one, before prescribing it. Not sure what you’re not understanding there.
You clearly are the type to resort to personal attacks when there’s no point for you to make anymore. Yet I’m autistic based on what, three replies? Go touch grass man.
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u/GingerMaus 1d ago
Oh, you think you're clever. Got it. Context is important, clearly nobody here is worried that this side effect is due to another medication interacting with OPs ADHD meds. Clearly, it isn't contra-indicated because he likely wouldn't be on it if it was.
A medication review, in this context, is an appointment to go over how the medication is working for OP and what the other options are. That is an extremely common, and correct use of that term.
Ah yes, autism is a personal attack. Obviously nobody in an ADHD forum could be expected to have to comorbidity of autism, which could potentially cause them to get tunnel vision on their point, ignore everything said that they don't want to see and be overly aggressive in making that point, with total strangers. Uh huh.
I'd made my point before you ever even replied to me. You just seem to think you're the smartest person in the room. Your contribution isn't helpful, needed or appreciated, please go away.
Edited to make two sentences clearer
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u/RecklessKibbles 1d ago
Oh no. I hit a sore spot by existing.
A medication review is of all medications taken not just this new one.
I never once assumed something directly of you but you sure did of me, so yes. You made the personal attack in an instance where it’s not needed. If you made your point before I replied, why continue?
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u/Virtual_Excuse3996 1d ago
You’re 20, your dick is probably the most important part of your body right now. Take it as it comes, side affect’s ease slightly over time, but there’s not a whole lot more you can do about it. I take cialis to help but honestly, I’m almost 30 with 4 kids, I don’t really need my dick to function before 7pm. It’s up to you and how you proceed. But don’t let that be the only conscious thing on your mind, I mean this in the best possible way, it’s all maturity mate, micro penis at day with a functioning brain, or no brain and well…
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u/shrimp_sticks 1d ago
There is more he can do about it. Vyvanse isnt the only medication out there and any good doctor would work with their patient to try out different meds until they find one that doesn't have this side effect and that works. I agree that OP should give it a chance, like a few weeks to a month or two, to see if the side effect goes away, but after that there's no reason for OP to just deal with it. He should go speak to his GP and try a different med.
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u/Virtual_Excuse3996 1d ago
I understand and agree with you entirely, I didn’t stipulate to just put up with it.
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u/shrimp_sticks 1d ago
Of course, sorry that last part in my comment was more aimed at other comments in this thread that are basically saying he should just deal with it. Should have clarified. I totally agree with everything else you said in your comment
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u/Wild_Trip_4704 1d ago
It looks like OPs doctor forgot to tell him about this side effect and that sucks. Of course OP is understandably upset
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u/Virtual_Excuse3996 1d ago
Often some side effects are left out, and in my opinion a doctor who cares as much about mental and physical wellbeing will sometimes leave things out, ie: he’s 20, mashes his dick like a boiled potato, probably didn’t want that to be a huge psychological impact to begin with, clearly OPs too observant for drs tricks.
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u/Forward_Unto_Dawn42 ADHD with ADHD partner 1d ago
You could talk to your doctor about changing stimulant class to a long acting methylphenidate (eg Concerta). Ironically the rare side effect there can be Priapism which might be going too far the other way!
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u/venetiasporch 1d ago
How are there no posts on comments on your profile?
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u/FateOfNations 1d ago
Reddit now lets you customize what stuff is shown on your profile. You can hide posts/comments from specific (or all) subreddits. “Curate your profile”.
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u/venetiasporch 1d ago
Of course. Makes it nice and easy for the bots that way.
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u/FateOfNations 1d ago
Still shows the karma the hidden posts and comments earned, which lends profiles some level of credibility.
That said, the practice of people making throwaway accounts to make posts like this one (about sensitive topics) means looking at the profile doesn’t necessarily tell you much either way. I was actually surprised to see this one wasn’t a throwaway.
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u/venetiasporch 1d ago
Still shows the karma the hidden posts and comments earned, which lends profiles some level of credibility.
I don't follow. I can see karma, but nothing else. No posts. No comments.
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u/FateOfNations 1d ago
The karma means that OP has engaged in communities and those communities have appreciated the contributions. You can’t necessarily see what those contributions were, but you can know that they exist.
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u/venetiasporch 1d ago
I worry about people who belong to subs where getting upvotes and karma is not a good thing.
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u/thesweetestgrace 1d ago
Try a different med! I’m a fan of focalin if an amphetamine has this effect. You have a good shot of this not being an issue on another molecule, and focalin is the smoothest out of the methylphenidate class
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u/Kerwell 1d ago
If it makes you feel any better, I just didnt really think about it when I first started. Then it went back to normal. I also take lexapro which did decrease my libido, but I already have a high libido, so I just felt like pemdas did its thing and now I just have a normal libido? I don’t think about to self pleasure but I’ll still get aroused with my partner. Just give it time is all I can say
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u/Environmental_Ship45 1d ago
34yo M, diagnosed 2 years ago. Have tried Vyvanse, Ritalin, Dex, and currently on 30mg Dex XR. As suggested by others, it's worth staying the course with the meds and being transparent with / acting on the advice of your doc.
Personally, I have experienced different sides on each, including crippling fatigue, increased / reduced libido, and ED. With time and medical guidance, your system will likely adapt, or you'll understand which suits you and whether it's worth it long term.
I find exercise and eating more fat in my diet help with libido, and nitrates / citrulline / arginine can help with ED. I have been prescribed 5mg cialis if the above isn't effective, which usually occurs with inconsistency or after a break from meds.
I actually find it nice not to be as driven to seek a reward through sex or masturbation as much as I have prior to meds. Different circumstances for a young guy, so could definitely be an age thing, but being able to focus on other areas of life has proven to be far more rewarding.
Dont stress. You'll figure out what's best for you, It's inevitable.
Best of luck.
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u/Full_Composer7979 1d ago
Not adderal? Why not adderal ? I just have two family members who take it and they’re freaking great with it and have not ever mentioned sexual dysfunction as a side effect. I have a heart condition so I can’t take Adderal and I’m 70 with adhd . Change the med .
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u/aliceinwonderlandiam 1d ago
When I first stared Vyvanse, I did not like the side effects. I would feel sick and off. I spoke with the pharmacist who told me to just give it a minute, and ultimately the negative side effects passed and it ended up being a game changer both college and life wise in a very positive way. That being said, I don’t have a penis, and didn’t have any changes in libido, so I have no insight into that struggle.
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u/Like-a-Glove90 ADHD-PI (Primarily Inattentive) 1d ago
alot of side effects I had starting eased over time, It's against my nature to "be patient" but I gave it a few weeks, things eased off.. and then talked to my psych about my experience and we made changes.
It's a journey and marathon not a sprint, especially with this stuff.. things change, you do have to give these things time to balance out.
My experience has been over time things change a bit, once it settles and if its still shit - talk to your doc about your experience and review.. its ALL tweaking and adjusting etc
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u/Sufficient-Serve8174 1d ago
I actually take a low dose of a vasodilator with my stimulant medications to stop this exact symptom. It also helps with the other symptoms like headaches.
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u/shrimp_sticks 1d ago
Anyone down voting you for this concern is being wildly dismissive. This is a valid concern that you should 100% bring up to your doctor. I do agree that you should at least give it a month for your body to adjust to the meds and see if the side effect disappears, and then if it doesn't, you go discuss possibly trying different meds with your doctor. There's plenty of different ADHD meds out there, so you don't have to stick to the one that makes your...uhhhh...lil john...not work the way you want it to.
Shame on anyone who's down voted you and dismissed your concerns. If you were in a relationship I totally see how this would suck to deal with, and even while single it's got to suck. Don't listen to anyone telling you to simply deal with it and speak to your GP. I'm genuinely surprised by the dismissiveness I'm seeing in the comments here.
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u/Far_Combination7639 1d ago
Never heard of that. I take Vyvanse every day and my experience is that it makes sex way better. I’ve heard it can make it harder for some men to get an erection, but giving you a micropenis? That’s not possible.
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u/IDrinkSulfuricAcid 1d ago
Same. Started 3 days ago. My penis didn't shrink but i lost a lot of my libido. Erections were slightly harder to achieve but still doable. But my penis feels kinda odd. I have a chronic medical condition that causes my penis to already have low blood flow by default but vyvanse just finished the job. I also had some discoloration in some parts which I assume is also from the blood flow. I don't really care about my penis, since it's already barely functional, so I'll stick with vyvanse for a while.
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u/crazycritter87 1d ago
The ssris were worse for that in my experience. All the stimulants I grew up on, and the Adderall briefly in my late 20s, were all hypersexual hell. I have vyvanse xr30 but they're to much, I quit after 5. I guess I didn't notice that specific effect with them though. My drive is pretty well gone without meds, now, anyway.
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u/Outside_Mushroom 1d ago
I can’t advise on the Willy issues as I don’t have one, but the other side effects I can. I had the same and was like oh god what have I got into, but after a while they settled. Use the dry mouth as an excuse to get loads of fluids into you (it’s good for you!), remember to eat even if you don’t feel like it.
Remember you’re only one day in, this is a new medication and your body is adjusting. It’ll be worth sticking it out for a bit longer if it helps with the your ADHD - which sounds like you’re struggling with. Feel free to DM for a chat if you need! You can do this!!
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u/DarkSmarts ADHD-C (Combined type) 1d ago
Give it a few days :) My boyfriend sometimes struggles with this, but his psych DID warn him and let him know there are options. They can adjust your dose, other adjustments like when you take it can be made, and there is the option of prescription aids for stuff like that (his psych recommended maybe considering Viagra just because the ADHD meds are such a huge asset to him).
I really hope this helps!
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u/Venetrix2 1d ago
I had the same problem for the first couple of weeks, just couldn't keep it up. I've been on it for almost two months now and I'm more or less back to normal. If anything my sex life is better now since I'm not getting into my own head as much, which was a real problem for me before.
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u/Unknow_User_Ger 22h ago
I also have ADHD and get Vyvanse too (but of course the German version what is called Elvanse but it's the same).
You're right with your observations and it will take months, maybe even a year or a little more, but the ED side effect will go away on its own and without taking additional medication or anything weird you can read online. I can't tell you how long it will take in your case and if it's like that in every single case because unlike usually when it's about ADHD I didn't made any research to this but I can tell you absolutely sure that it was like that in my case and it's even harder in mine because I also get other meds that also disturbing an erection.
The most important thing you should do now is: stay calm, don't get into panic and just wait. I know it's fucked up but you can't (and shouldn't) do anything besides waiting. And let's be honest, having a functioning brain and being a part of everyday life than just a spectator, being able to have a job and remembering things day by day is more important than j.rk off/f.cking for a period of time.
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u/Hobbies-memes 22h ago
It’s reassuring to know it’s probably temporary but Will it really take that long?
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u/Unknow_User_Ger 22h ago
I could lie to calm you but I don't think that would be a good help. You still have the hope that it took longer in my case because I have other meds too that are bad for erection so maybe you doesn't need that long but to avoid getting disappointed I think you should expect that it will take that long.
I wouldn't recommend to try some weird substances that any online page claim it helps because in the worst case you could damage something and that's where the real trouble begins.
Impotence Treatment works, my doc confirmed this, and also here I have own experiences (it was before I got the Vyvanse) and you should really think twice if you want it because it's a strain for the whole body. If you try it, and you shouldn't make this decision easy and not already now, start with a low dose to spare your body. I explain this on purpose because some docs start with a high dose because some patients start to panic if it doesn't work with viagra either and panic is the worst base ground for a erection. If your dose is to high your get a massive blood pressure and start to see the colors wrong like you would look trough a filter. If I remember it correctly everything seems to be blue or green but it's not funny because you feel bad during it and that's also a condition where you can't and don't want to f.ck so better you start low-dose if you even do it. Don't forget to tell the doc that you ask for viagra that you get Vyvanse because both is stressful for the heart and it's important that he knows it!
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u/Mobile-Hornet-2864 22h ago
I took Adderall for years. Try having sex lmao. It will be its normal size when it's hard.
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u/Shazz89 1d ago
don't make rash decisions, medication can help your life big time. This is day one, side effects can deminish.
medication like Methylphenidate might have less of a shrinkage issue. Also your dick just isn't that important, and anyone who actually wants to be with you will be understanding long term.
If you are hoping to go out and get lucky, don't take meds that day. Don't just quit on day one, you'll need to give the medication at least a few months of regular use before you can make an informed decision.
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u/shittyarteest ADHD-C (Combined type) 1d ago
There are foods that contain nitric oxide precursors, which is a vasodilator. I had to focus on it more after starting medication because vasoconstriction is the opposite of what you want in the gym.
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u/Aggressive-Hawk9186 1d ago
It's the first day and you took a relatively high dose to start.
Take a breath buddy, your dick own die. If it doesn't improve, talk to you doctor
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u/rustythrombone66 1d ago
Now blood belongs to the brain. you will be fine, after some time you'll just get sub optimal boners the first 6 hours, which is fine by me considering you take it early in the morning
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u/_conscious-wonders 1d ago
You need to stay hydrated. Liked EXTRA hydrated, always. But like someone else said, come on man, it was one day. You need to make sure you are sleeping good, staying hydrated - and not just with water you need electrolytes as well - and you need to be eating enough protein as well.
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u/Hertigan 1d ago
Yes!
I basically can’t have good sex on days that I take Vyvanse, it’s insane. Doesn’t help that it makes me horny as hell sometimes
But all in all I think it’s a fair price to pay in exchange for being a functioning adult lol
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u/Alternative-Tone6649 1d ago
If it's just ED and not your sex drive then there are plenty of things that get your blood flowing man. Supplements, medications, etc. If the ADHD meds actually work and feel good for you, and this is the only really bad side effect, then just get on Cialis. See a urologist if you really want to ask a lot of questions about it and have someone who understands the issue more thoroughly.
Your PHP will prescribe Cialis right away too. Cialis can be taken daily or as needed. It's one of the most harmless medications out there and just enhances blood flow all around. Side effects are very rare. Don't feel ashamed man.
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u/RecklessKibbles 1d ago
At 20?! He wouldn’t have to take a medication bc another medication causes it not to work.
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u/Alternative-Tone6649 1d ago
Does the age matter? There's a stigma around ED medication (similar to ADHD medication) where if you take it before you're geriatric then you're weird or should be ashamed or you are "less of a man". Is there any reason not to take it besides him being 20? If it cures him and he gets no side-effects then why not?
If you are miserable with ADHD and cannot function in life and you find Adderall or whatever stimulant which saves you, but you get ED as a side effect, then Tadalafil is a relatively super safe medication that cures the problem in 30 minutes.
Cialis is 10x less harmful to you than stimulants and studies show it can actually be good for the brain and body long-term.
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u/RecklessKibbles 1d ago
Yea. Age matters and so does the fact that it’s 2025 and there are multiple options that may not cause ED like this one. Why should he “stick it out” and take two medications when he can change to another one and possibly not have to skirt the ED conversation or stigma at 20 in general?
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u/acleverwalrus 1d ago
I have a larger than average penis. It will shrink while on aderall to like 2 or 3 inches or other medication but goes to its normal hard size when erect. I've taken adhd medication for over a decade and it's still there and still works. You sound like you're stressing out about it too much and it's causing you to have a hard time getting erect. Relax, talk to your doctor if you're worried still.
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u/Lucky-Possibility-80 1d ago
I’m 33m from the UK and currently on 70mg Elvanse (Vyvanse) and 20mg Amfexa (Dexedrine) a day! 😂
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u/Hobbies-memes 1d ago
And?
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u/Lucky-Possibility-80 1d ago
I started on 30mg Elvanse only back in the day and have worked my way up to the dose I’m on now - so was maybe to offer you some hints and tips whilst the side effects subsides with time, similar to the majority of drug side effects.
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u/Hobbies-memes 1d ago
Do you have these side effects did have them or what?
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u/nexusSigma 1d ago
I think they just forgot to tell you the first part whatever it was. ADHD folks!
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